DAB Application

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Downtown Advisory Board Application

Application for Downtown Advisory Board

Unique ID

APPLICATION FOR APPOINTMENT

TO FILL AN UNEXPIRED TERM TO CONCLUDE ON XXX, XX XXXX

Note: Your application will be copied for the City Commission and made available to the press and public

Name(Required)

First Last

Date

Home Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone:(Required)

Mailing Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Business Phone:

Occupation:(Required)

Are you a resident of Pittsburg?(Required)

Yes

Experience / Qualifications

Current Occupation (within last 12 months):(Required)

Business interest in the last 12 months:(Required)

Previous Committee/Commission Experience:(Required)

Education/Experience: A resume may be attached containing this and any other information that would be helpful in evaluating your application.(Required)

Professional and/or community service activities:(Required)

Please explain your reasons for wishing to serve on this committee/commission and how you feel that you may contribute:(Required)

Please explain your reasons for wishing to serve on this committee/commission and how you feel that you may contribute:

Area of representation (check all that apply)(Required)