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Board/Commission Application Form

  1. Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 West 13th Street, Dubuque, IA, accepts applications for any Board and/or Commission at any time. Applications stay active for one year from the date of receipt in the Clerk's Office. Applications to multiple vacancies and/or reappointment requests requires separate applications.
  2. Please complete the online application and separate optional demographic information below
  3. Personal Information
  4. Please identify which opening on the Airport Zoning Commission your qualifications represent:*
  5. Please identify which opening on the Airport Zoning Board of Adjustment your qualifications represent:*
  6. Please identify which opening on the Arts and Cultural Affairs Commission your qualifications represent :*
  7. Please identify which opening on the Advisory and Appeals Board your qualifications represent:*
  8. Please identify which opening on the Community Development Advisory Commission your qualifications represent:*
  9. Please identify which opening on the Historic Preservation Commission your qualifications represent:*
  10. Please identify which opening on the Housing Appeals and Mediation Board your qualifications represent:*
  11. Please identify which opening on the Housing Commission your qualifications represent*
  12. Please identify which opening on the Housing Trust Fund Advisory Committee your qualifications represent:*
  13. Please identify which required criteria you possess to qualify for the Resilient Community Advisory Commission*
  14. Example Name: Petrona Dominguez
    Pronunciation: [Peh-Tro-Nuh  Dough-Mean-Gezz]

  15. How did you hear about City of Dubuque Boards and Commission?*
  16. Gender (choose all that apply) Note: Some City Boards/Commissions are subject to the gender balance requirement in Iowa Code Section 69.16A*
  17. Are you currently serving on other Boards, Commissions, or Committees?*
  18. Have you served on a Board, Commission, or Committee before?*
  19. Have you participated in the City Life program?*
  20. Have you participated in the Intercultural Competency Program offered through the City of Dubuque or other organizations?*
  21. This application is a public document and as such can be reproduced and distributed for the public. Each application for reappointment to a City Board or Commission will be considered without regard to incumbency. Misrepresentations on this application will constitute just cause for removal of an appointee. Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the City Clerk's Office or the City Attorney's Office.
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  23. This field is not part of the form submission.