Boards and Commisions Membership Application

Name

Prefix

First Name

Middle Initial

Last Name

Suffix

Title

Company/Organization

Contact Information Important! This must be the street address where you live, not where you work. Please, no P.O. Boxes.

Address

City

State

Zip

Home Phone Number

Work Phone Number

Mobile Phone Number

Email Address

Questions About You

Which board or commission are you applying to? Please select the board or commission that you are applying to serve on in the drop-down menu below.

Short Biography Please provide a short biography, written in 3rd person (ex: Mx. Jones is an educator, artist, and rocket scientist…), and include qualities, background, and experience you will bring to this Board or Commission.

Are you currently a City Employee?

Yes
No

Are you a family member of an elected official?

Yes
No

Are you currently serving on any other City of Albuquerque Board?

Yes
No

Resume Please attach a current version of your resume in Word or PDF format. Please ensure that the file size is 8MB or smaller.

Demographic Information The City of Albuquerque values equity and inclusion and seeks to appoint Board, Commission, and Committee members that reflect our community. The City of Albuquerque does not discriminate on the basis of gender identity or expression. In order to track the effectiveness of our recruiting and appointment efforts please consider the optional questions below.

What is your gender?

Female
Male
Non-Binary/Third Gender
Prefer Not to Say
Prefer to self-describe

If you selected "Prefer to self-describe" in the question above, please fill in here.

What is the primary race/ethnicity with which you identify?

White
Hispanic
Native American
Black/African American
Asian
Two or more races
Prefer to self-describe

If you selected "Prefer to self-describe" in the question above, please fill in here.

Boards and Commisions Membership Application

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