You must have JavaScript enabled to use this form. First Name Last Name Address Address City State Zip Code Phone Number Are you over the age of 18? Are you over the age of 18? Yes No Are you a registered voter in Roman Forest? Are you a registered voter in Roman Forest? Yes No Are you a Roman Forest resident, property owner, business owner, or City Staff? Are you a Roman Forest resident, property owner, business owner, or City Staff? Yes No Current Occupation/Employer Education, Licenses, or Certifications Are you a current or past member of a Council-appointed Board, Commission, or Corporation? Are you a current or past member of a Council-appointed Board, Commission, or Corporation? Yes No On which Board or Committee are you interested in serving? (First Choice) On which Board or Committee are you interested in serving? (First Choice) Parks and Recreation Committee (formerly Events Committee) Comprehensive Plan Advisory Committee (Pending Interest) Roman Forest History Committee (Pending Interest) Roman Forest Senior Citizen Advisory Committee (Pending Interest If you have a second choice for a Board or Committee on which you would like to serve. (please also select one) On which Board or Committee are you interested in serving? (First Choice) Parks and Recreation Committee (formerly Events Committee) Comprehensive Plan Advisory Committee (Pending Interest) Roman Forest History Committee (Pending Interest) Roman Forest Senior Citizen Advisory Committee (Pending Interest What work experience, educational experience, community involvement, and/or other skills do you have that would qualify you for a Council-appointed Board, Commission, or Committee? List any additional information which you believe would be of value for the City Council to know about you. Have you ever been convicted of a felony, violation of law, or misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating?) Have you ever been convicted of a felony, violation of law, or misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating?) * Yes No Are there any criminal charges or proceedings pending against you? Are there any criminal charges or proceedings pending against you? Yes No By typing your full name in the box, you acknowledge that the information provided is correct to the best of your ability. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Leave this field blank Print
