Mayor's Office

mayor@pocatello.gov

911 N 7th Ave
Pocatello, ID 83201

208-234-6163

Application for Prospective Board Members

Please indicate the City Board, Commission, or Committee to which you are applying.

Contact Information

Personal Phone Number

Business Phone Number

Background Information

How many years have you resided in the city of Pocatello?

Occupation/Title

Educational Background

Please select the talents, skills or expertise that you feel would be useful to the board for which you are applying.

Financial Skills

Legal Skills

Community Relations Skills

Planning Skills

Evaluation Skills

Legislative/Political Skills

Service Information

Approximately how many hours per month would you be able to spend on board activities?

Are you willing to do fundraising, if applicable?

Yes

Have you served on any other City Boards?

Yes

Which board(s) have you served on?

Are you currently serving on another animal welfare volunteer board, and if so, what organization?

Please list community contacts or affiliations which might relate to your role as a board member.

Please state briefly why you would like to serve on the board and how your skills might make a positive contribution to the board.

You may attach a letter with additional information if you desire.

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Applications are kept on file and considered active for one year from the date received.

Applications may also be hand-delivered to the Mayor’s Office at 911 North 7th Avenue, mailed to: Mayor’s Office, City of Pocatello, P.O. Box 4169, 83205-4169 or e-mailed to anichols@pocatello.gov.