Download the application

If you would prefer to mail or fax in your application, you can download a PDF version here.

Send the completed form to:

Jackson County Ethics Commission Selection Committee

Mail:
600 Broadway, Suite 200
Kansas City, MO 64105

Fax: 816/421-7758

Financial Disclosure

Finalists will be required to provide the selection committee with a completed Personal Financial Disclosure Statement (pdf).

 

 

Qualifications Questionnaire

Applications will be accepted through the online form below or by mail or fax (instructions at right).

 

Contact information
First name:
Last name:
Address:
City, State, Zip: ,
Home phone:
Work phone:
Other phone:
E-mail:

Please describe your current employment:

Criteria
  • I am a Jackson County resident and interested in serving as a member of the Jackson County Ethics Commission.
  • I do not hold any other elective or full-time appointed public office.
  • I do not hold any other County office or serve on another County board or commission.
  • I am not an elected or appointed member of a local, state or national political party committee.
  • I am not a member of any partisan or nonpartisan political club or organization that promotes candidates or issues.

I meet all of the five qualifications above.
 
Are you willing to annually file a Financial Disclosure Statement? (view sample)
Yes No
 

Please disclose all contributions you have made to candidates for County office during the past 24 months:
 
Name of any political party affiliation:
 

Are you a registered voter? Yes No

 

Have you ever been convicted of a felony or crime of dishonesty?
Yes No

If so, please describe:
 

Do you have any business dealings with Jackson County, its officers or employees, now or are you likely to in the future? Yes No

If so, please describe:

Why you're interested

Please provide a brief statement below that sets forth your education, training, experience, and other qualifications and traits which you feel would serve you well as a member of the Commission. Please include a brief description of any experience with government.

If you would like to also submit a résumé, please e-mail it to jacoethics@marc.org.

References

Please list contact information for three community references who can comment on your character and credentials.
Reference #1
Name:
Phone:
E-mail:
 
Reference #2
Name:
Phone:
E-mail:
 
Reference #3
Name:
Phone:
E-mail: