City of Sioux Falls SEAL

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


Please enter your information below as you'd like it to be considered for your appointment.

Note: The fields are required and must be filled in for you to be able to submit your application.
Please make sure to follow the examples shown above for phone number and emails.

Personal Information:
First Name    Middle Name    Last Name
       
Street    City    State    Zip
           
Phone    Email   youremail@emailprovider.com  (no www.)
   
Are you a registered voter of the city of Sioux Falls?
Are you a resident of the city of Sioux Falls?

Employment:
Title or Occupation
Employer's Name
Street    City    State    Zip
           
Phone    Email   youremail@emailprovider.com  (no www.)
   

Board Choices:

NOTE: You may pick up to three (3) boards to apply for. Please pick with number one (1) being the highest, and three (3) being the lowest of your priorities.
Choice #1
Choice #2
Choice #3

Education / Experience:

Please list education or training relevant to your choice(s):
Please list work experience relevant to your choice(s):
Please list community volunteer service relevant to your choice(s):
I would like to serve in the indicated position(s) because:


References:
Name Name
Street Street
City City
State State
Zip Zip
Phone Phone


Attachment:
Please click "browse" and attach either your resume or autobiography.

Legal:
  I understand the role and responsibility of membership on these Boards or Commissions and am willing to serve. In
  applying for appointment, I understand that the Mayor may contact the references listed. I also understand that I
  might be contacted by citizens or other board members at the address I indicated on the other side of this application.
 
     - By checking this box, I certify that all the information I have listed above is accurate and correct.