Board and Commission Application

 Step 1 of 1

Click here to download the Financial Disclosure Form if necessary

* Denotes a required field
*
*
*
*
ZIP*
-
Second portion of ZIP Code is optional.
*
Primary Phone*
-- ext
Secondary Phone 
--
Gender*
Race / Ethnicity*
Age Range*
Financial Disclosure

Do you or a member of your immediate family have more than 5% ownership interest in an organization?

Do you or a member of your immediate family serve in an executive/management position with financial decision-making authority in an organization which does or could provide goods or services to the City of Davenport?

Do you have any financial disclosures?*
 
*
*
*
Boards/Commissions you are interested in applying for*
*
*
 
*