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Online CBC Application

Translate the Online Application

 

In addition to the application, resumes and/or letters of recommendations may also be submitted.

 

If you have questions about the application process, or if you need an accommodation in the application process, please contact the City Clerk's Office at 253-591-5178 or servetacoma@cityoftacoma.org. People with hearing or speech impairments may contact us through Washington Relay Services 1-800-833-6388 (TTY or ASCII), 1-800-833-6386 (VCO), or 1-877-833-6341 (STS). NOTE: This document and any attachments are subject to public disclosure. Certain information is exempt from disclosure. Refer to RCW 42.56 for information on state law regarding public records and certain records that are exempt from public disclosure.

 

CBC Application

  

Personal Information

I am interested in serving on the following committees, boards, commissions or authorities

(select up to three committees)

 

 Audit Advisory Board

 Board of Building Appeals

 Board of Ethics

 Citizen Police Advisory Committee

 City Events and Recognitions Committee

 Commission on Immigrant and Refugee Affairs

 Foss Waterway Development Authority

 Human Rights Commission

 Human Services Commission  

 Landmarks Preservation Commission

 Planning Commission

 Public Utility Board

 Sustainable Tacoma Commission 

 Tacoma Area Commission on Disabilities

 Tacoma Arts Commission

 Tacoma Community Redevelopment
      Authority

 Transportation Commission 

 

 

 

Date of Application (Required. mm/dd/yyyy)

 

 

Name (required)

 

Email (required)

(If you do not have an email address, please type "none".)  

 

 

Home Phone

 

 

Business Phone

 

 

Mobile Phone

 

 

Residential street address including city and ZIP Code. (required)

(Do not enter a P.O. box.) 

 

  

Home Mailing Address 

(If different from above.) 

 

 

 

How many years have you lived or worked in Tacoma? 

 

  

Employer name and address

 

  

 Age 

 16-18 

 19-24 

 25-40 

 41-64 

 65+ 

  

Please contact me at the following phone number.

 Home 

 Business 

 Mobile 

  

Please contact me at the following address. 

 Residential street 

 Home mailing 

 Business   

  

Ethnicity 

The City of Tacoma promotes cultural and ethnic diversity on citizen committees, boards, commissions, and authorities. Information in this section will assist in achieving this goal and is voluntary.

 

 African American/Black

 Asian   

 Hispanic or Latino  

 Native American/Alaskan Native

 Native Hawaiian or other Pacific Islander

 White   

 Other     

   

City of Tacoma Council District (required.) 

(If you do not know your Council District, use the following link to identify your district.)  Council Districts

 District 1  

 District 2   

 District 3   

 District 4

 District 5   

 Outside City limits      

  

Occupation

(If retired, please indicate former occupation or profession.)  

  

   

Military History

Are you or have you been a member of the Armed Forces of the United States?  

  

  

Dates of Service  

  

  

Branch of Service  

  

  

Date and Type of Discharge  

    

  

Questionnaire  

Please list any community activities that relate to this position. (required) 

   

  

List any experience that would assist you in serving on this committee, board, commission,  
or authority. (required) 

  

  

Do you or any of your family members work for or serve on the board of directors of any  
organization which has contracted with or applied for funding from the City of Tacoma?    
Do you anticipate any involvement of this kind in the future?  If yes, please describe the   
relationship. (required)  

  

  

Are you related to any elected City official or staff member?  If yes, please explain. (required)  

  

  

Please indicate any activities you are involved with that may present a conflict of interest with the
committee, board, commission, or authority you are applying for. (required) 

   

   

Why are you interested in serving on this committee, board, commission, or authority? (required)  

    

  

References

Please List References  

  

Reference 1 Name  

    

Reference 1 Daytime Phone   

   

  

Reference 2 Name  

  

  

Reference 2 Daytime Phone  

  

Authorization for reference check. (required)
 I hereby authorize the City of Tacoma to conduct a reference check by contacting the individuals listed above. Background Checks may be requested, with written authorization.

 

How did you hear about the vacancy on this committee, board, commission, or authority? (required)  

 City Council Member 

 City of Tacoma Press Release 

 City of Tacoma Staff 

 City of Tacoma Website 

 Friend or Co-Worker 

 Neighborhood Council 

 Other 

If other was selected, please describe here. 

   

  



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