Boards and Commissions Form

Last Name 
First Name 
Date of Birth 
Street Address 
City 
State 
Zip 
Phone Number 
Email Address 

Please select the boards/commissions/councils you would like to be considered for.
* None of the Below
ADAMHS Board
Advisory Committee on Persons with Disabilities
AIDS Funding Collaborative Advisory Committee
Archives Advisory Commission
Audit Committee
Board of Developmental Disabilities
Charter Review Commission
Children and Family Services Advisory Board
Children’s Trust Fund Regional Prevention Council
Cleveland/Cuyahoga County Workforce Development Board
Cleveland-Cuyahoga County Port Authority
Cleveland-Cuyahoga Office of Homeless Services Advisory Board
Community Based Correctional Facility Governing Board
Convention Visitors Bureau of Greater Cleveland (Destination Cleveland)
Cuyahoga Arts & Culture (CAC)
Cuyahoga Community College Board of Trustees
Cuyahoga County Advisory Board on Senior and Adult Services
Cuyahoga County Citizens' Advisory Council on Equity
Cuyahoga County Community Improvement Corporation
Cuyahoga County Corrections Planning Board
Cuyahoga County Debarment Review Board
Cuyahoga County Diversion Board
Cuyahoga County Land Reutilization Corporation (County Land Bank)
Cuyahoga County Public Library Board
Cuyahoga Regional HIV Health Services Planning Council
Debarment Review Board
District One Public Works Integrating Committee
Domestic Violence Shelters Advisory Board
Gateway Economic Development Corporation of Greater Cleveland
Greater Cleveland Regional Transit Authority Board of Trustees
Greater Cleveland Sports Commission
Group Plan Commission
Human Rights Commission
Lake Erie Energy Development Corporation (LeedCo)
MetroHealth System Board of Trustees
Monument Commission
Natural Resources Assistance Council
Northeast Ohio Regional Sewer District Board of Trustees
Personnel Review Commission
Public Defenders Commission
Senior Transportation Connection of Cuyahoga County
Soldiers Sailors Monument Board of Trustees
Tax Incentive Review Council
Western Reserve Area Agency on Aging Advisory Board of Trustees
Western Reserve Area Agency on Aging Five County Advisory Council 

Why are you interested in serving on this board/commission/council?
 

What qualities do you possess that would make you a good candidate to serve on this board/commission/council?
 

What professional experience do you have that would make you a good candidate to serve on this board/commission/council?
 

Do you currently serve on any government, private, or non-profit boards or commissions? If so, please list the boards or commissions:


Are there any relationships, including but not limited to business or family relationships, that may be perceived as creating a conflict of interest for your service on the Board and/or Commission for which you have applied? If so, please detail the circumstances:
 

Is there anything else you would like to note?

 
The majority of the Boards and Commissions in Cuyahoga County are Citizen Policy Making and Advisory Boards and Commissions. All of these boards and commissions are governed by the laws and regulations that have authorized them. Members represent the specific mission of the boards or commission to which they have been appointed.

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