City of Springfield, Illinois

James O. Langfelder - Mayor

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Applicant Information

 
 
 
 
 
 
   

Ward Number

Do you currently owe any debts to the City?
(such as parking tickets)

Commission(s) Applying for? (*Required)
(You may select two choices)
Choice 1:  

Are you a citizen of the United States? (*Required)
 

Are you a Veteran?

Have you served as an elected official for the city or any governing body with boundaries overlapping the city? (*Required)
 
If yes, when did the term end?

Do you currently have an immediate family member(s) whom is currently employed by the City of Springfield? (*Required)
 
If yes, list Family Member(s)

Do you or a spouse derive any income directly from, or indirectly through an employer or a contract, with the City of Springfield? (*Required)
 
If yes, list contract or capacity

Commission

Would anything prohibit you from taking the Illinois Attorney General’s required on-line Open Meetings Act exam within 90 days of appointment, in order to obtain OMA Designee Certification?
If yes, please explain

Do you have the flexibility to attend meetings and perform your duties during both days and evenings? (*Required)
 
If no, please list any day/times of limitations availability

Have you previously served on a City Board or Commission? (*Required)
 
If yes, please state which Board or Commission and the dates of service

Briefly, state your interest for seeking an appointment?
(Watching Council, current board member suggested, Alderperson recommended or heard about it at a Ward Meeting.)

What qualities would you bring as a Board and Commission member?

Professional References

Please list two Professional References

Demographic Information

Ethnicity
(Check any or all that apply)





If you selected 'other', you may choose to include more information here

Resume Upload

You can upload your resume if you chose to do so here:
 

Disclaimer and Signature


By typing my name below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to an appointment, I understand that false or misleading information in my application or interview may result in my release.

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