City of Newport
Application for Commission/Committee Appointment

Please complete the form below and click the "Submit" button at the bottom of the page.

Date
List the Commission/ Committee of interest:
Name:
Address:
Work Telephone Number:
Home Telephone Number:
Occupation:
Employer:
(1) Why do you think you are qualified to be a Committee member?:
(2) State your educational background:
(3) Have you ever served on a community committee? If so, what kind?
(4) Do you agree with consensus decision making?
(5) Are you willing to attend regularly scheduled meetings for your term of office?
(6) Would you make decisions based on the facts and standards even though you may not agree with the ultimate decision?
(7) Do you anticipate having many conflicts of interest that may disqualify you in making decisions, due to personal and/or business relationships?
(8) List all other pertinent information/background for this position.
Thank you in advance for your community spirit in offering to serve!
Copyright © 2006 [City of Newport]. All rights reserved. Please return to City of Newport City Manager’s Office 169 S.W. Coast Highway Newport, OR 97365 or Send for E-mail