Form Center

General Boards and Commissions Application

4. Select the Board, Commission, or Committee applying for*
   -- Select One --Select OneAppeals and Variance Hearing OfficerArena Advisory BoardDiversity and Inclusion Advisory BoardEmergency Preparedness CommitteeHistoric Preservation CommissionMayor's Youth Council Advisory BoardParks, Trails and Recreation CommitteePlanning CommissionTree Commission

6. Personal Information

8. First Name*

9. Last Name*

11. Address1*

13. Address2

15. City*

16. State*

17. Zip*

19. Home Phone Number*

21. Business Address*

23. Business Phone Number*

25. Occupation*

27. Email Address

29. Residency Information

31. Length of Residency in Draper City*

33. Are you a registered voter*

    1. Yes
    2. No

35. Education and Hobbies

37. High School

39. College

41. Trade or Business School

43. Hobbies

45. Organization Membership Information

47. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No

49. If yes, which

51. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No

53. If yes, which

55. Please list organization memberships and positions held

57. Please List Areas of Special Interest

59. Please Enter Basic Resume Information Below

Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit Submit and Print

* indicates a required field