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Planning Commission Application Form

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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:

New Application
Request for Re-appointment

Applicant Information

** Name:	** Telephone Number:
** Physical Address:	Alternate Number: ** Email Address:
** State:	** Length of Residency in Little Rock:
** ZIP Code:

Please submit a letter addressed to the Mayor and the Little Rock Board of Directors expressing your desire to be reappointed:

Are you registered to vote in the City of Little Rock? YesNo

Qualifications:

Please explain your interest in serving the City of Little Rock:

In your opinion, what is the purpose and goal for City Planning?:

Are you aware of Little Rock’s Land Use Plan?:

What role do these plans serve in guiding the future of Little Rock?:

Who should have the ultimate decision making authority on rezoning and plan changes in Little Rock?:

What government and citizens groups should be involved in planning uses?:

Describe the role of each of these five (5) groups in the planning and development process:

Developer:

Neighborhood Association:

Planning & Development Staff:

Planning Commission:

Board of Directors:

Why do you want to be a Planning Commissioner?:

List the skills and talents that you would bring to the Commission and describe hos you would be an effective Planning Commissioner:

Describe your “vision” for the future of Little Rock:

What is the role of the Planning function in achieving this vision?:

Resume:

Self-Identification Survey

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)

White
Black or African American
Hispanic or Latino (of any race)
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific
Other:

Gender: MaleFemale

Age: 18-25 26-35 36-45 46-55 56 & over

How did you learn of this Board/Commission vacancy?

City Website	Community Agency, specify
Referred by Board/Commission Member	Newspaper, specify
Referred by City Director or Staff	Other, specify
Local Government Access Channel

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 cityclerksoffice@littlerock.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 please visit citycommissions