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Boards and Commissions Application

  1. Maplewood logo _USE
  2. City of Maplewood, MO
    Boards and Commissions Application
  3. I am interested in serving on the following Board(s) or Commission(s):
    (Please rank in order of preference, 1 being your most preferred board/commission.)
  4. Contact Information
  5. Personal Information
  6. Are you a Maplewood resident?*
  7. Do you work for a Maplewood business?*
  8. Do you currently hold, or have you previously held, any local, state, or federal government positions, appointments or office(s)? *
  9. References
    Please list two references. At least one reference needs to be a Maplewood resident who is familiar with your experience and abilities.
  10. Maplewood resident?*
  11. Maplewood resident?*
  12. Have you read the duties and responsibilities of the board or commission for which you are applying?*
  13. Will you be able to attend the regular meetings of the boards and commissions to which you may be appointed?*
  14. By submitting this form, you affirm that the information contained in this application is true and accurate to the best of your knowledge and that you are the person named in the applicant section of this form. In addition, you acknowledge that upon receipt by the City, this form is a public record and its contents will be provided to anyone requesting a copy and that your name, street number/address will be made available to the public via the council meeting agenda, which is posted on the internet.
  15. If you have any questions please call City Clerk, Karen Scheidt at (314) 646-3604.
  16. Leave This Blank:

  17. This field is not part of the form submission.