Clemency Board

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

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Cover Letter*

In 150 characters or fewer, tell us what makes you unique. Try to be creative and say something that will catch our eye!*

150

Boards and Commissions members are appointed by Mayor Bowser and serve as members of the Bowser Administration. Please tell us why you're interested in being appointed by Mayor Bowser.*

Do you understand that you are applying for consideration as a VOLUNTEER member of a District of Columbia Board or Commission. Appointments to DC Boards are non-paid positions for community members seeking to engage in civic participation. Unless specifically stated, this is a VOLUNTEER position.

If you are not seeking a volunteer opportunity, PLEASE STOP NOW, and do not complete this application.

By answering NO to this question, your application will be automatically disqualified.

If you reached this site seeking employment, please visit www.careers.dc.gov*

Are you a DC resident?

We are seeking qualified District of Columbia residents for appointment to Boards and Commissions. In nearly every case, DC residency is REQUIRED, with some exceptions, including but not limited to, filling a seat of an organizational representative.

If you're not sure, please check with Team MOTA to provide guidance.*

Please explain why you are interested in serving on a DC board or commission in the Bowser Administration.*

Are you currently an employee of the District of Columbia government?

*

If yes, what agency and role?

Are you a registered lobbyist? Please note several DC Boards and commissions do not allow lobbyists to serve.*

Education and General Qualifications (this information is needed for classification) Please check the highest level attained* High school / GEDBachelor's DegreeMaster's DegreePh.D / Advanced degreeOtherNo Answer

Are you registered to vote in the District of Columbia?* YesNo

What is your political affiliation? (for several boards and commissions, a balance between political parties is required)* DemocratIndependentRepublicanOtherNo Answer

Are you a current employee of the US government?* YesNo

Are you or a family member currently serving on a DC board or commission?* YesNo

If yes, please list all commissions/boards.

Are you currently an Advisory Neighborhood Commissioner (ANC)?*

Diversity and Inclusion: What is your date of birth?
(Some commissions have age requirements, and MOTA submits an annual aggregated report of board members. This data is used for that report, and will not be attributed to you publicly)*

Diversity: Our Boards and Commissions must reflect the diversity of District residents. Please check all that apply related to race/ethnicity. Unless specified by a specific board seat, this information is collected and reported in aggregate form only.* Black/African-AmericanWhite/CaucasianLatino/HispanicAsian/Pacific IslanderNative AmericanOtherNo Answer

Diversity: Our Boards and Commissions must reflect the diversity of District residents. Please check all that apply related to gender. Unless specified by a specific board seat, this information is collected and reported in aggregate form only.* MaleFemaleNo Answer

Diversity and Inclusion: Please check all that apply Unless specified by a specific board seat, this information is collected and reported in aggregate form only. LGBTQPerson with disabilityVeteran

Diversity and Inclusion: Mayor Bowser is committed to appointing residents from all 8 wards of Washington, DC to boards and commissions. In which do you currently reside? NOTE: residency is required for most boards and commissions.* Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6Ward 7Ward 8Maryland ResidentPennsylvania ResidentVirginia ResidentWest Virginia ResidentOther

Ethical considerations

Have you ever been investigated, disciplined, or cited for a breach of ethics for unprofessional conduct by, or been the subject of a civil complaint before a court, administrative agency, professional association, disciplinary committee, or other professional group? If so, please explain.*

Ethical Considerations

Do you have any outstanding civil liability for taxes, fees, or other payments to the District, federal, or other state or local governments, either contested or uncontested? If so, please explain and provide documentation of attempts to pay the amount owed or to resolve the disputed claim.*

Please upload your resume.*

Please upload your bio.*

Please upload a photo.*

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