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2. Full Name:*
3. Years of Residency:*
5. Address:*
7. Email Address:*
8. Phone Number:*
10. Place of Employment:*
11. Job Title:*
13. Please select the board(s) or commission(s) that you wish to serve.*

    1. Audit Committee
    2. Architectural Board of Review
    3. Board of Tax Review
    4. Charter Review Commission
    5. Civil Service Commission

    1. Community Improvement Corporation
    2. Community Reinvestment Area Housing Council
    3. Planning and Zoning Commission
    4. Records Commission
15. What special qualities, abilities, skills, insights or perspectives do you possess which would be of value to a city board or commission?*
17. What educational training (formal or informal), employment and other life experiences have helped you develop the qualities, abilities, etc., described above?*
19. Please list your recent community, professional or charitable involvements. List the most recent first.*
21. What are your goals for our community and are there areas in which you believe the city needs improvement? How would your service on a board or commission help achieve those goals and improve the city?*
23. Do you have other responsibilities which would prevent you from participating in board or commission work during certain hours or on certain days?
25. State any additional information you would like to have considered.
27. Upload Resume:
29. I am at least 18 years of age or older.*

    1. Yes
    2. No
31. I certify that the information provided is complete and accurate to the best of my ability. I am submitting this form on my own behalf.*

    1. I agree
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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