First Name:    Last Name:

Address:

City:    State:    Zip:

Phone:    Cell Phone:

Email:


Please tell us briefly, why you are interested in volunteering to serve the City on a Board or Commission:


Various Boards and Commissions meet on different evening and times; however, they generally meet 1-2 times per month for a total of approximately 1-4 per month. Do you foresee any problems attending these meetings on a regular basis?


How long have you been a resident of Gladstone?      Northland:

What neighborhood do you currently reside in?

What do you see as Gladstone's strengths?


Have you ever been involved with a Neighborhood Group or other non-profit group?

Please identify what you feel are some key issues facing the City in the next 5-10 years?


What is one thing that would make Gladstone a better place to live?


Are you applying for a specific Board? If so, do you have a preference?

Have you attended any of the Boards/Commission meetings for which you are applying for?


Briefly describe how your experience, education, professional or volunteer qualify you to servce on a Board and Commission:


Occupation: