HomeMy WebLinkAboutSteckmest Bicycle Board Application, 10-11CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOZEMAN AREA BICYCLE ADVISORY BOARD
Date:__________________
Name: __________________________________________________________________
Physical Address: _________________________________________________________
Mailing Address (if different): _______________________________________________
Email: __________________________________________________________________
Phone(s): _______________________________________________________________
Length of time in the Bozeman area: _________________________________________
Occupation: ______________________________________________________________
Employer: _______________________________________________________________
Have you ever served on a City or County board? ________________________________
(If so, where, what board, and how long?)
Please explain your relevant qualifications, interests, and experiences.
References (Individual or Organization) Name: Phone:
___________________________________________________ __________________
___________________________________________________ __________________
___________________________________________________ __________________
This application is considered public record. Application contact information may be displayed
on the City of Bozeman website.
PLEASE NOTE: Per Ordinance No. 1759, revising Chapter 2.01 of the Bozeman Municipal
Code, all board members are required to attend a yearly ethics workshop provided free of charge
by the City as a condition of service as a member of a board.