Boards & Commissions Application

If you would like to serve on a City of Grain Valley Board or Commission, please complete the form below.

Boards & Commissions Application

First Name

Middle

Last Name

Address

City

State

Zip Code

Ward

Day Phone

Evening Phone

Cell Phone

High School

City

State

Graduation Yr.

Trade/College/University

Degree

Graduation Yr.

Post Graduate Schooling

Degree

Year of Graduation

I would like to serve on the following Board/Commission for the City of Grain Valley:

Please state why you would like to serve on this Board or Commission.

Community Involvement

Organization

Position

Membership Date(s)

Organization

Position

Membership Date(s)

Organization

Position

Membership Date(s)

Do you have business or property interests that might place you in a conflict of interest situation should you be appointed to this Board/Commission? If so, please explain.

Print Application

A print-friendly application is also available to print, complete, and return by mail to:

City of Grain Valley
c/o City Clerk
711 Main Street
Grain Valley, MO 64029