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Application for Appointment

  1. Type of Appointment
  2. Are you willing to serve on more than one Authority, Board, Commission, or Committee?
  3. Gender
    For diversity purposes only.
  4. For diversity purposes only.
  5. Are you a resident of the City of Roanoke?
  6. Are you a registered voter?
  7. Are your accounts current with the City (Taxes, Utilities, etc.)?
  8. Are you over the age of 18?
  9. (For purposes of this question, “entity” specifically includes, but is not limited to, the City of Roanoke and any entity which receives funds from the City.)
  10. Have you ever been convicted of a law violation, including moving traffic violations, since your 18th birthday?
  11. Have you ever been convicted of a felony?
  12. Have you ever been convicted of a misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating) since your 18th birthday?
  13. Are there any criminal charges or proceedings pending against you?
  14. By submitting this form, you hereby certify that the criminal information is true, accurate and complete.

    All appointments shall be at the discretion of the Roanoke City Council. 

    City Council requires a minimum of 75% attendance to all authority, board, commission or committee meetings.

    Pursuant to Section 2-283.1, Code of the City of Roanoke (1979), as amended, three consecutive unexcused absences may result in loss of membership.

    You will be notified by letter upon appointment. Prior to assuming your duties, an Oath of Office must be administered by the Clerk of Circuit Court or her designee, with a copy of the administered oath returned to the City Clerk's Office. If not selected, your application will remain on file in the City Clerk's Office for one year from the date of application, for consideration of future vacancies.

    If you have any questions, please call 540-853-2541.

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  16. This field is not part of the form submission.