City Council Agenda and Packet 2019 11 21 SP

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2020 Board and Commission General Application Page 3 of 4 Please note: LCity,/ Louisville COLORADO • SINCE 1878 • You MUST meet the following criteria to serve on any Board or Commission: o You must reside in the City of Louisville (exception for Business Retention Committee). o You may not be an employee of the City of Louisville • If appointed, you must attend at least 75% of the meetings; missing more than 25% of the board meetings is cause for removal. • All Board and Commission members serve without compensation. • Anyone applying to a Board or Commission is subject to a background check. • The City may reject an applicant for any lawful reason. An appointed Board or Commission member may be removed during his/her term of office for cause as defined in the City Charter, Resolution No. 16 Series 2009, and Resolution No. 59, Series 2016. Reasons for rejection or removal from office include, without limitation, where a background investigation reveals an arrest, conviction, or pending charges for a criminal offense (excluding minor traffic violations). • All information on this application is public record and may be available for public review. • It is the policy of the City Council to make appointments to the citizen boards, commissions, committees, and task forces based on the needs of the City as well as the interests and qualifications of each applicant without discrimination based on race, color, national origin or ancestry, gender, religious convictions, disability, age, or sexual orientation. I certify the information in this application is true and complete. I understand false statements, misrepresentations or omissions of information in this application may result in rejection of this application. The City is expressly authorized to investigate all statements contained in this application and, in connection therewith, to request a criminal history. I consent to the release of information about my ability and fitness for volunteer assignment by employers, schools, criminal justice agencies, and other individuals and organizations to investigators, personnel staffing specialists, and other authorized employees of the City of Louisville, and release all parties for all liability for any damage that may result from furnishing such information. In the event that I am selected to serve on a City of Louisville Board or Commission, I agree to comply with all of its ordinances, rules, and regulations. I fully understand and agree to provide my services to the City of Louisville as a volunteer in a voluntary capacity and that I will receive no compensation or benefits for services provided. 11