Boards and Commissions Application

The preferred method of applying for a Board or Commission is by completing the on-line application below. However, a paper application can be printed out, completed and sent by US Mail or scanned and e-mailed.

Application:

A current application and resume are required both for initial appointment or reappointment consideration.

Resume Required:

You may submit your resume in PDF format using the form below.

Instructions for Letters of Recommendations:

The Governor’s Office welcomes and needs written assessments of the applicants' skills, expertise, ethics and any other characteristic relevant to an individual's potential for an appointment. Many applicants solicit letters of reference supporting their efforts at an appointment. However, applicants are advised "more" is not necessarily "better." The Governor’s Office would prefer to receive no more than 10 substantive e-mails regarding each applicant. The preferred means of communicating recommendations to the Governor’s Office is through e-mail. Please direct any such e-mails to [email protected].

Contact Information

Title

First Name *

Middle Initial

Last Name *

Spouse Title

Spouse First Name

Middle Initial

Spouse Last Name

Address *

City *

State *

Zip *

County

Home Phone *

Cell Phone

Email *

Board/Commission Interest

Please select a board/commission of interest.

Board/Commission *

Board/Commission 2

Board/Commission 3

Employment Information

Business Name

Your Work Title

Office Address *

City *

State *

Zip *

Work Phone *

Correspondence Preference *

Home

Office

Personal Information

Date of Birth *

Place of Birth

Gender *

Male

Female

Ethnicity

Party Registration *

Referred By

Background Investigation

Note: Either a Driver's License or State ID is required to complete a background investigation.

Please specify the type of identification to be used for the required background investigation *

Drivers License

State ID

Note: a Driver's License or State ID is required to complete a background investigation.

Drivers License State *

Drivers License # *

State ID # *

A SIGNED BACKGROUND INVESTIGATION AUTHORIZATION FORM IS REQUIRED TO COMPLETE YOUR APPLICATION

Complete and sign the Background Investigation Authorization form and return by post, email or fax to:

Trista Guzman Glover, Director
Boards and Commissions
1700 W. Washington Street, Suite 250
Phoenix, AZ 85007

Email: [email protected]

Professional Experience

Education *

Please include education including any degrees completed.

References *

List THREE references. Include the NAME and PHONE of the Business/Company/Agency.

Resume *

Attach your resume in PDF format.
Files must be less than 2 MB.
Allowed file types: pdf.

Authenticity of Information

I certify that the facts contained in this application are true and correct to the best of my knowledge. I have reviewed the statutory requirements governing the board/commissions in which I have expressed an interest and confirm that I meet those requirements. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my qualifications and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damages that may result from furnishing the same to you. Entering my name and the date below has the same legal ramifications as a hand signed document.

Digital Signature *

To sign, type your name

Date of Application *

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.