City of Piedmont: Board Application

Profile

First Name *
Middle Initial
Last Name *

Email Address *

Home Address *
Suite or Apt
City *
State *
Postal Code *

Primary Phone * Primary Phone

Education *

Occupation *

Application

Please select the commissions and/or committees you wish to apply for. .

Which Boards would you like to apply for? *

Please select a Board

Interests & Experiences

Experience related to this appointment *

Why are you seeking this appointment? *

What particular talents will you bring to this commission/committee? *

Have you attended a meeting of this commission/committee in person or virtually? *

Watched on KCOM? *

Watched on Streaming Video? *

Certifications

Applications for the current vacancies must be received by the City Clerk's office no later than Friday, February 28th, at 5:00 P. M.

Interviews with the City Council will be scheduled for the evening of Monday, March 10, 2025. Appointments will not be made without a Council interview.

I will be available for an interview with the City Council on the evening of Monday, March 10. * Yes No

I agree that the above information is truthful to the best of my knowledge and is submitted by myself on my own behalf. * Yes No

E-Signature: *