Create an Account Sign In GOVERNMENT COMMUNITY BUSINESS VISITORS HOW DO I... Search HomeForm Center A A Search Forms: Select a Category By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you. Sign in to Save Progress Board or Commission/Committee Application Board or Commission/Committee* Advertising and Promotions Auditorium Commission Board of Adjustments and Appeals Board of Zoning Adjustments CDBG Citizen Advisory Committee Citizens Fair Housing Advisory Board COJ, Arkansas Residential Housing & Health Care Facilities Board City Water & Light Board Civil Service Commission Community Transportation Advisory Board Craighead County Jonesboro Public Library Board Craighead County Solid Waste Diposal Authority Homelessness Committee Jonesboro Parking Authority Jonesboro Parks and Recreation Planning and Advisory Commission Jonesboro Public Safety Surveillance Equipment Committee Jonesboro Shooting Sports Complex Committee Jonesboro Urban Forestry Commission Jonesboro Urban Renewal and Housing Authority Jonesboro Beautification Commission Land Bank Commission Land Use Advisory Committee Dr. Martin Luther King Freedom Trail Committee Master Street Plan Committee Metropolitan Area Planning Commission Municipal Airport Commission Northeast Arkansas Industrial Development Commission Stormwater Management Board Property Assessed Clean Energy Improvement District Commission Personal Info: Title (Mr., Mrs., Ms, etc):* -- Select One -- Mr. Mrs. Ms Dr. First Name:* Middle Name:* Last Name:* Home Phone:* Cell Phone: E-mail Address:* Address:* City* State* Zip* Date of Birth:* Are you a US citizen?* Yes No Business Info: Business Name: Job Title: Address1 City State Zip Education: Education:* Employment Experience:* Professional certificates, titles, licesnses: Honors: References: Please list the name, phone number and e-mail address of (3) persons who are willing to serve as references: Name:* Phone:* E-mail Address: Name:* Phone:* E-mail Address: Name:* Phone:* E-mail Address: General Background Information Discharge: Were you discharged from military service under anything less than honorable conditions?* Yes No Are you a member of the Reserves or the National Guard?* Yes No Have you ever been convicted of or entered a plea of guilty or no contest or forfeited collateral for any criminal violation other than a minor traffic offense? (Minor traffic offenses do not include State offenses of operating under the influence of liquor, operating while impaired, reckless driving or the equivalent offenses in other states) * Yes No If yes, please provide a detailed explanation: Has a criminal charge been brought against any firm or organization during your association with it? * Yes No If yes, please provide a detailed explanation: Have you ever been cited for a breach of ethics for unprofessional conduct, or been named in a complaint to any court, administrative agency, regulatory body, professional association, disciplinary committee, or other professional group? * Yes No If yes, please provide a detailed explanation: Is there anything in your personal or professional life that would cause controversy for you or the mayor during a public review of your candidacy or your service as a mayoral appointee? * Yes No If yes, please provide a detailed explanation: Please list each organization, club, association, or group that you are, or have been a member of, in the past five years. Affiliations: Elected Offices Held: UPLOAD RESUME IN PDF FORMAT* *SAVE WORD or PAGES DOCUMENT as a PDF copy in the software itself, then upload it. Signature:* By signing I agree that all information submitted is correct and I give my consent to a background check. Date:* Receive an email copy of this form. Email address This field is not part of the form submission. Submit * indicates a required field Receive Notifications Report A Concern Join the Discussion Employment Opportunities Online Bill Pay CONTACT US 300 S Church Street Jonesboro, AR 72401 Phone: 870-932-1052 RANKINGS & AWARDS 2019 Arkansas Volunteerism City of the Year 2018 Arkansas Digital Government Digital Pioneer Award winner for Opticom programs 2018 Arkansas Digital Government Citizen Service Award runner-up for GIS/ESRI mapping 2018 Arkansas Business Trendsetter City of the Year for Wellness and Fitness (Craighead Trail) View More Rankings & Awards HELPFUL LINKS Fee Schedule (PDF) City of Jonesboro Code of Ordinances SITE LINKS Home Contact Us Copyright Notices Site Map Accessibility ADA Complaint Guidelines (PDF) Title VI ADA Notice & Complaint Form (PDF) Selecteer een taal▼