Your Name*Subject*Your Email*PhoneMessage*
Name:
Home Address:
Occupation/Job Title:
Place of Employment:
Work Address:
Home Phone:
Work Phone:
Cell Phone:
Email
Preferred Method of Contact:
Home Phone Work Phone Cell Phone
List your experience/expertise relevant to a position on the Parks & Recreation Advisory Board.
List your professional associations or any special honors you have received.
List your previous civic involvement.
Why would you be a good addition to the Parks & Recreation Advisory Board?
What cities have you lived in, other than Lenexa?
How many years have you lived in Lenexa?
For questions regarding the Lenexa Arts Council, please contact Parks & Recreation Director Gary Ristow, gristow@lenexa.com, 913.477.7100.
See Title 1, Chapter 1-5-B of the Lenexa City Code for the City policy governing Arts Council members.
Applications will expire 2 years after the date submitted and will need to be resubmitted for consideration upon expiration.