Nashville.gov

Information Sheet For Voluntary Board / Commission Appointees

Appearing Before the Rules-Confirmations-Public Elections Committee of the Metropolitan Council

* Appointment to:
Description
* Reappointment to this Board
First-time appointment to this Board
* First Name:
* Last Name:
* Home phone, including area code: - -
* Home address:
* City:
* Zip Code:
Place of business:
Occupation:
Business phone, including area code: - - x
FAX number, including area code: - -
Business address:
* Preferred mailing address: Home
Business
Email address:
* Complete educational background:
* Professional/occupational experience:
* Metro boards/commissions on which you serve/served and dates of service:
* Describe any potential conflict of interest your appointment may present:
* Have you read the Acknowledgement of Ethical Rules? Yes
No
* Will you agree to attend Metro Government's cultural diversity / sexual harassment training, within three (3) months of this appointment? Yes
No
* Describe your qualifications and/or reasons why you wish to be confirmed for this appointment:
* Are you a registered voter? Yes
No
* What is your council district?
* Are you a lobbyist? Yes
No

If yes, please name the client(s):
If during your tenure in this appointed position you become a lobbyist, please contact Angela Goins in the Mayor's Office.


** Please send your resume to the Metro Clerk's Office via email marlene.fuller@nashville.gov or via fax (615) 862-6774. If you have questions please call the Clerk's Office at (615) 862-6770.

* denotes mandatory fields
  

 
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