2. City of Columbus Open Appointments Application
   City of Columbus Open Appointments Application
Citizen appointments to city boards, committees and commissions are made by the Mayor, and considered for approval by the City Council. Members of the boards are appointed based on their background and interest in a particular field and are expected to attend all advisory meetings. Those who miss three consecutive meetings in a calendar year may be replaced. Please submit this form at least seven business days prior to the Council meeting in which the Mayor will be making appointments. Application does not guarantee appointment, and will be used for guidelines to make appointments. If you have any questions, please contact City Hall at 105 N. Dickason Blvd., Columbus, Wisconsin 53925. Or call (920) 623-5900.
4. First Name*
5. Last Name*
7. Street Address*
9. Phone Number
10. E-mail Address*
12. Please Consider Me For*

    1. Beautification Advisory Board
    2. Board of Review
    3. Board of Appeals
    4. CAAC Advisory Board
    5. Cable Television Commission
    6. Community Development Authority
    7. Historic Landmarks and Preservation Commission
    8. Library Board
    9. Parks and Recreation Advisory Board
    10. Plan Commission
    11. Police and Fire Commission
    12. Senior Citizens Advisory Board
    13. Tourism Commission
    14. Water and Light Commission
    15. General Interest/Seeking More Information

    Check board, committee or commission of interest.

14. Statement of Interest*
16. Date & Time*
    Date & Time

    Date & Time
17. Electronic Signature*

    By checking the box below you are affirming that the above information is correct and are giving the City of Columbus permission to contact you in regards to the position you have expressed an interest. Upon submission this information becomes public record.

    1. I Agree.
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field