Application For Appointment To Boards & Commissions

ALL APPLICANTS MUST BE A RESIDENT AND QUALIFIED ELECTOR OF THE TOWNSHIP
Please Note: Applications can be submitted at any time and are valid for one (1) year

APPLICANT INFORMATION
 Application for appointment to:
 Applicant's Name:
 Address:
 Phone: 
 E-mail Address:
 From whom were you referred:
Describe any experience, community involvement, or service on a public board or commission that led to your decision to apply for a Township board or commission:

Provide a brief biography including your skills, experience, professional credentials, certifications, and expertise, which are specifically applicable to this board or commission:

Are you currently, or have you ever been, involved in litigation against West Bloomfield Township? Check for yes, leave blank for no.
 
If yes, please explain.


EMPLOYMENT: List your most recent employment experiences

 Dates of Employment Company Name/LocationPosition  Job Description
       
       

EDUCATION:
 List your most recent educational experiences

Educational Institution/School Certified/Degree ReceivedArea(s) of Study 
     
     

ADDITIONAL EDUCATION/CERTIFICATIONS: List any other achievements you would like us to consider:
Educational Institution/School Certified/Degree ReceivedArea(s) of Study 
     
     


RESUME & REFERENCES
LETTER OF INTENT:
Please include a letter of intent of a least 100 words
RESUME:
Please attach a copy of your most current resume
REFERENCES:
Please list three references


1.    Name:
  Address:
  Phone Number:       E-Mail: 
  Occupation of Reference:      Relationship:    

1.    Name:
  Address:
  Phone Number:       E-Mail: 
  Occupation of Reference:      Relationship:    

1.    Name:
  Address:
  Phone Number:       E-Mail: 
  Occupation of Reference:      Relationship:    

AVAILABILITY:
Among other things, the amount of time you will be available for the activities of a Board or Commission is very important. Will you be able to attend:
EVENING MEETINGS: 
DAYTIME MEETINGS 
Site inspections in the evenings or on weekends? (Check if available) 
Are you a qualified elector in West Bloomfield? (Check if yes) 
REQUIREMENTS:
  •  18 Years old
  •  Citizen of the United States
  •   Resident of the State for 6 months
  •   Resident of the Township for 30 days
How long have you lived in West Bloomfield? 

SUPPLEMENTAL INFORMATION:
Please review the below Boards and Commissions Application Attachment for the desired qualifications for each board and commission and check the appropriate box(es) to indicate whether you have skills, experience, or professional credentials that may be beneficial for consideration to fill a specific position.

Even if you do not have any of the experience or professional background listed below, the Township urges you to apply for consideration. The Township needs and encourages citizens with diverse backgrounds to apply.

REAPPOINTMENT:
Members of a Board or Commission shall be eligible for re-appointment to succeeding terms; however, reappointment to a successor term for a Board or Commission is not guaranteed. In the event a successor appointment has not been made when a term of office expires, the member may remain in office after the expiration of the term until a successor appointment is made.

A member who is interested in re-appointment to a succeeding term of office shall file a Letter of Interest for reappointment with the Township Clerk. The letter must be received prior to the expiration of the current term of office, and within 14 days from the date of notice of term expiration by the Township Clerk. The appointing authority may re-appoint the member to a succeeding term of office or may seek the submittal of applications for the position prior to making an appointment.


If a member is no longer interested in serving on the board or commission upon the expiration of the term of office, or desires to resign from the office, please submit written notification to the Township Clerk.

IMPORTANT PUBLIC RECORDS INFORMATION:
All information submitted in this application is public information and subject to disclosure pursuant to the Freedom of Information Act. Please contact the Clerk’s office at 248-451-4848 if you have any questions or concerns about the disclosure of specific information.
TRUTH AND ACCURACY:
I certify that the information contained on this form is accurate, true and complete to the best of my knowledge.

I understand that all information disclosed on this form will be available to the public pursuant to the Freedom of Information Act.

Signature: Date: 


BOARD & COMMISSION APPLICATION ATTACHMENT
*All applicants must be qualified electors of West Bloomfield
 Board of Review – Two (2) Year Term
Members must be property tax payers of the Township. Experience and/or training in matters related to real estate is preferred but not required. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: 
Building Authority – Three (3) Year Term
Experience and/or training in matters related to real estate is beneficial. Please select below if you have experience in (CTRL/COMMAND click to select multiple options): 

Other: 
Greater West Bloomfield Cable Communications Commission – Three (3) Year Term
Interest or training in journalism or communications is beneficial. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: 
Construction Board of Appeals
Members must be Township residents and qualified by experience and/or training in matters relating to building construction. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: 
Environmental Commission – Three (3) Year Term
Members must be qualified by experience and/or training in matters relating to the environment. Please select below if you have experience (CTRL/COMMAND click to select multiple options):

Other:
Planning Commission – Three (3) Year Term
Members must represent a variety of professions, occupations and disciplines. Interest or training in land use related issues is beneficial. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: 
Pension Board- Three (3) Year Term
For member-at-large appointment, experience and/or training in matters relating to finance is beneficial. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: 
Zoning Board of Appeals – Three (3) Year Term
Experience and/or knowledge of land use related issues is beneficial. Please select below if you have experience in (CTRL/COMMAND click to select multiple options):

Other: