Vi
llage of Libertyville
Application for Appointment to Boards and Commissions
Name ________________________ Date _______________________
Phone _______________________
E-mail ______________________
Ad
dress _______________________________________________________________________
CO
MMISION(S) APPLYING FOR:
____ PARKS & RECREATION ____ HISTORIC PRESERVATION ____ ARTS ____ ZONING
____ HUMAN RELATIONS ____APPEARANCE REVIEW ____PARKING___ELECTRICAL
____PLAN ____BICYCLE ____SUSTAIN ____ECONOMIC DEVELOPMENT
Why are you interested in serving on the above commission(s)?
Pl
ease list your employment experience as it relates to the interested commission(s).
Please list any Libertyville service activities that you have been involved in.
Please list any other organizations you have led or participated in within Lake County.
E-mail Completed
form to
vol@libertyville.com