Skip to Main Content
Loading
Close
Loading
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
Home
Government
Business
Resident
Visitor
How Do I...
Search
Home
RequestTracker Forms
Application for Appointment to Boards and Commissions
Leave This Blank:
The City of Pella appreciates your interest in serving the community and welcomes your application. Please complete all sections of this application. If you have any questions, please contact the City Clerk's office at 641.628.4173. The City of Pella is committed to providing equal opportunity for citizen involvement.
For more information on each committee visit the Boards and Commissions page.
Boards & Commissions
Are you a resident of Pella?
*
Yes
No
Please indicate those Boards and/or Commissions on which you would be willing to serve.
*
Airport Committee
Airport Zoning Board of Adjustment
Board of Adjustment
Building Code Board of Appeals
Civil Service Commission
Community Development Committee
Community Services Board
Historic Preservation Commission
Library Board of Trustees
Planning and Zoning Commission
Name: First, Middle Initial, Last
*
Street
*
City
*
Zip Code
*
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Maryland
Michigan
Minnesota
Mississippi
Missouri
Montana
North Carolina
North Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
West Virginia
Wisconsin
Wyoming
Washington D.C.
Email:
Phone Number:
*
Occupation:
Gender:
*
Male
Female
Please indicate the reasons why you would like to be appointed to a Board or Commission and any specific skills or experience that you believe support your application.
*
Date:
*
Signature:
*
Submitting an application through this website constitutes your electronic signature. Any record
containing an electronic signature shall be deemed for all purposes to have been “signed” and will constitute an “original” when printed from electronic records established and maintained by the City in the normal course of business.
* indicates required fields.
Live Edit
Close
City Code
City Council
City Newsletter
City Staff Directory
Employment
Move to Pella
Visit Pella
Stay informed
City Council
Employment
Library
Aquatics
report a concern
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow