Skip to Main Content
Loading
Loading
Government
Departments
Services
Doing Business
I Want To...
Search
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Addressing
Citizen Boards
Clerk & Recorder
Clerk to the Board
Community Development
Contact Us
Emergency Information
Environmental Health
Finance
Health & Human Services
Open Space and Trails
Philips Housing Project
Public Works
Sheriff's Office
Surveys
Treasurer/Public Trustee
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Citizen Board - NEW Applicant Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Pitkin County seeks to create an inclusive and accessible process for individuals who wish to serve on citizen boards. We strive to ensure that board members are committed to our values around health and the environment, inclusion and equity, quality data and lived experiences, and are representative of the communities we serve.
Select the Board, Commission, or Committee applying for
*
-- Select One --
Select One
Animal Shelter
Board of Adjustment
Board of Appeals
Board of Health
Citizen Grant Review Committee
Conflict Committee Pool
Election Commission
Financial Advisory Board
Housing Authority
Library Board
Open Space and Trails
Planning & Zoning
Redstone Historic Preservation Committee
Retirement Board
Senior Services Council
Telecommunications Advisory Board
Weed Advisory Board
Personal Information
First Name
*
Last Name
*
Physical Address
*
Mailing Address
*
City
*
State
*
Zip
*
Home Phone Number
*
Business Address
*
Business Phone Number
*
Occupation
*
Email Address
*
Residency Information
Length of Residency in Pitkin County
*
Education and Hobbies
High School
College
Trade or Business School
Hobbies
Organization Membership Information
Are you currently serving on other Boards, Commissions, or Committees?
*
Yes
No
If yes, which
Have you served on a Board, Commission, or Committee before?
*
Yes
No
If yes, which
Please list organization memberships and positions held
Please List Areas of Special Interest
How did you hear about this opportunity?
Please Attach Your Resume as a pdf
*
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Website Disclaimers
Website Accessibility
Pitkin County Press
Employment Opportunities
Apply and join our team
Clerk & Recorder
Marriages, elections, motor vehicle
Meetings & Agendas
Meetings, minutes, agendas
Watch Meetings
BOCC live meetings
Community Development
Planning, zoning, and building
Pay My Taxes
Online Tax Payments
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow