We appreciate your interest in serving our community and welcome your application. Please complete all sections and if you have questions, please contact us at 641.673.9431, ext 5004, or by email at city@oskaloosaiowa.org.

According to Oskaloosa Charter Article V Section 5.1, All members of boards, commissions and committees shall be registered voters of the city of Oskaloosa except rural members of the Library Board. Are you a registered voter?
*

Yes

No

Are you a resident of Oskaloosa?*

Yes

No

Board or commission applying for (choose one from drop-down list):*

Airport Commission Board of Adjustment Building Code Board of Appeals Civil Service Commission Historic Preservation Committee Library Board of Trustees Mahaska County Solid Waste Management Commission Municipal Housing Agency Planning and Zoning Commission Recycling Committee South Central Regional Airport Agency Stephen Memorial Animal Shelter Commission Water Board of Trustees Other (not Listed)

Name of applicant:*

Address:*

Phone number:*

Email address:*

Occupation:*

Please indicate the reasons you are interested in serving and any specific skills or experience you believe support your application.*

Other civic experience:

Thank you for your application.
Appointments will be consistent with Iowa House File 243 for Gender Balancing of boards, committees, and commissions.