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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 select which vacancy you are applying for on the Airport Zoning Commission:*

  5. Please select which vacancy you are applying for on the Airport Zoning Board of Adjustment:*

  6. Please select which vacancy you are applying for on the Arts and Cultural Affairs Commission:*

  7. Please select which vacancy you are applying for on the Building Code and Advisory Appeals Board:*

  8. Please select which vacancy you are applying for on the Community Development Advisory Commission:*

  9. Please select which vacancy you are applying for on the Electrical Code Board:*

  10. Please select which vacancy you are applying for on the Historic Preservation Commission:*

  11. Please select which vacancy you are applying for on the Housing Commission:*

  12. Please select which vacancy you are applying for on the Housing Trust Fund Advisory Committee:*

  13. Please select which required criteria you possess to qualify for the Mechanical and Plumbing Code Board*

  14. Please select which required criteria you possess to qualify for the Resilient Community Advisory Commission*

  15. Please select which vacancy you are applying for on the Zoning Advisory Commission.*

  16. Please select which vacancy you are applying for on the Zoning Board of Adjustment.*

  17. Gender (choose all that apply) Note: Some City Boards/Commissions are subject to the gender balance requirement in Iowa Code Section 69.16A*

  18. Are you currently serving on other Boards, Commissions, or Committees?*

  19. Have you served on a Board, Commission, or Committee before?*

  20. Have you participated in the City Life program?*

  21. Have you participated in the Intercultural Competency Program?*

  22. 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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  24. This field is not part of the form submission.