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Application for Board and Commission Appointments

2. Board and/or Commission:*

   Board/Commission(s) for which this application is to be considered: (check one or more)

   1. Civil Service/Personnel Board
   2. Code Enforcement Board
   3. Downtown Pasco Development Authority
   4. Historic Preservation Commission
   5. Housing Authority Commission
   6. Park & Recreation Advisory Board
   7. Planning Commission
   8. Public Facilities District Board
   9. LEOFF Board (Law Enforcement Officers and Fire Fighters Disability Board)
   10. Inclusion, Diversity and Equity Commission
   11. Arts and Culture Commission
4. Name*
6. Contact Telephone*
8. Second Contact Telephone
10. Home Address (Street)*
12. City*
14. State*
16. Email Address*
18. Length of residence in Pasco*
20. Registered Voter?*

    1. Yes
    2. No
22. Available for daytime meetings:*

    1. Yes
    2. No
24. Available for evening meetings:*

    1. Yes
    2. No
26. Present Employment (Job - Title - Date of Employment - etc.)
28. Business Address
30. City
32. State
34. List education, training, or volunteer work that you possess that may be relevant to the position(s) for which you are applying:*
36. Why do you want to serve on the Board/Commission? What do you hope to accomplish?
38. Do you know of any conflicts of interest that you may have in serving, or do any of your relatives work for the City of Pasco?*

    1. Yes
    2. No
40. If yes, explain:
42. Disclaimer: I understand that the application and supporting documents may be available for public inspection.*

    1. Acknowledged
44. Please type your name here for your signature:*
46. Supplemental Questions ONLY for the Arts and Culture Commission Applicants:
48. For the Arts and Culture Commission only:

    What type of position on the Commission are you applying for? More information can be found on the Arts and Culture Commission page here.

    1. Community Member
    2. Art Professional
    3. Artist
    4. Youth Representative
50. For the Arts and Culture Commission only: How can public art improve a community?
52. For the Arts and Culture Commission only: Based on Ordinance 4472, what is the role of an Arts & Culture Commissioner?
54. The City desires diversity on its Boards and Commissions. Information in this section will assist in this goal but is voluntary on your part.
56. Race

    1. Asian
    2. Hispanic
    3. African American
    4. Native American
    5. Caucasian
    6. Other
58. Sex

    1. Male
    2. Female
60. Disability
62. Note
    Download the Board and Commission Application here.

    If you are having trouble with this online form, download the application by following the link above, or call the City Clerk's office at (509) 544-3096, or email
    cityclerk@pasco-wa.gov.

Leave This Blank:


64. Submit

* indicates a required field