2. Please complete the online form below.
4. Select the Board, Commission, or Committee applying for (you may select up to five):*

   1. Arcadia Lake Commission
   2. Board of Adjustment/Board of Appeals
   3. Capital Improvment Projects Advisory Board
   4. Central Edmond Urban District Board
   5. Citizens Participation Committee
   6. Community Agency Review Commission
   7. Community Policing Board
   8. Development Impact Review Committee
   9. Edmond Bicycle Committee
   10. Edmond Economic Development Authority Board
   11. Edmond Historic Preservation Trust Committee
   12. Edmond Mobility Commission

   1. Edmond Visual Arts Commission
   2. Employee Pension and Retirement Board
   3. Guthrie-Edmond Regional Airport Board
   4. KickingBird Golf Club Advisory Board
   5. Parks and Recreation Advisory Board
   6. Planning Commission
   7. Public Works Committee
   8. Stormwater Drainage Advisory Board
   9. Urban Forestry Commission
   10. Veterans Memorial Advisory Committee
   11. Visit Edmond Tourism Advisory Board
   12. No Preference
6. Personal Information
8. Name:*
10. Home Address (Street):*
12. City*
13. State*
14. Zip Code:*
16. Business Address:
18. Home Phone Number:*
19. Business Phone Number:
21. Occupation:*
22. Email Address:
24. In which Edmond Ward do you reside?*

    Edmond Address Finder

26. Serving on a board or commission can be time consuming. Does your schedule allow attendance at all regularly scheduled meetings?*

    1. Yes
    2. No
28. If appointed are you willing to comply with the City of Edmond Conflict of Interest Policy, as stated in Section 63 of the City Charter?*

    1. Yes
    2. No
30. Section 63. Officers and employees to have no interest in any City contract. No officer or employee of the City, elective or appointive, shall be interested, directly or indirectly, in any contract or job for work or for materials or supplies or the profits thereof, or any purchase made by, to or with the City, or to own stock in any corporation having any contract or subcontract for doing any contract, job or ware, and all such contracts with such City officers or employees shall be void, and the violation of this clause shall be deemed a cause for removal from office or employment of such officer or employee. For the purpose of this section the depositing of any funds in a bank or other depository shall not be considered the making of a contract.
32. Education and Hobbies
34. High School:
35. College:
37. Trade or Business School:
39. Hobbies:
41. Organization Membership Information
43. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
45. If yes, which:
47. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
49. If yes, which:
51. Please list organization memberships and positions held:
53. Please List Areas of Special Interest
55. It is suggested that you include a cover letter and resume with your application.
57. If interested in serving on the Edmond Mobility Commission, please answer the following questions in your cover letter.
    1. Briefly describe how often you ride Citylink, bike, or walk to/from destinations (not just for exercise), and/or use other modes of active transportation, and 
    2. State why you think it should be a priority for Edmond to build and maintain a mobility network that includes safe and convenient sidewalks, trails, alleys, transit, bike lanes, etc.
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59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

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