First Name*

Last Name*

Email Address*

Many City Advisory Boards and Committees have a residency requirement that states applicants must live in the City of Manhattan. Please provide a physical address (not a P.O. Box address).

Home Address*

City, State, Zip*

Which Board are you currently serving on and filling out this form in response to?*

Aggieville Business Improvement District Advisory Board Airport Advisory Board Board of Zoning Appeals Cemetery Board City/University Special Projects Fund Committee Code Appeals Board Frederick Douglass Recreation Complex Advisory Board Downtown Business Improvement District Advisory Board Flint Hills Discovery Center Advisory Board Historic Resources Board Housing Appeals Board Housing Authority Board of Commissioners Human Rights and Services Board Joint Corrections Advisory Board Library Board Manhattan Urban Area Planning Board Municipal Audit Committee Parks and Recreation Advisory Board Partner City Advisory Committee Riley County Law Enforcement Board Riley County Park Board Riley County Solid Waste Management Committee Food and Farm Council

Are you interested in serving another term on this board?*

I AM interested in serving another term. I am NOT interested in serving another term.

I am not eligible to serve another term.

If interested in serving another term, please list what expertise and/or capabilities you would bring to this board, committee, or task force.