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City Commission Application Form

2. Application for City Commission Appointment

4. First Name*

5. Last Name*

7. Home Address*

8. City*

9. State*

10. Zip*

12. Daytime Phone Number*

13. Evening Phone Number*

14. Email Address

16. Length of Residency in City*

17. Are you a registered voter*

    1. Yes
    2. No

18. Do you know of any conflict of interest or reason you should not receive an appointment?

20. Business/Firm

21. Position/Occupation*

23. Work Experience

25. Volunteer Experience/Involvement

27. Educational Background

29. Letter of Application

    You must attach a letter of application detailing your community involvement background and the reason you are interested in being appointed to the City Commission.

30. Deadline
    Please submit this form and application letter by 8:00 a.m. on Monday, December 30, 2019

    Please submit this form and application letter by 8:00 a.m. on Monday, December 30, 2019

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field