Board/Committee Application

4. First Name:*
5. Last Name:*
7. Cell Phone:*
8. Work Phone:
10. Address:*
12. City:*
13. State:*
14. Zip Code:*
16. Email Address:*
18. Occupation:*
20. Are you a resident of the City of Portland?*
    -- Select One --YesNo
21. If yes, for how long?
    -- Select One --Less than a yearOver a yearMore than 2 yearsAround 5 years10 or more years
23. Are you a registered voter?*
    -- Select One --YesNo
24. Are you at least 18 years old?
    -- Select One --YesNo
26. Are you willing to be on live audio/video (including future replays) for meetings?*
    -- Select One --YesNo
28. List any present & past city boards, commission, or committees (either in Portland or other communities) on which you have served or continue to serve and indicate years of service:
29. List civic organizations within the City of Portland and/or Robertson or Sumner County which you are or have been an active participant:
31. Briefly describe why you wish to be considered for this appointment; and any possible qualifications that would benefit the respective board and our community:
33. The following are some of the available service opportunities:
35. BOARD OF ZONING APPEALS (BZA)-

    The Board of Zoning Appeals (BZA) hears appeals, variances, special exceptions, zoning map boundaries, and zoning ordinance interpretations. The Board usually meets on an as-needed basis scheduled on the 3rd Tuesday of the month. The Board consists of five members serving three-year terms.

37. INDUSTRIAL DEVELOPMENT BOARD (IDB)

    Meetings of the Industrial Development Board are held on an as-needed basis. This Board is composed of a minimum of seven members serving six-year terms, in order to promote and encourage economic development.

39. MUNCIPAL PLANNING COMMISSION (MPC)

    The Planning Commission meets regularly on the 2nd Tuesday of each month, to make recommendations on zoning and developments. The Commission consists of nine members serving three-year terms.

41. HEALTH & EDUCATIONAL FACILITIES BOARD (HEFB)

    Meetings of the Health & Educational Facilities Board are held on an as-needed basis. This Board is composed of a minimum of seven members serving six-year terms in order to help facilitate the preservation, growth, and development of associated services.

43. (With limited exceptions of certain appointees, membership on these boards/committees are limited to Portland residents that are not City officials)

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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

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