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2. This application is a public document and as such can be reproduced and distributed for the public. Specific attention should be directed to the possible conflict of interest. For further clarification, if a situation arises, contact the City Clerk's Office or the City Attorney's Office. 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.

   General Eligibility Requirements for All Boards and Commissions

   • Residency within the corporate city limits
   • Minimum age of 18
   • Can not be employed by the City of Dubuque
   • Newly appointed Board or Commissionmembers must complete a State-mandated 2-hour  training on Open Meeting/Open Records training within 90 days of taking their Oath of Office

   NOTE: Additional requirements may apply to certain boards and commissions. Please refer to the specific Board or Commission details for more information

   
   

4. Please complete the online application below
6. Personal Information
8. Select the Board, Commission, or Committee applying for:*
   -- Select One --Airport CommissionAirport Zoning CommissionAirport Zoning Board of AdjustmentArts and Cultural Affairs Advisory CommissionBoard of Library TrusteesBuilding Code Advisory and Appeals BoardCable Television CommissionCatfish Creek Watershed Management AuthorityCivic Center Advisory CommissionCivil Service CommissionCommunity and Police Relations CommitteeCommunity Development Advisory CommissionHuman Rights CommissionHistoric Preservation CommissionHousing Appeals and Mediation Board Housing CommissionHousing Trust Fund Advisory CommitteeInvestment and Cash Management Oversight Advisory CommissionLong Range Planning Advisory CommissionPark and Recreation Advisory CommissionResilient Community Advisory CommissionTransit Advisory BoardZoning Advisory CommissionZoning Board of Adjustment
10. Please identify which opening on the Airport Zoning Commission your qualifications represent:*

    1. City Zoning Advisory Commission Representative
    2. At-Large
12. Please identify which opening on the Airport Zoning Board of Adjustment your qualifications represent:*

    1. City Zoning Board of Adjustment Representative
    2. At-Large
14. Please identify which opening on the Arts and Cultural Affairs Commission your qualifications represent :*

    1. At-Large
    2. Arts Representative
16. Please identify which opening on the Building Code Advisory and Appeals Board your qualifications represent:*

    1. Residential Construction Professional
    2. Commercial Construction Professional
    3. Electrical Construction Professional
    4. Plumbing Construction Professional
    5. (HVAC) Construction Professional
    6. Multidisciplinary Representatives, an Architect
    7. Multidisciplinary Representatives, an Engineer
    8. Multidisciplinary Representatives, a Building Designer
    9. Multidisciplinary Representatives, a General Construction Professional
18. Please identify which opening on the Community Development Advisory Commission your qualifications represent:*

    1. At-Large
    2. Housing Commission Representative
    3. Low to Moderate Income Area Representative
20. Please identify which opening on the Historic Preservation Commission your qualifications represent:*

    1. Living within the W. 11th District
    2. Living within the Langworthy District
    3. Living within the Old Main District
    4. Living within the Cathedral District
    5. Living within the Jackson Park District
    6. At-Large
    7. Architect At-Large
22. Please identify which opening on the Housing Appeals and Mediation Board your qualifications represent:*

    1. I am a landlord and a resident of Dubuque, IA.
    2. I am a renter in Dubuque, IA.
    3. Other (please indicate below)
24. If other, please explain:
26. Please identify which opening on the Housing Commission your qualifications represent*

    *Note - Landlords who accept Housing Choice Vouchers are NOT eligible to serve on this commission

    1. I participate in the Section 8 Program
    2. Experience in real estate, banking, finance, accounting, funds management, or other related areas of expertise
    3. At-Large
28. Please identify which required criteria you possess to qualify for the Resilient Community Advisory Commission*

    1. Interest and/or expertise in economic prosperity
    2. Interest and/or expertise in environmental integrity
    3. Interest and/or expertise in social/cultural vibrancy
    4. Think systemically and analyze data
    5. Current member of the Arts and Cultural Affairs Advisory Commission
    6. Current member if the Catfish Creek Watershed Management Authority
    7. Current member of the Community Development Advisory Commission
    8. Current member of the Historic Preservation Commission
    9. Current member of the Housing Commission
    10. Current member of the Equity and Human Rights Commission
    11. Current member of the Long Range Planning Advisory Commission
    12. Current member of the Parks and Recreation Advisory Commission
    13. Current member of the Transit Advisory Commission
    14. Current member of the Zoning Advisory Commission
30. Name: *
32. Pronunciation:

    Example Name: Petrona Dominguez
    Pronunciation: [Peh-Tro-Nuh  Dough-MIN-Gezz]

34. Street Address: You must live within the Dubuque city limits to apply/serve on a City of Dubuque board or commission. *
35. Zip Code:*
37. Preferred Phone Number:*
39. Email Address(es):*
41. How did you hear about City of Dubuque Boards and Commission?*

    1. City of Dubuque Website
    2. City Life or another City of Dubuque Program
    3. City of Dubuque Social Media
    4. Through a Friend
    5. Other:
42. If other, please specify:
44. Have you participated in the City of Dubuque City Life Program Life program?*

    1. Yes
    2. No
45. If so, when?
47. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
48. If yes, which?
50. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
51. If yes, which?
53. Why are you interested in applying for this Board or Commission?*
55. Describe your experiences (professional, personal, or volunteer), skills, and /or education that have prepared you for service on this Board or Commission?*
57. List two professional references: (Examples: employer, coworker, client, vendor, mentor, volunteer organizer, etc.))*

    You must list their name, phone number, and relationship

59. Acknowledgement: I acknowledge that I have accurately and truthfully completed the application to the best of my knowledge. I also confirm that I meet the eligibility requirements for the Board or Commission to which I am applying.
61. Signature (type your name here as electronic verification):*
63. Date:*
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field