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2. 
3. Longview City Council Application

   If you have any issues with this online application or have additional questions, please call the Executive Office at 360.442.5004.

   NOTE:  This Application, and all materials submitted with it, will be considered a public record and will be disclosed if subject to a public records request.

   
   

5. First Name
6. Last Name
8. Phone Number
9. Email Address
11. Address
13. City
14. State
15. Zip Code
17. Are you over the age of 18?*

    1. Yes

    1. No
18. Have you lived within the city limits for at least one year?*

    1. Yes

    1. No
20. Are you a registered voter?*

    1. Yes

    1. No
22. Have you previously served in the community? If so, please describe:*
24. Availability (please check all that apply):
26. Monday

    1. AM

    1. PM

    1. Evening
28. Tuesday

    1. AM

    1. PM

    1. Evening
30. Wednesday

    1. AM

    1. PM

    1. Evening
32. Thursday

    1. AM

    1. PM

    1. Evening
34. Friday

    1. AM

    1. PM

    1. Evening
36. Saturday

    1. AM

    1. PM

    1. Evening
38. Share about a recent experience or interaction you had with a City department:*
40. Why are you interested in serving on City Council?*
42. Describe any attributes, skills, experience/education or background that would be beneficial for this position:*
44. Please submit a current resume.*
46. I understand that members of City Council are expected to abide by the City of Longview Municipal Code, Washington State Open Public Meetings Act, and the Appearance of Fairness Doctrine.*

    If you are unfamiliar with these documents, a copy can be provided by the Executive Office.

    1. I understand and agree to the expectations as explained above.
48. I hereby certify that the information stated is true.*

    1. I agree
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

* indicates a required field