APPLICATION TO SERVE ON THE

STEAMBOAT SPRINGS CITY COUNCIL

DEADLINE TO SUBMIT APPLICATION TO CITY CLERK:

Tuesday, February 7, 2017

Please type or print with black ink. If you have questions or need more
information, contact the City Clerks Office at 879-2060 extension 248. Return
completed application to City Clerks Office, City Hall, 137 10th Street, Post Office
Box 775088, Steamboat Springs, CO 80477. You may also email it to
jfranklin@steamboatsprings.net.
NAME:
RESIDENCE ADDRESS:
MAILING ADDRESS:
HOME PHONE:

WORK PHONE:

CELL PHONE: ________________________

AGE (Minimum Requirement - Age 18):
HAVE YOU BEEN A RESIDENT OF STEAMBOAT SPRINGS FOR AT LEAST
ONE YEAR?
Yes
No
ARE YOU A REGISTERED ELECTOR? ________Yes

_______No

DO YOU RESIDE WITHIN DISTRICT 1? (The City District Boundary map is

located on steamboatsprings.net Departments City Clerk - Elections):

CURRENT OCCUPATION/EMPLOYER:

PREVIOUS WORK EXPERIENCE:

APPLICABLE COMMUNITY ACTIVITIES/VOLUNTEER WORK:

SPECIAL SKILLS/QUALIFICATIONS APPLICABLE TO CITY COUNCIL:

WHY DO YOU WANT TO SERVE ON CITY COUNCIL?

BRIEFLY, WHAT DO YOU BELIEVE ARE THE THREE MOST IMPORTANT

ISSUES FACING THE STEAMBOAT SPRINGS COMMUNITY AT THIS TIME
AND HOW DO YOU BELIEVE THE CITY COUNCIL CAN PLAY A ROLE IN
ADDRESSING EACH ISSUE?

PLEASE SPECIFY ANY ACTIVITIES THAT MIGHT CREATE A CONFLICT OF

INTEREST IF YOU SHOULD BE APPOINTED TO THE CITY COUNCIL.

WHAT EXPERIENCE DO YOU HAVE WITH ORGANIZATIONAL FINANCIAL

BUDGETING?

ARE YOU AVAILABLE TO INTERVIEW ON FEBRUARY 14, 2017?

OTHER COMMENTS:

Signature

Date

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