Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Board and Commission Application

  1. MIDLOTHIAN_LOGO_HORIZONTAL
  2. Please complete the online form below.
  3. Personal Information
  4. Inside City Limits:*
  5. Residency Information
  6. Are you a registered voter:*
  7. You may also upload a resume or CV below and if so, please note "see attachment" in this required field.

  8. Board and Commission Choices
  9. Please select your preferences from the list:*
  10. Organization Membership Information
  11. Are you currently serving on other Boards, Commissions, or Committees?*
  12. Have you served on a Board, Commission, or Committee before?*
  13. Are you, or a member of your family, involved in any business transaction with the City of Midlothian?*
  14. Recognizing that serving on a Board or Commission is often time consuming, most meet on a monthly basis, are you committed to attending all regulary scheduled meetings?*
  15. Please Note: All appointments are made at the discretion of the City Council. While there is no guarantee of an appointment, all applications will be considered equally. Applications will be kept on file for one year and then either updated or withdrawn by the applicant.
  16. Leave This Blank: