Parks, Recreation & Trails Advisory Board

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   CITY OF FERNDALE
   BOARDS AND COMMISSIONS
   APPLICATION

5. • As a candidate to a public board or commission, this information may be made available to the public.
   • Please attach your current resume.
   • Complete this application and submit to the City Clerk's Office
7. I would like to serve on the: (Please choose one)

   1. Arts Commission
   2. Community Impact Committee
   3. EAGLE Board
   4. Parks, Recreation & Trails Advisory Board
   5. Planning Commission
9. Name
10. Email
12. Address
14. Mailing Address (if different)
16. Phone
17. Work Phone
19. Occupation (If retired, state former occupation)
21. Upload supporting documents (if applicable)
23. Professional/Community Activities
25. Qualifications related to the position
27. Why are you interested in serving on this Board/Commission?
29. If applying for the Planning Commission, do you:

    1. Live within the City Limits

    1. Live within Ferndale's Urban Growth Area (UGA)
31. Are you applying for a board/commission on which you already serve and wish to begin another term?

    1. Yes
    2. No
33. List other boards and commissions on which you have served
35. The mayor (or a designee) may wish to interview you in person or by phone for a commission/board appointment. Please suggest the best days/times for that interview
37. What is the best method for contacting you?
39. Do you feel you work well with other people, are willing to listen to the opinions and ideas of others, and can support the direction that the group majority chooses, even if not your preference?
41. Please share a little about your personal philosophy and values that would pertain to the commission for which you are applying. What principles will guide you in your decisions?
43. Please list three local references and their phone number or email address.
45. Do you or your spouse have a financial interest in, or are you an employee or officer of, any business or agency which does business with the City of Ferndale?

    1. Yes
    2. No
47. If yes, please explain:
49. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
51. Electronic Signature
53. 7/2025
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

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