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1. Application Timing

   Board and commission terms begin February 1st each year unless there is a need for a special appointment to fill an unexpired term. The City of Waukee publishes notice of the application window in the fall each year on its social media pages, Waukee.org and local publications. Waukee residents may submit an application at any time during the year but may be asked to resubmit during the fall application season. 
   
   The mayor reviews all applications and chooses appointees. At the second regular meeting in January, Waukee City Council approves the mayor's appointments. 

   NOTE: Terms for the Library Board of Trustees begin July 1st each year unless there is a need for a special appointment to fill an unexpired term. The Library Board of Trustees has a separate application process.

   All members of boards and commissions must complete an open records/open meetings training within 90 days of being appointed. There is no cost to the board or commission member to attend the training. 

2. Choose a Committee

   Number the committees listed below in order of interest for appointment, with 1 as the most interest and 5 as the least interest.

4. Board of Adjustment

   5-year term; meets as needed

5. Board of Appeals

   5-year term; meets as needed

6. Park Board

   3-year term; meets every 3rd Thursday of the month

7. Planning and Zoning Commission

   5-year term; meets every 2nd and 4th Tuesday of the month

8. Public Art Advisory Commission

   3-year term; meets quarterly and as needed

10. First Name*
11. Last Name*
12. Full Legal Name*
13. Date of Birth*
    Date of Birth
14. Street Address*
15. Mailing Address (if different than above)
16. City, State and Zip

    Waukee, IA 50263 (must be a Waukee resident)

17. Home Phone*
18. Email Address*
19. Business Phone
20. Cell Phone
22. Employment/Volunteer Work*
    Please list your place of employment and/or activities such as hobbies, volunteer work, etc. that you feel may qualify you for this appointment.
23. Your Interest*

    Please describe why you are interested in serving on a City of Waukee board, commission or committee.

24. Supporting Information
    Please include any other information that supports your interest.
25. Your Contributions*
    What contributions do you feel you can make?
26. References*
    Please provide at least two references who may be contacted on your qualifications for this appointment. Please include name, address, phone number, email address and your relationship to them.
28. Signature*

    1. Signature

    I certify that there is nothing that would prohibit me from serving on a City of Waukee board, commission or committee. My application will be retained for one year. This application is a public document and as such can be viewed, reproduced or distributed to the public.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

32. Submit

* indicates a required field