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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
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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