Application for Board or Commission Appointment Committee or Board Applying for: Planning Commission Board of Review Zoning Board of Appeals Election Commission Local Officers Compensation Commission SSESA Board SATA Board Other Today's Date Month Day Year Name First Last How long have you lived in the City? Address Street Address City State ZIP / Postal Code Preferred PhoneEmail Please check all that apply: I own property in the City of Perry I own a business located within the City of Perry I rent property in the City of Perry Have you served on a board / commission or held a civic position in the past? Yes No What experience or training do you have which might be of special value on this board or commission?(i.e. education, job experience, length of residency, life in another community, etc.) Tell us about yourself, we'd love to get to know you!Brief bio/Hobbies, etc.Consent(Required) I have read and agree to the statement below.It is expected that you will strive to attend all scheduled meetings and will properly notify the board or commission chairperson if you will not be able to attend a meeting as soon as you become aware you will not make the meeting. All members are expected to act with integrity and honesty and to refrain from any decisions in which they have a conflict of interest. Please reach out to the City Mayor or to the chairperson of your board if you have any questions or concerns. Some commissions and boards have bylaws that govern the proceedings of the board. These should be followed at all times. By checking the box above, you acknowledge that you understand and agree to the above.