APPLICATION TO SERVE ON THE

Accommodations Tax Reserve Steering Committee

DEADLINE TO SUBMIT APPLICATION TO CITY CLERK:

November 23, 2016

Please type or print with black ink. If you have questions or need more
information, contact the City Clerks Office at 879-2060. Return completed
application to City Clerks Office, City Hall, 137 10th Street, Post Office Box
775088,
Steamboat
Springs,
CO
80477
or
email
to
jfranklin@steamboatsprings.net.
NAME:
Which spot are you applying for:

Community Member arts and culture focus

Community Member at large
Parks and Recreation Commission Member
Chamber Lodging Committee Member

RESIDENCE ADDRESS:
MAILING ADDRESS:
HOME PHONE:

WORK PHONE:

CELL PHONE: ___________________ Email: __________________

ARE YOU 18 YEARS OF AGE OR OLDER:

Yes

No

ARE YOU A RESIDENT OF THE CITY OF STEAMBOAT SPRINGS?

Yes
No
IF YES, HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY? _______
ARE YOU A REGISTERED ELECTOR? ________ Yes

_______ No

DO YOU RESIDE WITHIN - INSERT DISTRICT, CITY, RE-2 School District,

ROUTT COUNTY OR WHATEVER AREA IS RELEVANT
CURRENT OCCUPATION/EMPLOYER:

PREVIOUS WORK EXPERIENCE (PLEASE FEEL FREE TO ATTACH

ADDITIONAL PAGES:

APPLICABLE COMMUNITY ACTIVITIES/VOLUNTEER WORK:

SPECIAL QUALIFICATIONS:

WHY DO YOU WANT TO SERVE?

BRIEFLY, WHAT DO YOU BELIEVE ARE THE THREE MOST IMPORTANT

ISSUES FACING THE STEAMBOAT SPRINGS COMMUNITY AT THIS TIME

AND HOW DO YOU BELIEVE THIS BOARD CAN PLAY A ROLE IN

ADDRESSING EACH ISSUE?

OTHER COMMENTS:

Signature
Date