Transportation Committee Application

Application Form

Name:

Date:

Address:

Phone (day) :

Phone (eve) :

Length of Residence in Edmonds:

Email:

Business Owner (if applicable):

Please complete the following information:

Occupational status and background 

Organization affiliations 

Why are you seeking this position?

What experience do you have in planning and / or transportation fields? 

Additional comments 

Signature:



Security Measure

Please submit the above form by October 20, 2023.

Or, print and complete this form and return to:

Mail or drop off:
City Hall, Engineering Division
Attn: Bertrand Hauss
121 5th Ave. N.
Edmonds, WA 98020

Email: [email protected]

Thank you!