City

101 Application Form

Deadline: December 13, 2016
Submit via email to Winnie DelliQuadri wdelliquadri@steamboatsprings.net, drop off at City Hall, 137
10th Street, or mail to PO Box 775088, Steamboat Springs, CO 80477

Name:

Cell phone:

Email address:

Business:

Title:

Years in position:

Years lived in Steamboat Springs / Yampa Valley:

Education Highest Degree and School:

Community Service / Service Organizations:

In what ways do you interact with the City both through your work and as a citizen?

Why do you choose to live in Steamboat Springs?

Why do you want to be a part of City 101?

Applicant Signature of Commitment: I have reviewed the City 101 schedule and commit to
attending all sessions: