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3. 
5. Boards and Commissions Application

   Thank you for your interest in serving with the City of Orange. Please complete the following application to be considered for appointment to a city board or commission. Ensure all information is accurate and complete. You may also attach a resume, if you desire. 
   Applications are kept on file for one (1) year.

7. Board or Commission of Interest

   (please check all boards or commissions for which you are applying):

   1. Board of Adjustment
   2. Citizens Advisory Committee
   3. Civil Service Commission
   4. Convention and Visitors Bureau Board
   5. Economic Development Corporation

   1. Historic Preservation Commission
   2. Housing Authority Board
   3. Library Advisory Board
   4. Planning and Zoning Commission
   5. Other
9. If other, please specify:
13. THE FOLLOWING INFORMATION WILL BECOME PUBLIC AFTER APPLICATION IS SUBMITTED:
15. Personal Information
17. Name
18. Date of Birth
    Date of Birth
20. Home Address
22. City
23. State
24. Zip Code
26. Phone Number
27. Email Address
29. Voter Registration Number
30. Years as a Resident of the City of Orange
34. Availability
36. Are you available to attend regular meetings during the day?

    1. Yes

    1. No
37. Are you available to attend regular meetings during the evening?

    1. Yes

    1. No
39. Are there any conflicts that would affect your participation? If yes, please explain:
43. Employment and Community Involvement
45. Current Employer
47. Profession
49. Relevant Work Experience
51. Have you previously served on a City of Orange board or commission? If yes, please specify:
53. Do you have experience that qualifies you for service on a particular board or commission (i.e., licenses, degrees, certificates)?
55. Community or Volunteer Activities:
59. Qualifications and Statement of Interest
61. Why are you interested in serving on this board or commission?
63. What skills or experiences make you a strong candidate for this position?
65. Upload Your Resume (Optional)
69. Personal References
71. Name 1
72. Relationship
74. Address
76. Phone Number
77. Email Address
79. Name 2
80. Relationship
82. Address
84. Phone Number
85. Email Address
89. Qualifications for Appointment to City of Orange Boards and Commissions

    The City of Orange policy establishes certain qualifications which must be met by all members of city boards and commissions. In addition to any special qualification for service on a particular board, a board member must:

    1. Not be delinquent on any City taxes or utilities.
    2. Be a qualified City of Orange voter at the time of appointment.
    3. Have been a resident of Orange for at least six months before the date of appointment.
    4. Have not been finally convicted of a felony.
    5. Have not been determined mentally incompetent by a final judgement of court.

    By signing below, I affirm that the information provided is accurate to the best of my knowledge. If appointed, I agree to fulfill the responsibilities of the position.

91. Electronic Signature
93. Thank you for taking the time to complete this application. It will be helpful to the City Council in making appointments.
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95. 1. Receive an email copy of this form.
96. Email address

    This field is not part of the form submission.

97. Submit Submit and Print

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