Council Appointed Boards and Commissions

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Contact Information

City Clerk
City of Richmond
900 E. Broad St.,
Suite 200
Richmond, VA
23219 USA
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Office Hours 8:00 a.m. - 5:00 p.m. Mon - Fri
Phone: (804)646-7955
Fax: (804)646-7736
City Clerk's Office
Apply for Membership
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Select a name of Authority, Board or Commission
(*) Required fields
Your Name and Address
Your Name
TITLE FIRST NAME (*) MIDDLE LAST NAME (*) SUFFIX
Your Address
NUM. (*) DIR. STREET NAME (*) NOM. APT. NO.
CITY (*) STATE ZIP (*) ZIP+4
Your Phone and Email Contacts
Home Phone Home Fax
Your Email (*)
Business Name and Address
Employer
Job Title How Long?
Business Address
NUM. DIR. STREET NAME NOM. APT No.
PO BOX
CITY STATE ZIP ZIP +4
Business Phone and Email
Business Phone Ext. Fax
Business Email
Additional Information
Yes No
Is Your Place of Employment Located in the city of Richmond?
Is your Place of Employment Located in the County? If Yes, Which County?
Are you a City Resident? If Yes, Which Council District?
Number of years?
Do you or your employer have a contract, other than a contract of employment, either with the city of Richmond or
with the entity to which you are seeking appointment? Yes No
If yes, please provide information on the nature of the contract.
Qualifications
Please List Your Educational Background and/or Other Expertise or Qualifications You Will Bring to This Authority, Board, Commission or Task Force:
List other city of Richmond Authorities, Boards, Commissions or Task Forces you currently or have previously served on. Please give date(s) and office(s) held, if applicable.
Other Community Involvement:
(OPTIONAL)
Please List Additional Information You Would Like Considered, or You May Copy and Paste Your Short Resume.
How Did You Hear About or Who Referred You to Apply for Appointment to This Authority, Board, Commission or Task Force?
NOTE: This application is a public document. Completed applications will remain on file for consideration for six (6) months at which time it must be updated.