I am interested in serving on the following Board(s) or Commission(s):*

Architectural Review Board Arts Commission Board of Adjustment Business Development Commission Charter Review Advisory Board Crossroads Special Business District Financial Advisory Board Green Space Advisory Commission Health & Environmental Services

Historic Preservation Commission Library Board Old Orchard Special Business District Old Webster Special Business District Parks & Recreation Commission Personnel Board Sustainability Commission TIF Commission Traffic Advisory Commission

Date of Application:

Contact Information

Name:*

Street Address:*

City:

State:

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Zip Code:

Email Address:

Home Phone:*

Work Phone:

Cell Phone:

Fax:

Personal Information

How long have you lived in Webster Groves?

Education:

Current Employer:

Years With Current Employer:

Position:

Work Address:

City:

State:

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Zip Code:

Additional Skills, Training, or Abilities:

Volunteer Experience:

References

Please list three (3) Webster Groves residents who are familiar with your experience and abilities.

Name:

Address:

Phone:

Name:

Address:

Phone:

Name:

Address:

Phone:

Signature:

If printing form, please return to:

City Clerk
City of Webster Groves
#4 E. Lockwood
Webster Groves, MO 63119

Phone: 314-963-5318
Fax: 314-963-7561

Board and Commission applications will be held for two years. The City Council will invite applicants for an interview when a vacancy occurs.