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Boards and Commissions Application

Please correct the field(s) marked in red below:

Applying For
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Personal Information
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Personal Information
Are you a registered voter?
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Are you a registered voter?
Experience and Civic Activities
Experience and Civic Activities
Do you presently serve on a Commerce City or any other governmental entity Board or Commission?
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Do you presently serve on a Commerce City or any other governmental entity Board or Commission?
Conflict of Interest is defined as the participation in any board/commission activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether direct or indirect.
Conflict of Interest is defined as the participation in any board/commission activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether direct or indirect.

CERTIFICATION

By checking the boxes below, I hereby certify and acknowledge, understand and agree to the following:

The foregoing is true and correct to the best of my knowledge.
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I expressly release and discharge the City of Commerce City and its agents and employees from any liability, claim or demand of any nature whatsoever; arising out of the dissemination of information I have provided herein.
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To be considered for a position on a board or commission the City of Commerce City may need to conduct a criminal background check on me. I therefore authorize the City of Commerce City to conduct a criminal background investigation, including obtaining my criminal history from law enforcement agencies. I understand that information resulting from such an investigation may be subject to public scrutiny under the Colorado Open Records Act.
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