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City of Jackson Board/Commission Application

2. City of Jackson Board/Commission Application

4. First Name*

5. Last Name*

7. Address*

9. City*

10. State*

11. Zip*

13. Phone Number*

14. Email *

16. Last four digits of Social Security Number *

17. Occupation*

19. Describe your community involvement. *

21. Are you a City of Jackson resident? Being a non-resident does not prevent you from serving on a board or commission. However, some boards and commissions have residency requirements.*

    1. Yes
    2. No

22. If you answered "No" where do you reside?

23. If you answered "Yes" how long have you been a City resident?

25. Which board or commission are you interested in? You may choose more than one. *

    1. Administrative Hearings Bureau
    2. Board of Review
    3. Brownfield Redevelopment Authority/Local Development Finance Authority
    4. Building Authority
    5. Building Code Board of Examiners and Appeals
    6. City Employees Retirement System Board
    7. Civil Service Board
    8. Downtown Development Authority Board
    9. Economic Development Corporation for Jackson County
    10. Election Commission
    11. Ella W. Sharp Park Board of Trustees
    12. Environmental Commission
    13. Historic District Commission
    14. Human Relations Commission
    15. Income Tax Board of Review
    16. Local Officers Compensation Commission
    17. Jackson County Comprehensive Transportation Study
    18. Jackson Area Comprehensive Transportation Study
    19. Jackson County Brownfield Authority
    20. Jackson County Comprehensive Traffic Safety Commission
    21. Jackson County Land Bank Authority
    22. Jackson District Library Board of Trustees
    23. Jackson Housing Commission
    24. Jackson Transportation Authority
    25. MLK Corridor Improvement Authority
    26. Parks and Recreation Commission
    27. Planning Commission
    28. Police-Fire Pension Fund Board of Trustees - Original Charter Plan
    29. Police-Fire Pension Board - Act 345
    30. Public Arts Commission
    31. Racial Equity Commission
    32. Region II Planning Commission
    33. Zoning Board of Appeals

27. If you selected the Civil Service Board, are you a registered voter? Only registered voters can serve on this commission.

    1. Yes
    2. No

29. Why do you want to serve on your selected board or commission?*

31. Upload additional documents

35. Appointment Process
    Following the submission of your completed application, it will be reviewed by the City Manager's Office and the City Treasurer's Office. The Treasurer will review your application to ensure you do not owe the City unpaid taxes or fines. After that clearance, the Mayor will review your application and make a recommendation for an appointment to a board or commission by the City Council. If the recommendation is confirmed by the City Council, you may officially start the process of becoming a member of a board or commission.

    Following the submission of your completed application, it will be reviewed by the City Manager's Office and the City Treasurer's Office. The Treasurer will review your application to ensure you do not owe the City unpaid taxes or fines. After that clearance, the Mayor will review your application and make a recommendation for an appointment to a board or commission by the City Council. If the recommendation is confirmed by the City Council, you may officially start the process of becoming a member of a board or commission.

39. City Charter Section 2.15. - Person in Default to the City.
    The city shall not contract with, or give an appointive position to, one who is in default to the city. No person who is in default to the city may accept or hold an elective or appointive position unless the default is resolved. Written notice describing the default shall be filed with the clerk and verified by the treasurer and served upon the candidate before the oath of office is given, or upon the officeholder. The term "default" shall not apply if the candidate or officeholder shall, within 30 days after receiving the notice, resolve the default, or if the person shall contest it by any recognized means of legal procedure before a court or tribunal of competent jurisdiction. In the event the indebtedness is upheld, the person shall have 30 days after final determination of the obligation is made to pay it in full.

    The city shall not contract with, or give an appointive position to, one who is in default to the city. No person who is in default to the city may accept or hold an elective or appointive position unless the default is resolved. Written notice describing the default shall be filed with the clerk and verified by the treasurer and served upon the candidate before the oath of office is given, or upon the officeholder. The term "default" shall not apply if the candidate or officeholder shall, within 30 days after receiving the notice, resolve the default, or if the person shall contest it by any recognized means of legal procedure before a court or tribunal of competent jurisdiction. In the event the indebtedness is upheld, the person shall have 30 days after final determination of the obligation is made to pay it in full.

43. Final Submission
    Completed applications are kept on file for up to one year after submission. You will be contacted using the information you provided if you are selected for final consideration by the City Council. A board or commission appointment is a non-paid volunteer position.

    Completed applications are kept on file for up to one year after submission. You will be contacted using the information you provided if you are selected for final consideration by the City Council. A board or commission appointment is a non-paid volunteer position.

45. Digital Signature *

46. Date of Submission *

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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field