City of Springfield

Applicant Information

Click Here To Look Up Ward #

Commission(s) Applying for? (*Required)
Choice 1

(You may select two choices)
Choice 2

Do you currently owe any debts to the City?
(such as parking tickets) Yes No

Are you a citizen of the United States? (*Required)
Yes No

Are you a Veteran?
Yes No

Have you served as an elected official for the city or any governing body with boundaries overlapping the city? (*Required)
Yes No

Do you have any immediate family member(s) currently or formerly employed by the City of Springfield within the past two years? (*Required)
Yes No

Do you or a spouse derive any income directly from, or indirectly through an employer or a contract, with the City of Springfield? (*Required)
Yes No

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?
Yes No

Do you have the flexibility to attend meetings and perform your duties during both days and evenings? (*Required)
Yes No

Have you previously served on a City Board or Commission? (*Required)
Yes No

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 & Gender Information

In the interest of diversity and inclusion, please provide your ethnicity and also your gender preference. While Providing this information is voluntary, it helps us to produce accurate and transparent reporting.

Ethnicity

Gender

You can upload your resume or other documents here: (***Resume is Required***)

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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City of Springfield, Illinois

Misty Buscher - Mayor

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