Skip to Main Content
New Face Coverings Mandate
Welcome to the City of Rockville Form Center. If your form requires a response, we will contact you as soon as possible.
Select a Category
Community Planning and Development Services
Housing Programs and Services
Recreation and Parks
Report a Concern
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.
Sign in to Save Progress
Expression of Interest Form
This form has been modified since it was saved. Please review all fields before submitting.
If you need this form in another format, please contact our ADA (Americans with Disabilities) Coordinator at 240-314-8108, email email@example.com, 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.
What board, commission, committee or task force are you interested in serving on?
Do you currently serve on a board, commission, committee or task force?
Please describe your interest in serving
Resume should include:
Relevant Work Experience
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.
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.
By submitting this Expression of Interest Form and any accompanying resume or other information, you agree to the release of this information to the Mayor and Council, to the board, commission, committee or task force to which you are applying and to its staff liaison.
Type your full name as an electronic signature to agree to the terms.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow