Apply to Serve of Boards, Commissions, and Committees

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.

* - denotes required field

Date *

Full Name *

Street Address *

Address City, State, Zip *

Phone *

Fax

Email *

Which board would you like to serve on? *

I would like to serve on this Board or Commission because

My strength(s) on this Board/Commission will be

Trade/College/University/Degree/Date

Current Employer/Address/Position

Past Employers/Address/Position/Dates

Organization/Leadership Position(s)/Membership Date(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

Are your personal and real estate taxes current? If not, you can provide an explanation if you choose

Do you anticipate that there will be times when you will not be able to attend the Board/Commission meeting? If yes, how often to do you anticipate this would occur?