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City Council Application

2. As a candidate to a public agency legislative body this application (which includes the information you enter into it) will be available to the City Council and the public upon request. This includes attachments to the application (cover letter, resume, etc.).

4. Date*
   Date

6. I live within the City limits of Blaine*

   1. Yes
   2. No

7. I am a registered voter in Whatcom County*

   1. Yes
   2. No

8. I have lived within the City limits of Blaine for one year*

   1. Yes
   2. No

10. Name*

11. Email Address*

13. Address*

14. Phone Number

16. Occupation

    If retired, please indicate occupation before retirement.

18. Education

20. Personal/Community Activities

22. Qualifications Related to the Position

24. Describe why you are interested in serving on the Blaine City Council. *

26. DO YOU OR YOUR SPOUSE HAVE A FINANCIAL INTEREST IN, OR ARE YOU AN EMPLOYEE OR OFFICER OF ANY BUSINESS OR AGENCY WHICH DOES BUSINESS WITH THE CITY?*

    1. Yes
    2. No

28. If yes, please explain:

30. Applicant Signature*

    By signing this Application, I hereby certify that the facts set forth in this Application and supporting documentation are true and complete.

31. Date*
    Date

33. Upload Documents

    While not necessary, supporting documents can be uploaded here if you wish to do so.

35. You will be informed of the status of your application via the email address you provided.

37. As a candidate to a public agency legislative body this application (which includes the information you enter into it) will be available to the City Council and the public upon request. This includes attachments to the application (cover letter, resume, etc.).

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field