Contact Form - Boards and Commissions

Clay County, Missouri

Application for Appointment to a Board or Commission
Thank you for your interest in citizen participation in local government through membership on one of Clay County's Boards and Commissions. In order for your application to be considered, please fill in the following details. If you have a question or concern pertaining to your application, please call (816) 407-3623.

You will have the option to attach a resume or other supporting documentation to your application before submitting.

Applicants may be subject to a background check and completion of a Missouri Ethics Commission Financial Disclosure, as required for certain Boards and Commissions by the State of Missouri.
Please select ONE of the following boards to apply for*

Airport Advisory BoardBoard of EqualizationBuilding Codes CommissionChildren's Services Fund BoardCivic AcademyClay, Platte, Ray Mental Health BoardDevelopmental Disabilities Resources BoardDomestic Violence BoardIndustrial Development AuthorityMid-Continent Library BoardOpioid Settlement Oversight Committee (OSOC)Parks Advisory BoardPlanning & Zoning Commission (PZC)Senior Citizens BoardTax Increment Financing Commission (TIF)Tourism BoardWorkforce Investment Board
Your Full Name*

First NameMiddle NameLast Name
Daytime phone

Area CodePhone Number
Evening phone

Area CodePhone Number
E-mail
A valid e-mail address is required if you would like to receive a confirmation.
Current Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Business Address(if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Specify your preferred mailing address

ResidentialBusiness
What district do you currently reside in?

EasternWestern

Please explain why you are interested in serving on a County Commission appointed board or commission and which qualities or special skills you feel you have to offer.
Please state, if applicable, your participation in other community or civic activities.
[Optional] Attach a resume or other document supporting this application.

Upload a File
Files should be in PDF or common word processing file format. 2 MB size maximum. Cancelof
I am attaching a financial disclosure document as requested by Clay County.

Upload a File
Files should be in PDF or common word processing file format. 2 MB size maximum. Cancelof
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Clay County, Missouri