Planning Commission Application for Appointment

This application is for those interested residents willing to serve on the Harrisville City Planning Commission.

Date

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you been a resident of Harrisville City?(Required)

Occupation:

Employer:

Education:

What trades do you have a working knowledge of? (Select all that apply)(Required)

Engineering

Planning

Real Estate

Construction

Other

Why do you wish to serve on the planning commission?(Required)

What goals do you have in mind that you would like to accomplish as a commissioner?(Required)

Can you meet the meeting schedule? (Second Wednesday of every month at 7:00 p.m. and any other work or training sessions)(Required)

Yes, I can meet the outlined schedule.

No, I cannot meet the outlined schedule.

Please explain your volunteer history:

List any licenses or certificates:

List any awards:

Please list any special interests:

Signature(Required)

Harrisville City, Utah