Boards and Commissions Application

Background Check Auth

All applicants must pass both a criminal and driving history to be considered for a seat on a Board or Commission.  By completing and submitting this form, you authorize the City of Wyoming:

  • to review your criminal and driving history
  • release any/all information contained if required
  • release and hold harmless the City of Wyoming from liability

To view and/or print the the details of the release forms, click here.

If applicable, list previous residences in the last 5 years, most recent first.

I certify that the information I have provided above is true and correct and complete to the best of my knowledge, and that I have not withheld any fact or circumstance that would, if disclosed, affect my application unfavorably. I understand that any misrepresentation, deception, omission or false statement may result in my not being further considered for employment, and if not discovered by the City until after my becoming employed, may result in my immediate termination.

* Required