City of Aurora

boardsandcommissions@auroragov.org

15151 E. Alameda Parkway, Aurora, CO 80012

303.739.7094

Online Application for Oil and Gas Advisory Committee

Date Picker

Council Ward

Personal Information

How long in Aurora?

Home Phone Number

Work Phone Number

Mobile Phone Number

Are you registered to vote?

Yes

Date of Birth (Month/Day/Year) (**Required to Verify Voter Registration)

Education

Years Completed

Degree(s)

College(s)

Employment

Employer Name/Address

Position/Title

How long?

Work Experience

Certifications

Community Involvement

Do you presently serve in any other appointed position on a board, commission or committee?

Yes

If yes, what position?

Proximity to current drilling applications (if applicable)

Resident

Surface Property Owner

Industry Representative

Why do you desire this appointment?

How much time do you anticipate being able to spend on this appointment each month?

Please provide three references:

Full Name

Address

Phone Number

Full Name

Address

Phone Number

Full Name

Address

Phone Number

How did you hear about us?

Sentinel Colorado

AuroraTV

City Publication (i.e. News Aurora or This is Aurora)

Word of Mouth

Other

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I certify that the foregoing information is true and correct.