Skip to Main Content
Loading
Close
Loading
Government
Services
Community
Businesses
I Want To...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Boards & Commissions
City Council
Contact Us
Encrypted Forms
Engineering & Technical Services
Finance
Fraud Abuse Waste
Grants
Health Department (VDH)
Human Resources
Information Technology
Intergovernmental Affairs
Libraries
Marketing & Communications
Parks & Rec
Permits & Inspections
Planning Department
Portsmouth Circuit Court
Public Utilities
Recycling
Social Services
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Boards & Commissions Online Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
First Name
*
Middle Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Email Address
*
Occupation
*
(If retired, please indicate so and include former occupation)
Present Employer
Business Address
City
State
Zip Code
Business Phone
Preferred Mailing Address
*
Home
Business
Statistical Information Only
Must be completed to be considered for volunteer service
Birth Date
*
Birth Date
Gender
*
Male
Female
Ethnic Group
*
Neighborhood / Community
*
Boards / Commissions / Committees / Authorities
List three choices of Boards / Commissions / Committees to which you desire appointment listed in order of preference:
Choice 1
*
Choice 2
*
Choice 3
*
Are you willing / able to serve on multiple boards?
*
Yes
No
Please explain below why you are interested in serving on these Boards / Commissions / Committees / Authorities, and how you feel you can contribute to the community:
*
Qualifications for appointment to listed Boards / Commissions / Committees / Authorities:
*
Names of Boards / Commissions / Committees / Authorities previously assigned:
*
Volunteer Experience and other Community Involvement:
Referred by
The following must be completed in order to be considered for appointment:
Your Complete Name
*
Date
*
Date
This application will be maintained in the Name Bank for two years and is subject to disclosure under the Freedom of Information Act.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
FY2023 Adopted Budget
One-Time Direct Payment Application
Emergency Preparedness Handbook
Virginia Hurricane Evacuation Guide
Water Quality Report 2022
Peck Iron & Metal Superfund Site
Portsmouth Crime Prevention & Violence Reduction Plan
Portsmouth Reentry Council
Know Your Zone
PCTV 48/39 Portsmouth Community Television Guide
Portsmouth COVID-19 Brief
COVID-19 Data Hub
City Special Events - Definitions
2020 General Election Results
FY2021 Proposed Budget
Holiday Trash Pickup Schedule 2022
Portsmouth Recycling Schedule 2022
2022 City Holiday Calendar
Council Members
Agendas & Minutes
Archived Minutes
Speakers Guide
Virginia Freedom Of Information Act (FOIA)
Sale of Valuable Real Estate
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow