Applicant Details
Board
Why do you want to serve on this board or commission?
Salutation
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Dr.
Mr.
Mrs.
Ms.
First Name
Last Name
Applicant Home Address
Street Address
City
State
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Applicant Contact Information
Primary Phone
Other Phone
Primary E-mail Address
Other Email Address
Additional Details
Denver City Council District No.
Please select...
1
2
3
4
5
6
7
8
9
10
11
Unknown
N/A
Find your council district here:
https://www.denvergov.org/maps/map/councildistricts
Date of Birth
Ethnicity
Gender
Housing Status
Homeowner, Renter, etc.
Employment Information
Employer
Position
Employer Phone #
Education and General Qualifications
High School
Name of High School
Location
# of years attended
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1
2
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7
Did you Graduate?
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Yes
No
Still Attending
College
Name of College
Location
# of year attended
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1
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6
7
Did you Graduate?
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Yes
No
Still Attending
Major
Graduate School
Name of Graduate School or Trade/ Business/ Correspondence
Location
# of years attended
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1
2
3
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6
7
Did you Graduate?
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Yes
No
Still Attending
Major
References
(List three persons, not related to you, whom you have known at least one year)
Reference #1
Name
Phone
Email
Address
Reference #2
Name
Phone
Email
Address
Reference #3
Name
Phone
Email
Address
Special Information
Do you currently or have you ever served on another board or commission?
Yes
No
If yes, please explain
Have you ever been a party to or the subject of or otherwise involved in any legal proceeding that might adversely affect your qualifications to serve on this board or commission? Is there anything in your background that might be an embarrassment to City Council or you if it were to become public?
Yes
No
If yes, please explain
Are you a registered lobbyist?
Yes
No
Would your professional activities pose a conflict of interest with your intended role on this board or commission?
Yes
No
If yes, please explain
Attach a cover letter indicating why you are interested in this role and highlighting your relevant experience.
Attach a resume here:
If appointed, you are expected to attend fully to the duties of this position. How much time are you capable of committing?
I understand that the Colorado Open Records Act may require that certain information contained in this application be available for inspection by the general public.
Yes
No
For Board of Adjustment (ONLY)
Please list which position(s) you are qualified and applying to fill.
Architect
Attorney
Zoning and land use expert
Are you applying to be
Council appointee
Mayoral appointee
Either/both
Are you applying to serve as
Board member
Alternate
Open to either
Why are you interested in serving on the Board of Adjustment?
Please describe relevant experience with zoning, land use
Contact Information