CTUIR - Committee and Commission Application

Applicants must be 18 years or older to apply and must provide the following information

Submitting an Application

All Applications must be turned in to one of the staff secretaries of the Board of Trustees or submitted electronically via CTUIR.org. The application must be signed by the applicant and turned in no later than 4:00 pm of the posted due date in order for BOT to consider the application for appointment. Applications that have been altered in any way will not be accepted.

The Board of Trustees sincerely appreciates the interest of all Tribal members in applying for positions of public Tribal responsibilities. It is through such service that the Board can conduct its business on behalf of the Tribe. All applicants will be notified of the Board’s final decision. In the event you are not selected at this time we shall keep your application on file for a period of ninety (90) days for consideration for future Commission/Committee vacancies.

First and Last Name *

Enrollment Number *

Telephone Number *

Email Address *

Physical Address

Street Address *

Apt/Space/Suite etc

City *

State *

Zip Code *

Is Your Mailing Address Different from Your Physical Address *

Yes
No

Street/PO Box

Apt/Space/Suite etc

City

State

Zip Code

Please provide your Supervisor’s Information.

Job title, program/department

Supervisor Name

Supervisor Email

10. Does your current work schedule (if applicable) conflict with the meeting time of the Committee/Commission for which you are applying? *

Yes
No

11. Do you have any immediate relatives employed in the department/program that would be directly under the oversight of this Commission/Committee? *

Yes
No

In checking the box below the applicant recognizes that the Board of Trustees will make the final decision if I am appointed to serve as a Commission/Committee member. I certify that I meet the minimum qualifications for membership and that I understand the duties of members of the Commission/Committee to which I am applying I certify that all of the statements made by me are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand that the Board of Trustees may review the information on this application for accuracy, including verification of information I have provided about my employment and educational history. I understand that the Board of Trustees may investigate my background, and I authorize the Board of Trustees and/or its agents to investigate my criminal history.

Do You Agree to Conditions Set Forth Above *

Yes I Agree

File	Type	Updated
20230221 CC Application	pdf	2/22/2023 6:37:02 AM