Forms

2. Important Notice:

   The City Council may consider appointments to boards and commissions in executive sessions which are closed to the public, and then make the appointments in a public meeting. You have the right, however, to have your application considered in a public meeting by providing a written request to the City Clerk. Please note that this information is public information.

4. Date*
   Date
5. Board/Commission you wish to serve on*
   -- Select One --Airport CommissionAudit CommitteeBeautification and Public Art CommissionBoard of AdjustmentBuilding and Fire Code Board of AppealsCommission on Council SalariesCommission on Diversity AwarenessCommission on Inclusion and Adaptive LivingEmployee Advisory CommitteeFlagstaff Housing AuthorityHeritage Preservation CommissionHousing CommissionIndigenous CommissionIndustrial Development AuthorityLibrary BoardMountain Line (NAIPTA) TACOpen Spaces CommissionParks and Recreation CommissionPersonnel BoardPlanning and Zoning CommissionPublic Safety Personnel Retirement SystemSelf-Insurance Trust Fund BoardSustainability CommissionTourism CommissionTransportation CommissionBicycle Advisory CommitteePedestrian Advisory CommitteeWater Commission
7. If applicable, type of seat for which you are qualified
   -- Select One --Not ApplicableResident Member (Flagstaff Housing Authority)Non-Resident Member (Flagstaff Housing Authority)At-Large Member (Heritage Preservation Commission)Professional (Heritage Preservation Commission)Historic Property Owner (Heritage Preservation Commission)Building and Real Estate Professional - Builder (Housing Commission)Building and Real Estate Professional - Developer (Housing Commission)Building and Real Estate Professional - Architect (Housing Commission)Building and Real Estate Professional - Land Use Expert (Housing Commission)Building and Real Estate Professional - Realtor (Housing Commission)Building and Real Estate Professional - Lender (Housing Commission)Building and Real Estate Professional - Residential Property Management (Housing Commission)Building and Real Estate Professional - Other (Housing Commission)Low Income Housing Expert - Housing Nonprofit (Housing Commission)Low Income Housing Expert - Low Income Representative (Housing Commission)Low Income Housing Expert - FHA Member (Housing Commission)Low Income Housing Expert - Other (Housing Commission)Community Representative (Housing Commission)PD Employee Member (PSPRS)FD Employee Member (PSPRS)Citizen Member (PSPRS)School Representative (Transportation Commission)NAIPTA Representative (Transportation Commission)Ex-Officio IPAC (Indigenous Commission)At-LargeHR Representative
9. Your Information
11. Name*
12. Email Address*
14. Home Address*
15. Zip
17. Mailing Address (If different than home address)
19. Employer*
20. Job Title*
22. Home Phone
23. Cell Phone
25. Business Phone
26. Preferred Phone*

    1. Home
    2. Cell

    1. Work
28. Please indicate age group*

    1. 18-34
    2. 35-54
    3. 55+
29. Please indicate education*

    1. High School
    2. College
    3. Post Graduate
31. Number of years living in the Flagstaff area*
33. Background Information
35. Please explain how your community activities and other relevant experience/interests are applicable to this board or commission*
37. Why do you want to serve on the board or commission you listed?*
39. The City of Flagstaff is committed to increasing diversity in every board and commission. How do you contribute to this?*
41. If applying to the Indigenous Commission, you must be an enrolled member of a federally or state recognized tribal nation. Please indicate which Indigenous nation and your enrollment number
43. By submitting this electronic form, I acknowledge that any information provided above is public information, and I certify that I meet the City Charter requirement of living within the Flagstaff City limits and have read and understand the right to have my application considered in a public meeting.

    Please note that all board and commission meetings are public and may be streamed.

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field