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Online CBC Application

Translate the Online Application


In addition to the application, resumes and/or letters of recommendations may also be submitted.


If you have questions about the application process, or if you need an accommodation in the application process, please contact the City Clerk's Office at 253-591-5178 or servetacoma@cityoftacoma.org. People with hearing or speech impairments may contact us through Washington Relay Services 1-800-833-6388 (TTY or ASCII), 1-800-833-6386 (VCO), or 1-877-833-6341 (STS). NOTE: This document and any attachments are subject to public disclosure. Certain information is exempt from disclosure. Refer to RCW 42.56 for information on state law regarding public records and certain records that are exempt from public disclosure.


CBC Application


Personal Information

I am interested in serving on the following committees, boards, commissions or authorities

(select up to three committees)




















(required. mm/dd/yyyy)














(Do not enter a P.O. box.) 



(If different from above.) 














Please contact me at the following phone number.





Please contact me at the following address. 

 Residential street 

 Home mailing 




The City of Tacoma promotes cultural and ethnic diversity on citizen committees, boards, commissions, and authorities. Information in this section will assist in achieving this goal and is voluntary.


 African American/Black


 Hispanic or Latino  

 Native American/Alaskan Native

 Native Hawaiian or other Pacific Islander




City of Tacoma Council District (required.) 

(If you do not know your Council District, use the following link to identify your district.)  Council Districts

 District 1  

 District 2   

 District 3   

 District 4

 District 5   

 Outside City limits      



(If retired, please indicate former occupation or profession.)  



Military History

Are you or have you been a member of the Armed Forces of the United States?  



Dates of Service  



Branch of Service  



Date and Type of Discharge  




Please list any community activities that relate to this position. (required) 



List any experience that would assist you in serving on this committee, board, commission,  
or authority. (required) 



Do you or any of your family members work for or serve on the board of directors of any  
organization which has contracted with or applied for funding from the City of Tacoma?    
Do you anticipate any involvement of this kind in the future?  If yes, please describe the   
relationship. (required)  



Are you related to any elected City official or staff member?  If yes, please explain. (required)  



Please indicate any activities you are involved with that may present a conflict of interest with the
committee, board, commission, or authority you are applying for. (required) 



Why are you interested in serving on this committee, board, commission, or authority? (required)  




Please List References  


Reference 1 Name  


Reference 1 Daytime Phone   



Reference 2 Name  



Reference 2 Daytime Phone  


Authorization for reference check. (required)
 I hereby authorize the City of Tacoma to conduct a reference check by contacting the individuals listed above. Background Checks may be requested, with written authorization.


How did you hear about the vacancy on this committee, board, commission, or authority? (required)  

 City Council Member 

 City of Tacoma Press Release 

 City of Tacoma Staff 

 City of Tacoma Website 

 Friend or Co-Worker 

 Neighborhood Council 


If other was selected, please describe here. 



Security Measure