Please complete the online form below.

Personal Information

Select the Board, Commission, or Committee applying for:*

Select One Board of Appeals (Building Code) Board of Assessment Appeals Board of Public Utilities Commissioner (Sewer Authority) Board of Review (Dangerous Buildings) City Historian Commission on the City Plan Community Development Advisory Committee Ethics Commission Harbor Management Commission Histori District Commission Housing Authority Inland, Wetlands,Water Courses & Conservation Commission Mohegan Park Improvement & Development Advisory Committee Norwich Baseball Stadium Authority Norwich Golf Course Authority Norwich Ice Arena Authority Personnel & Pension Board Public Parking Commission Recreation Advisory Board Redevelopment Agency Rehabilitation Review Committee Senior Affairs Commission Sustainable Energy Committee T.V.C.C.A. Board of Trustees Uncas Health District School Building Commission for Persons with Disabilities Public Appearance and Beautification Committee School Building Committee (2020)

Name:*

Maiden Name:

Sex:*

Male

Female

Home Address:*

Home Phone Number:*

Business Address:*

Business Phone Number:*

Occupation:*

Email Address:

Residency Information

Length of Residency in League City:*

Are you a registered voter:*

Yes

No

Education and Hobbies

High School:

College:

Trade or Business School:

Hobbies:

Organization Membership Information

Are you currently serving on other Boards, Commissions, or Committees?*

Yes

No

If yes, which:

Have you served on a Board, Commission, or Committee before?*

Yes

No

If yes, which:

Please list organization memberships and positions held:

Please List Areas of Special Interest

Please Enter Basic Resume Information Below