Application for Appointment to City Boards and Commissions


All information with * next to it must be provided. Incomplete applications will not be processed.
*Name of Board(s) or Commission(s)
*Full Name
*Address
*City State Zip
Occupation
Employer
18 Years of Age or Older? (Yes/No)
*Home Phone
*Business Phone
Email Address
Cellular Phone
Do you currently reside / live within the Oshkosh City Limits?
Number of Years:
Education
Do you have any relatives in the service of any department of the City of Oshkosh? (Yes/No)
List name, department and relationship
List any potential conflicts of interest
List City boards, commissions or committiees on which you have served
Years:
Years:
Years:
Years:
Years:
Years:
What Previous education, experience, training, or other special qualification from your background do you fell qualifies you for the position(s) you are interested in?
If selected, how would you work towards bettering the community through service on the Board/Commission?