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Expression of Interest Form

  1. If you need this form in another format, please contact our ADA (Americans with Disabilities) Coordinator at 240-314-8108, email, TTY-240-314-8137 or Relay 711. The city welcomes requests for reasonable modifications for persons with disabilities who wish to serve on a Board, Commission, Committee or Task Force.

  2. Do you currently serve on a board, commission, committee or task force?*
  3. Required Resume
    Resume should include:
    • Relevant Work Experience
    • Education
    • Volunteer Experience
    • Skills
    • Professional Affiliations/Memberships
  4. Please indicate YES or NO whether or not the city may disclose this Expression of Interest Form and any accompanying resume or other information that you provide to the public. Your address and phone number(s) will not be included. *
  5. Please indicate YES or NO whether or not the City may give elected officials who serve Rockville (other than Mayor and Council) your name and address. This information will not be used for any fundraising or campaign mailings. No phone numbers will be given.*
  6. Leave This Blank:

  7. This field is not part of the form submission.