Committee & Board Appointments Application

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Citizen boards, committees and commissions are critical to the effective functioning of city government. We appreciate your interest in wishing to serve White Salmon and ask that you complete this brief application. If you wish, please feel free to attach a resume or additional documentation to this application to speak to your prior experience. This application form is considered a public document and is subject to public disclosure.

Email *

Name *

First and last name

Mailing Address

Physical Residence Address *

Phone number *

For which Board(s), Committee(s) or Commission(s) would you like to be considered *

Board of Appeals

City Lab Board

Civil Service Commission

Personnel & Finance Committee

Planning Commission

Tree Board

Required

Education (HS, name and location of college or university, year graduated and degree) *

Current Employment (Job Title, Employer)

Special reasons for wishing to serve on selected board(s) or committee(s)?

Have you previously served on any advisory boards, committees, or commissions for the city? If so, please provide details. *

Please list any training or experience you have that would be beneficial to serving on the stated board, committee, or commission.

Are you able to attend board meetings during the day or evenings M-F? If no, please explain. *

To send additional information:

Please email any resumes or additional information you would like included with your application to: mayor@ci.white-salmon.wa.us and include your name in the subject line. Thank you!

You application will be placed with others interested in serving on the same board, committee or commission. When a vacancy occurs on the board, committee, or commission in which you have indicated an interest, the Mayor may desire to conduct an interview. We will retain your application for 3 years from the date it was received. Please check the box below to confirm acknowledgement of these terms. *

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Send me a copy of my responses.

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