Boards and Commissions 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.

Home 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.

Why would you like to serve on this board?

Please include details about your subject matter expertise and how it relates to the purpose and responsibilities of the board/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.

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