Volunteers in the Public and Nonprofi t Sectors 125
Exhibit 5.1. Information Sheet on Prospective Appointee
for Citizen Board or Commission
Name in full _____
Address _____
(Number) (Street) (Ward)
Phone ___(Home); __ (Business)
Occupation__ How long? _____
Business address _____
(Number) (Street) (City)
How many years have you lived in this city? _____
Are you a registered voter in this city? __ (Yes) __ (No)
Have you ever served on a city board or commission? If so, state name of board
or commission__ (Years) __
Comment on your professional background, specialties, training, or abilities:
List civic, social, and professional organizations to which you belong:
Are you interested in appointment to any particular board or commission?
(Signature) _____
(Date) _ ____
Please return to: City Clerk