Form Center

2. 
4. Welcome to our Community Board Application form!

   Community boards serve many critical functions in our city and we welcome anyone interested in serving to apply for open positions as they become available. After submitting an application, your information will be prepared to present to the respective community board for recommendation before being submitted before the Liberal City Commission for final approval.

   For questions about your application or the approval process, please contact our City Clerk, Alicia Hidalgo, at (620) 626-2204 or alicia.hidalgo@cityofliberal.org. 

6. YOUR INFORMATION
8. Name:*
10. Today's Date:*
    Today's Date:
12. Phone Number:*
14. Home Address:*
16. Mailing Address:

    Complete this field if your mailing address is different from your home address above.

18. Email Address:*
20. Work Occupation/Title:*
22. Employer Name (if applicable):
26. Board Preference(s)*

    Please select the community board(s) you are most interested in serving on.

    1. Air Museum Advisory Board
    2. Airport Advisory Board
    3. Arkalon Advisory Board
    4. Liberal Convention & Visitors Bureau Advisory Board
    5. Liberal Area Metropolitan Planning Commission & Board of Zoning Appeals
    6. Liberal Memorial Library Board
    7. Liberal Housing Authority Board
    8. Traffic Safety Advisory Board
30. Employment History

    Please list your two most recent employment experiences.

32. Company/Employer Name:
34. Position Title:
36. Dates Employed:
    Dates Employed: Start Date

    —

    Dates Employed: End Date

    Please list the date range during which you were/are employed by this organization. If currently employed in this position, please use today's date as the "end" date.

38. Company/Employer Name:
40. Position Title:
42. Dates Employed:
    Dates Employed: Start Date

    —

    Dates Employed: End Date

    Please list the date range during which you were/are employed by this organization. If currently employed in this position, please use today's date as the "end" date.

46. Additional Experience:*

    Please list your education information (including degrees attained), volunteer services, or other applicable experience or training.

50. Personal References:

    Please list details for three individuals to serve as personal references.

52. Reference 1 - Name, Address, and Professional Position/Personal Relationship*
54. Reference 2 - Name, Address, and Professional Position/Personal Relationship*
56. Reference 3 - Name, Address, and Professional Position/Personal Relationship*
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field