Boards and Commissions Application

current-date

Select Board or Commission

Applicant Name

Occupation

Applicant Email

Best Phone Number to Contact You

Applicant Physical Address

Physical Address Line 2

City

State

ZIP/Postal Code

Communities to Represent

Additional Communities

Enter Additional Communities

This work group consists of six seats representing different marijuana license types, two hemp representatives, and three general community representatives. Please note that this application is only for one of the two hemp representative seats.

List any hemp establishments that you own, that you are employed by, or that you represent or are otherwise affiliated with, and explain the nature of your relationship with that establishment

List any marijuana establishments located in Pueblo County that you own, are employed by, represent, or are otherwise affiliated with; and explain the nature of your relationship with each establishment

For each establishment listed above, describe the size of the operation and list the number of people employed by the establishment

List any marijuana establishments located outside of Pueblo County that you own, that you are employed by, or that you represent or are otherwise affiliated with, and explain the nature of your relationship with that establishment

What is the basis of your qualifications

Why are you interested in being appointed to this work group or commission

List any other items that might be useful in consideration for your appointment to this work group

List any other civic or community commissions, boards or committees on which you currently serve

List any financial, budget, or management background

Media Source

Other Media (if selected)

Resume

Please attach your resume or other pertinent information.
Upload requirements

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.