City of Helena Boards and Committees Application Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Board Applying For*Diversity and Inclusion BoardHOTBoardFarmers MarketHistorical PreservationLibrary BoardHow long have you been a resident of Helena? (in years)* Have you served on a board within Helena, and if so which board?* List all current and past experience serving on a board.*If you have served please list accomplishments.List experience as it relates to the board or committee you are applying for.*Briefly describe why you are applying.*If applying to HOT Board, please list your eligibility category.*Business OwnerProperty OwnerInvestor in Old TownHelena ArtistArts Patron Δ
