Form Center

By 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.

Boards and Commissions Talent Pool

  1. Please use your personal email address
  2. Please include in your resume:

    • Name and contact information
    • Educational History
    • Professional Experience
    • Volunteer Experience
    • Months per year of residency in Moline, IL.


  3. Which Boards/Commissions would you like to apply for?*
  4. Do you or a member of your immediate family have ownership interest in any company that does business with the City of Moline? *
  5. Do you or a member of your immediate family have ownership interest in any property that is the subject of a condemnation proceeding, planning and zoning proceeding or any other administrative or court proceeding in which the City of Moline is an interested party?*
  6. Do you have any contract or matter pending with the City of Moline? *
  7. Do you hold any elected or appointed office for any unit of government?*
  8. Do you serve in any capacity in which you are appointed by the Governor? *
  9. Have you served on a Moline board or commission in the past? *
  10. Leave This Blank:

  11. This field is not part of the form submission.