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City Clerk's Office City of Takoma Park
Clerk@takomaparkmd.gov
7500 Maple Avenue Takoma Park, MD 20912
301-891-7267
Form Section 1
City of Takoma Park, Maryland
Application for City Board, Commission, or Committee
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Your Name
First Name
Last Name
Name of board, commission, or committee:
Choose One
Arts & Humanities Commission
Board of Elections
Commemoration Commission
Commission of Landlord-Tenant Affairs (COLTA)
Emergency Preparedness Committee
Ethics Commission
Facade Advisory Board
Grants Review Committee
Legal Services Review Advisory Group
Noise Control Board
Nuclear-Free Takoma Park Committee
Recreation Committee
Safe Roadways Committee
Tree Commission
Is this a new appointment?
Yes
No
Your Address (many committees require Takoma Park residency)
Street Address
City
State
Zip
Ward (if known)
Choose One
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Phone Number
Email
Mailing Address (if different):
Please explain why you want to serve on the committee, board, or commission?
Please tell the Council about yourself. If applicable, include civic experience, volunteer work, or work with other organizations; your occupation; and your educational and/or professional background. You may attach a resume or bio if you wish.
If you have additional information or comments to help the Council evaluate your application, please add here.
The City Council wants to be sure that committee members are current on City fees and taxes. Do you owe past due property taxes, license fees, stormwater fees, or Library fines to the City?
Yes
No
(Optional) Upload Resume or Bio
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First Name
Last Name
Email
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Type
Before you submit your application, please complete this voluntary survey.
Are you Hispanic or Latino?
Yes
No
Please check the box that describes the race with which you primarily identify.
Choose One
White
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
American Indian or Alaskan Native
Two or More Races
Other
Gender
Please select your age group:
Under 18
18-25
26-40
41-60
61 or over
disregard this
