[City of Prescott] Application to City of Prescott Boards, Commissions, Committees

Contact Information

Phone Number

City of Prescott Boards, Commissions, and Committees

Acker Trust Board
Airport Advisory Committee
Art in Public Places
CDBG Citizens Advisory Committee
Library Advisory Board
Municipal Property Corporation (MPC)
Parks & Recreation Advisory Board
Tourism Advisory Committee
Workforce Housing Committee

The below BCCs have a City of Prescott residency requirement.
Use the following link to verify that your home address is within the City of Prescott city boundaries: https://gis.yavapaiaz.gov/v4/

* Building Advisory & Appeals Board
* Board of Adjustment
* Fire Board of Appeals
* Industrial Development Authority (IDA)
* Pedestrian, Bicycle & Traffic Advisory Committee
* Planning & Zoning Commission
* Prescott Preservation Commission
* PSPRS - Police
* PSPRS - Fire
* PSPRS - Joint Police and Fire

Please indicate which BCC you are applying to. You may choose up to three. Please note, applications are no longer held for one year for future consideration; you must apply each time there is a vacancy you are interested in.

1st Choice

2nd Choice

3rd Choice

Please indicate your interest in serving as Chairperson or as Vice-Chairperson on the BCCs that you are applying to. Please note: PSPRS, MPC, and IDA do not have Chair/Vice-Chair positions and do not apply to this question.

YES

Briefly explain why you are interested in serving and how you would positively contribute to the BCC's you've selected. 250 Word Maximum.

Please list all BCCs you are currently a member of. Use "n/a" if this question does not apply.

Current Employment Information

Employer

Phone Number

Personal Information

Are you a resident of the City of Prescott? (Use https://gis.yavapaiaz.gov/v4/ to verify that your home address is within the City of Prescott city boundaries.)

YES

If "Yes" indicate length of residency in the City of Prescott

Professional Experience - Please Include Any Degrees Completed

Special Skills or Qualifications acquired from employment, previous volunteer work, etc.

Previous Volunteer Experience, include current or past City of Prescott BCC involvement

Have you participated in the City of Prescott Citizen's Academy?

YES

If "Yes", indicate when you attended

For more information on the City of Prescott Citizens Academy go to https://www.prescott-az.gov/city-management/programs/citizen-academy/

References - Please List Three

Phone Number

Affirmation of Eligibility - Please Attach Additional Information for any "Yes" responses

Are you currently charged with or have you ever been convicted, received deferred adjudication, or entered a guilty plea or nolo contendere for any Felony or Class 1 Misdemeanor offense?

YES

To your knowledge, has any formal charge of professional misconduct ever been filed against you by a licensing or regulatory board or by any other disciplinary body in any jurisdiction?

YES

In the past five years, have you ever been reprimanded, demoted, disciplined, placed on probation, suspended, cautioned or terminated by an employer as a result of your alleged consumption or use of alcohol, prescription drugs, or illegal drugs?

YES

Is there any information that, if it came to light, would embarrass you or reflect negatively on your appointment?

YES

Is there any possible conflict of interest, whether financial or personal, or other matter that would create problems or prevent you from fairly and impartially discharging your duties as an appointee?

YES

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Please Note: If you are recommended by the Council Subcommittee on Appointments for appointment to a Board, Commission, or Committee a background investigation is required and will be conducted by the City of Prescott.
The City Clerk's Office will follow up with necessary information as required.

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Last Name

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