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Information provided on this form will be a public record subject to free and open examination by any person under the Arkansas Freedom of Information Act.
(Please select one of the options below.)
Is this a:
Are you registered to vote in the City of Little Rock?
Select up to (3) Board(s)/Commission(s) that have current openings (see vacancy announcement):
* Asterisks indicate that this Board/Commission requires a separate application
**Please explain your interest in serving the City of Little Rock:
**First Choice: Name of Board/Commission:
**A. State your experiences, elements of your employment history and interests that qualify you for this advisory body:
**B. Describe education history, past volunteer experiences, professional licensures and certifications:
Second Choice: Name of Board/Commission:
A. State your experiences, elements of your employment history and interests that qualify you for this advisory body:
B. Describe education history, past volunteer experiences, professional licensures and certifications:
Third Choice: Name of Board/Commission:
A. State your experiences, interests or elements of your personal history that qualify you for this advisory body.
B. List any licensures, professional or ward positions required for the opening you are applying.
The City of Little Rock and the Racial and Cultural Diversity Commission seeks to increase diversity
in applicants for City Boards and Commissions. Your demographic information will be used to track
and enhance diversity in our Boards or Commissions.
**Race/Ethnic Group: (select one or more)
How did you learn of this Board/Commission vacancy?
The City Code of Ethics prohibits any the member of any City Board, Commission or Authority, from voting on a matter in which the member has an interest, or the member’s family or business has an interest. If such a matter comes before the body to which you are appointed, and there is any question about recusal, you should contact the City Attorney’s Office for an informal or formal opinion as to the propriety of your participation.
Please upload a current resume with your application. Or submit forms to: Little Rock City Clerk’s Office, 500 West Markham Street, Room #200, Little Rock, AR, 72201, by e-mail to firstname.lastname@example.org, or by fax to (501) 371-4857.
Board and Commission meetings may require day or evening attendance. For more information regarding Boards/Commissions, including meeting times and duties please visit Boards and Commissions Page
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