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City of Bloomington Administration Office

aoverton@cityblm.org

109 E. Olive St., Bloomington, IL, 61704, US

309-434-2210

Application for Mayoral Appointment to a Board, Commission, or Committee

To Those Interested in Appointment:
The City of Bloomington has opportunities for volunteer service on numerous standing boards and commissions, as well as occasional “ad hoc” committees that are formed for a limited term to consider a specific issue or project.

Appointments to these groups are made by the Mayor, with the advice and consent of the City Council, except where provided otherwise by statute or ordinance. Terms of appointment vary, but are often for three years.

Vacancies occur sporadically and infrequently. Most standing groups have a fixed number of members, and some may have special requirements for membership, such as residence within the City or even in a particular section of the City.

The City strives to appoint members who are interested, wellqualified, and free from bias or conflict of interest. Appointments are made without discrimination based on race, color, sex, religion, age, national origin, marital status, familial status, sexual orientation, or physical or mental disability unrelated to ability. Additional standards of selection may include an applicant’s expertise and experience in the group’s subject matter (including previous service), fresh perspective, communication skills, knowledge of the diverse community, availability, ethical standards, and other relevant factors. The appointment process may include an oral interview, appearance before the City Council, and possibly a background investigation.

The City relies on these groups to provide not only experience and expertise in the subject matter, but also to provide general citizen input into the policy making process. To properly represent our citizens, members of these groups must have ample time to not only attend meetings, but also to research issues and be available and willing to discuss issues with citizens. Members are subject to removal at the Mayor’s discretion.

You may attach further sheets or materials as necessary for completeness.

By fully completing and submitting this application, you are indicating your interest and qualification to serve. This document will be maintained in a pool of applications until appointment or 24 months from the date of submission, whichever is earlier. At that point, resubmission will be required.

Contact Information:

Full Name:

Street address of legal residence (including any unit number):

    Mailing address if different from address of legal residence:

      Can we share your primary phone number with the media, if necessary?

      Can we share your email address with the media, if necessary?

      Preferred Method of Contact:

      Residency Information:

      Are you a legal resident of the City of Bloomington (place of voting, where income taxes are paid, etc.)?

      Wards can be seen here: LINK

      Precincts can be seen here: LINK

      Please Choose Your Board, Commission, or Committee Preference(s):

      Please choose the Board, Commission, or Committee that you are applying for:

      Are you also interested in other Boards, Committees, or Commissions? (Including Ad Hoc Board or Special Project Committee)

      Application Information:

      Are you currently, or have you ever been, employed by the City of Bloomington?

      Is a relative currently, or has a relative ever been, employed by the City of Bloomington?

      Do you or a spouse derive any income directly from, or indirectly through an employer of a contract, with the City of Bloomington?

      Do you expect to have the scheduling flexibility to attend meetings and perform your duties during both days and evenings?

      Please upload any additional files here:

      Signature:

      Choose how to sign

      Receipt

      You will be provided with a Receipt upon submission.