Boards & Commission Application form

2. IMPORTANT: All applicants must be a registered voter of the state of Missouri

4. First Name

5. Last Name

7. Address

9. City

10. State

11. Zip

13. Phone

14. Email

16. Resident of City

    1. Yes
    2. No

17. Years

18. Registered Voter

    1. Yes
    2. No

20. Occupation

21. Place of Employment

23. Education

    1. High School
    2. College Degree
    3. Bachelor's Degree

    1. Master's Degree
    2. Doctorate

    Check highest level completed

25. Field of Study and/or Special Interests

27. First Choice
    -- Select One --ADA Accessibility CommitteeAirport BoardBoard of AdjustmentBoard of HealthBuilding Board of AppealsCapital Improvements Oversight Sales Tax CommissionCity Tree BoardConventions & Visitors Advisory BoardDesign Review Standards CommissionEnhanced Enterprise BoardHistoric Preservation CommissionHousing AuthorityIndustrial Development Authority of JoplinJoplin Re-Development CorporationJoplin Sports AuthorityLibrary BoardParks & Recreation BoardPersonnel BoardPlanning & Zoning CommissionPolice & Firemen's Pension BoardSolid Waste Advisory CommissionTax Increment Finance CommissionTraffic Commission

29. Second Choice
    -- Select One --ADA Accessibility CommitteeAirport BoardBoard of AdjustmentBoard of HealthBuilding Board of AppealsCapital Improvements Oversight Sales Tax CommissionCity Tree BoardConventions & Visitors Advisory BoardDesign Review Standards CommissionsHistoric Preservation CommissionHousing AuthorityIndustrial Development Authority of JoplinJoplin Historical & Mineral Museum Inc. BoardJoplin Re-Development Corporation (353 Comm.)Joplin Sports AuthorityLibrary BoardParks & Recreation BoardPersonnel BoardPlanning & Zoning CommissionPolice & Firemen's Pension BoardSolid Waste Advisory CommissionTax Increment Finance (TIF) CommissionTraffic Commission

31. Experiences, Education or Community Activities

    List any information, which you think should be considered for your appointment to this committee.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field