** CITIZEN PROFILE ** MARQUETTE CITY BOARDS AND COMMITTEES

PLEASE USE THIS FORM TO EXPRESS YOUR INTEREST IN SERVING ON A PARTICULAR CITY BOARD OR COMMITTEE AND RETURN TO: City Manager's Office, 300 W. Baraga Ave, Marquette, MI 49855. You may submit additional material if you wish. Call 228-0436 for information on vacancies.

The City Charter requires that each member of a City Board, Commission, or Committee be a resident of the City and a qualified and registered elector of the City on the day of appointment and throughout the tenure of office. The Marquette City Commission makes appointments to City Boards at their regular meetings as vacancies come up.

NAME OF CITY BOARD OR COMMITTEE: ________________________________________

APPLICANT NAME: _________________________________________________________

HOME ADDRESS: __________________________________________________________

PHONE: _______________________

BUSINESS ADDRESS: _______________________________________________________

PHONE: _______________________

OCCUPATION: _____________________________________________________________

ARE YOU CURRENTLY SERVING OR HAVE YOU SERVED ON ANY CITY BOARD? 

YES £     NO £

IF SO, PLEASE EXPLAIN _____________________________________________________

_________________________________________________________________________

TO THE BEST OF YOUR KNOWLEDGE: ARE YOU ELIGIBLE TO SERVE ON THIS BOARD?

YES £     NO £

ARE YOU ABLE TO ATTEND ITS MEETINGS REGULARLY? ___________

ARE YOU CURRENTLY IN DEFAULT TO THE CITY? _______________

DESCRIBE YOUR BACKGROUND AND ANY SPECIAL INTERESTS YOU HAVE:

_________________________________________________________________________

_________________________________________________________________________

 

SIGNATURE: __________________________________ DATE: ______________