Boards and Commissions Application

Please use the electronic form below. If you prefer, you may download a paper application. Paper applications can be submitted to: City Clerk’s Office, 1000 10th Street, Greeley, CO 80631, or Lory.Stephens@greeleygov.com or fax: 970-350-9828   


If different than street address

Resident of Greeley

Board or Commission Information

Select a choice. If you would like to apply for more than one commission, you will have to submit additional applications.
Commission on Disabilities Applicants: I affirm that I meet the qualifications listed to serve on the Commission on Disabilities for which I am applying, and qualify as:
DDA Applicants: I affirm that I meet the qualifications listed to serve on the DDA Board for which I am applying, and qualify as:

Previous Service

If you have previously served on a board or commission, please select it below
If you are currently serving, do you plan to

Applicant Information

Demographics

City Council’s goal is to appoint a diverse membership that reflects the community’s character and is balanced by race and ethnicity, geographic representation, and gender. The following information assists staff in gathering statistics to measure the success in meeting this goal. Supplying this information is optional.
Race or Ethnicity
Gender

By submitting this form you are agreeing that the information you have completed is true to the best of your knowledge. You also are affirming that you meet the qualifications required to serve on the board or commission for which you are applying.

If you have entered an email address you are agreeing to allow us to contact you electronically regarding this matter.

Please type your name and date below before submitting to confirm your application.

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Contact Us

City Clerk's Office

1000 10th Street
Greeley, Colorado 80631

Monday - Friday
8:00 a.m. to 5:00 p.m.

970-350-9770 tel
970-350-9828 fax

Use this for general inquiries. Individual boards may have their own contact person