Boards and Commission Application

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I'm interested in serving on the following Board(s) or Commission(s):

Academic Integration Advisory Commission (*New) Accessibility Advisory Commission (*New) Charter Review Commission (*New) Youth Advisory Commission (*New) Public Sculpture Commission Affirmative Action Commission Aquidneck Island Planning Commission Bicycle & Pedestrian Advisory Commission Canvassing Authority Cliff Walk Commission Energy & Environment Commission Henderson Home Commission Historic Cemetery Advisory Commission Historic District Commission Housing Authority of the City of Newport Miantonomi Park Commission Beach Commission Tree & Open Space Commission Planning Board Board of Tax Appeals Sister City Commission Trust & Investment Commission Waterfront Commission Zoning Board of Review

Use the CTRL key to select as many as desired.

Applicant Information

Name of Applicant*:

Required

Street *:

Required

City *:

Required

State *:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Vermont Virginia Washington West Virginia Wisconsin

Required

ZIP code *:

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Phone *:

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ext.:

Email *:

Required

 

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Qualifications

​Are you a registered voter in the City of Newport? *:

Do you reside in the City of Newport year round? :

Current Employer *:

If less than two (2) years, previous employer:

Are you presently serving on a Board or Commission? *:
If Yes, please specify the Board or Commission:

Have you previously served on any Boards or Commissions? *:
If Yes, please specify name of Board or Commission:

Have you attended any any meeting of the Board(s) or Commission(s) to which you are applying? *:
 

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Work Experience

Work experience related to the Board(s) or Commission(s) being applied for: *:

Educational Background *:

Please provide a brief explanation of your interest in serving on a Board or Commission:
Upload file:
 

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Diversity Statement

If so desired, please state how your qualifications represent the neighborhood interests and diversity in ethnicity, race, age, sex, sexual orientation, gender identity, types of abilities, and any other relevant demographic qualities of the City of Newport:


ETHICS STATEMENT POLICY STATEMENT:

The City of Newport embraces the core values of honesty, trust, and integrity. In the accomplishment of the City’s mission, earning and keeping the public trust is a primary goal. It is the policy of the City to prohibit employees from engaging in activities or practices which conflict with or compromise these values. All employees, volunteers, members of boards and commissions, and other agents representing the City’s interests, are expected to respect and uphold the high standard of dignity and integrity espoused in the City’s core values I, being an applicant for appointment to a City Board, Committee, or Commission, declare that said appointment does not, and will not, constitute or create a conflict of interest. I further declare that my appointment does not and will not compromise the core values stated herein, and I pledge to uphold and maintain those values in the performance of my official duties with the City. I freely and voluntarily make this declaration, as a component of the City’s application process for appointment
 

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Please note that your application will be retained for one year. Once submitted, this form, and all attachments will become part of the public record and subject to Public Records Requests.