Thank you for your interest in serving on one of the City of Raytown Boards and Commissions. Volunteers like you are essential to ensuring that your city government is responsive to the needs of the community.


Please help us place you in the most appropriate Board/Commission by completing this questionnaire.

Date:
Last Name:
First Name:
Middle Name:
Address:
Phone: Day:
Phone: Evening:
Cell Phone Number:
Fax No.:
Email Address:
Which board would you like to serve on?:
Because:
My strength(s) on this Board/Commission will be::
Education:High School/City/State/Date:
Trade/College/University/Degree/Date:
Post Graduate/College/Degree/Date:
Current: Employer/Address/Position:
Past Employer/Address/Position/Dates:
Past Employer/Address/Position/Dates:
Organization/Leadership Position(s)/Membership Dates (s):
Do you have business or property interests that might place you in a conflict of interest situation should you be appointed to this Board/Commission? 
If so, please explain.:
Do you anticipate that there will be times when you will not be able to attend the Board/Commission meeting?
If yes, how often do you anticipate this would occur?:
Enter this number into the "Security Code" field:

*Security Code:


Official Website of the City of Raytown, Missouri
City Hall | 10000 East 59th Street | Raytown, Missouri | 64133 | Ph (816) 737-6000
Office Hours: Mon - Fri 8:00am - 5:00pm