Board and Commission Service Application

APPLICANT INFORMATION

Name

Street Address

City   State   Zip

Cell Phone   Home Phone

Email

 

AREAS OF INTEREST

Check the board or commission you are interested in.

Arts Commission (use application on northvillearthouse.org)       

Beautification Commission    

Board of Review

Board of Zoning Appeals (BZA)

Brownfield Redevelopment Authority

Downtown Citizens District Council 

Downtown Development Authority (DDA)

Historic District Commission

Housing Commission

Liquor License Review Committee (LLRC) 

Northville Senior Advisory Commission

Planning Commission

Youth Assistance Commission                               

If you are applying due to a current vacancy, how did you hear about it?

 City News    City Website    Social Media

 Other   

Attended meeting(s) of this board or commission? Yes No

If yes, approximate dates 

Why do you want to serve on this board or commission?

Areas of expertise you would bring to this board

 

ADDITIONAL INFORMATION

Briefly summarize the following:

Education

Occupation (if retired, list former occupation)

Civic Involvement

 

CHARTER AND OTHER STATUTORY REQUIREMENTS

City Charter and other State statutes have minimum qualification requirements that apply to certain boards.  Contact the City Clerk at dmassa@ci.northville.mi.us with questions.

Registered to vote in the City of Northville  Yes    No

Resident of the City of Northville in (Month and Year)

Related to any city elected official or spouse?    Yes No

Related to the City Manager or spouse? Yes No

Explain relationship

 

Answer these questions if you are applying to serve on the Downtown Development Authority (DDA):

Own property in the DDA district?  Yes  No  

If yes, provide property address                                   

Place of business in the DDA (owner or employee)? Yes  No   

If yes, provide business name and address

Resident of the DDA district? Yes  No

 

APPLICATION CERTIFICATION

Please note: Applications are kept on file for a period of 2 years.  If you are not appointed in that period, you must reapply.  When a vacancy occurs, the City Council Board/Commission Selection Committee reviews applications, interviews applicants at an Open Meeting, and makes an appointment recommendation to City Council.

By submitting this application, I certify the foregoing statements and answers are true and complete.  I agree in advance that any misrepresentation or falsification of any of the above information shall be cause for rejection of this application or termination of appointment, depending upon when the falsification is discovered.  I consent for the City of Northville to verify the information provided.

I understand and agree to the Application Certification    Yes   

 

 

 

 

 

 

                               



Security Measure