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City Council Vacancy Application

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Please fill out the application below and submit your letter of intent at the bottom.


Completed applications are due by 5 p.m. on Friday, Jan. 4, 2019. The Council will review the applications then select candidates for interviews at a meeting on Tuesday, Jan. 8. Interviews will take place in the afternoon on Monday, Jan. 14.

CITY COUNCIL VACANCY APPLICATION

Please correct the field(s) marked in red below:

1
Name:
 *
Name:
2
Home Address:
 *
Home Address:
3
Contact Info:
Contact Info:
4
Have you lived within the city limits of Bend during the 12 months immediately before being considered for this office?
 *
Have you lived within the city limits of Bend during the 12 months immediately before being considered for this office?
5

Are you a qualified elector in the city of Bend? (registered voter)

 *
Are you a qualified elector in the city of Bend? (registered voter)
6
Indicate reason(s) you would like to serve on the City Council:
7
Special skills, interest, hobbies that you believe would bring special value to your ability to serve on the City Council:
8
Current/Most Recent Employment:
Current/Most Recent Employment:
9
Previous Employment:
Previous Employment:
10
Previous Employment:
Previous Employment:
11
Education and Training:
Education and Training:
12
Other volunteer, committee, board, or commission experience:
Other volunteer, committee, board, or commission experience:
13
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
 *
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
14
Other volunteer, committee, board, or commission experience:
Other volunteer, committee, board, or commission experience:
15
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
 *
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
16
Other volunteer, committee, board, or commission experience:
Other volunteer, committee, board, or commission experience:
17
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
 *
If you are still serving in this capacity, do you foresee any conflicts between this committee and the position you currently hold?
18
References:
References:
19
I affirm that the information in this application is true to the best of my knowledge.   All information/documents related to this application are subject to public records disclosure.
 *

After submitting your application, please email your letter of interest to Robyn Christie, City Recorder at rchristie@bendoregon.gov or deliver a copy to the City Manager's Office at 710 NW Wall Street.

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If you need assistance with this form or would like to obtain this information in an alternate format, you may request assistance from the Accessibility Program.

 

 

The City of Bend is committed to fostering, cultivating and preserving a culture of diversity and inclusion.  At the City of Bend, we don't just accept differences; we value them.

  1. To receive a copy of your submission, please fill out your email address below and submit.
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