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2. Applicant Information
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
18. Opportunity of Interest*

    Select all that apply.

    1. Arts Commission - WMC 2.120
    2. Cemetery Board – WMC 2.44
    3. Civil Service – WMC 2.16
    4. Parks Board of Commissioners – WMC 2.20
    5. Planning Commission – WMC 2.12
    6. Salary Commission – WMC 2.118
    7. Special or Other Event
20. Please list event you are interested in.
24. Experience
26. Are you a resident living within Washougal city limits?*

    1. Yes
    2. No
28. If yes, how long?*
30. Please list any training or experience you have that would benefit your position of interest:*
32. Attach cover letter*
33. Attach resume*
35. Are you involved in any personal, professional, or business pursuit that would constitute a conflict of interest that would impair your ability to make fair and impartial recommendations or decisions as a member of a City citizen advisory committee? If yes, explain:*
39. References

    Please list one personal and one professional reference.

41. Personal
43. Full Name*
44. Relationship*
46. Email*
47. Phone Number*
49. Professional
51. Full Name*
52. Relationship*
54. Email*
55. Phone Number*
59. Other Information
61. The City of Washougal is mindful of its obligation to place qualified persons in volunteer positions and its entitlement under law to consider an applicant's convictions record as it relates to assignment performance. A conviction record will not necessarily disqualify you for a volunteer position unless such record would reasonably affect your fitness for the position for which you have applied. Have you been convicted of a felony or released from jail within the last ten (10) years, or have you been convicted of a misdemeanor other than minor traffic offenses within the past three (3) years? If yes explain.*
63. I understand and agree that submitting this application form does not automatically register me as a City of Washougal volunteer. Please note that any entry into this application/database will constitute a public record upon submission to the City and may be subject to disclosure under the Public Records Act (RCW 42.56).*

    By submitting this form, I agree, to the best of my knowledge, that the information is true and complete. I understand that falsification of this application is grounds for dismissal as a volunteer.  

    1. I Agree
67. Disclaimer and Signature
69. Full Name*

    I certify that my answers are true and complete to the best of my knowledge.

70. Date*
    Date

74. Thank you for your interest in volunteering for the City of Washougal. The City welcomes the extraordinary reserve of knowledge, talent and skill possessed by volunteers within our great community.  We ask that you complete this brief form to provide the Mayor with sufficient information to make an appointment to the desired City of Washougal board or commission. 

    Questions can be directed to the Office of the Mayor, Attn: Rose Jewell, 1701 C Street, Washougal, WA 98671, 360.835.8501 ext. 101.

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76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit

* indicates a required field