City of Takoma Park, Maryland

Application for City Board, Commission, or Committee

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Name of board, commission, or committee:

If you selected COLTA, please choose an option:

Is this a new appointment?

Yes

Ward (if known)

Phone Number

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

(Optional) Upload Resume or Bio

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First Name

Last Name

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Draw Type

Before you submit your application, please complete this voluntary survey.

Are you Hispanic or Latino?

Yes

Please check the box that describes the race with which you primarily identify.

Gender

Please select your age group: