Boards and Commissions Form

Last Name 
First Name 
City 
State 
Zip 
Phone Number 
Email Address 

Please select the boards/commissions/councils you would like to be considered for.
Advisory Committee on Persons with Disabilities
Alcohol, Drug Addiction and Mental Health Services (ADAMHS)
Cleveland-Cuyahoga County Port Authority
College Savings Account Program Committee
Community Based Correctional Facility Board
Cuyahoga County Citizens’ Advisory Council on Equity
Cuyahoga County Corrections Planning Board
Cuyahoga County Economic Development Commission
Cuyahoga County Emergency Medical Services (EMS) Board
Cuyahoga Humane Animal Control Advisory Board
MetroHealth System Board of Trustees
Monument Commission 

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?
 

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:
 

 
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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