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Apply to Serve on a City Board

Appointments are made to boards and commissions every month as terms expire or as vacancies occur. It’s difficult to predict when there will be openings, as many terms are staggered and other vacancies occur on a periodic basis. As openings occur on boards and commissions, we feel fortunate to be able to draw upon the expertise and dedication of our citizens. Please be assured that your application will be considered and will remain on file for three years.

If you have any questions about the process, please contact the City Clerk’s Office at (515) 283-4209 or cityclerk@dmgov.org.
Thank you for your interest in the City of Des Moines.
Printable Board Application Form

Contact Information
Name:

Home Address:

Unit #:

City or Town:

State:

Zip:

Daytime Phone:

Alternate Phone:

Email:


Employment Information
Occupation: 
Occupation Duration: 
Employer: 
Employment Duration: 
Business Address 1: 
Business Address 2: 
Business City: 
Business State:   
Business Zip:   
Business Phone: 
Business Fax:   

Additional Information
* Gender: 
Are you a Des Moines resident?

Yes      No  
* Ward:  
WardMap
Residency Duration:

Are you a registered voter?
Yes      No  

Have you been previously employed by the City of Des Moines?
Yes      No  

City Employed Relatives:

Have you served on any City Board, Commission, or Committee?
Yes      No  

List City Boards, Commissions and Committees and Date(s) served:

List Boards, Agencies, Civic, Service and/or Professional Organizations to which you are affiliated:

Indicate other experiences or skills which will contribute to the mission of this Board, Commission or Committee:

Indicate up to 5 Board, Commission, or Committee's you would like to serve
* First Board:

Second Board:

Third Board:

Fourth Board:

Fifth Board:


Most board seats have no special requirement other than being a citizen of Des Moines. However, some seats require special criteria for members. - Please check all that apply:

Citizen of Des Moines   18 years of age or older (required for all members of the Library Board of Trustees) 
Active A,B,C or D Mechanical Contractor, with Des Moines License    Architect 
Architect, with significant restoration experience    Attorney 
Contractor with construction/remodeling experience    Demonstrated interest and experience in historical renovation, restoration or preservation 
Demonstrated interest in residential neighborhoods    Developer or real estate broker 
Electrical Engineer    Experience in Real Estate or Real Estate Financing 
Fire science, fire protection, or industrial safety    General Contractor-Commercial 
General Contractor-Residential     Historian 
Hold 1st class engineering license in Des Moines    Journeyman Plumber 
Landscape Architect    Licensed Realtor 
Master Electrical Contractor    Master Plumber 
Mechanical Engineer    Member of the Des Moines Skywalk Association 
Own/employed by disabled service provider    Owner/operator of a business on the skywalk corridor 
Person with disability    Registered Structural or Construction Engineer 
Reside in an area of the City generally acknowledged to experience odor problems    Reside in the Owls Head, Sherman Hill Historic, or Riverbend District in Des Moines 
Represents interest of Business, Non-Profit and Education community    Represents interest of low income residents 
Sociologist        

 


Comments:


Please Read Carefully
I hereby certify that this application is complete to the best of my knowledge and all information given is true and contains no misrepresentations.

In accordance with the Iowa Code, Title XIII Commerce, Chapter 554D, Uniform Electronic Transactions Act, 554D.108, my typed signature below serves as my legal written signature for this electronic Employment Application.

* Signature: