[City of Lynchburg] Boards and Commission Application

Help strengthen your community and make a difference by serving on a Council-appointed board, commission, committee, or authority! By being an active member, you will not only be informing decisions affecting your community, but you will also have a chance to develop valuable professional networks and workforce skillsets. Service on a board or commission is also a great way to gain a deeper understanding of your local government.

Applications will be kept on file for one year from application date and may be included for Council consideration when a vacancy occurs within that one year, unless directed otherwise by the applicant.

Thank you for your interest in serving your community!

Today's Date

Prefix

View larger map

If applying to Youth Services Board, do you consent to state and national background checks?

Yes

Occupation *

Employer *

Contact Information

Preferred Phone No. *

Email *

Do you live in the City of Lynchburg?

Yes

If Yes, in which Ward do you live? (https://www.lynchburgva.gov/ward-precincts-map)

Ward 1

Ward 2

Ward 3

Ward 4

Do not live in Lynchburg

Are you a Lynchburg Citizens Academy graduate?

Yes

Please list any City Board, Commission, Committee or Authority, on which you currently serve:

Please list any other community engagements such as public, civic, or charitable service:

What skill(s) and/or experience can you bring to the Board(s)?

What do you feel you can contribute to the Board(s) and to the community that may not be evident from information already on this form?

Please use this space for any additional information you would like to provide:

A resume or separate sheet with additional information may be attached to this application upon submitting.

Attendance requirements: City Council requires appointees to attend at least 75% of the yearly committee meetings. Absences may be excused because of personal illness or serious illness of members of the immediate family, death of a family member, unscheduled or unforeseen business trips, and emergency work assignments only. All other absences are recorded as unexcused.

Will you be able to attend at least 75% of the regular meetings of the boards to which you may be appointed?

Yes

You may attach a resume or additional information here.

Click Here to Upload

How did you hear about this opportunity?

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.