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Volunteer Boards and Committees Application

2. Thank you for your interest in serving on a volunteer board, commission or committee. The purpose of this form is to provide the Mayor and City Council members with some information about residents considered for appointment. Your application will be kept active for six months and you will be contacted if you are chosen to serve.

   Thank you for your interest in serving on a volunteer board, commission or committee. The purpose of this form is to provide the Mayor and City Council members with some information about residents considered for appointment. Your application will be kept active for six months and you will be contacted if you are chosen to serve.

4. Committees and Boards to Apply For

   1. Airport Advisory Committee
   2. Board of Review
   3. Compensation Commission

   1. DDA / Main Street Board
   2. Historic District Commission
   3. Housing Commissioni

   1. Planning Commission
   2. Recreation Advisory Committee
   3. Shade Tree Commission

   1. Zoning Board of Appeals
   2. No Preference
   3. Other

6. Other

8. Name

9. Email Address

11. Address

13. Home Phone

14. Cell Phone

16. Are you a registered voter in the City?

    1. Yes
    2. No

17. How long have you lived in the City?

19. Have you ever been convicted for anything other than a minor traffic violation?

    1. Yes
    2. No

20. Please explain.

22. Educational Background

24. Professional Qualifications and / or Work Experience

26. Community Activities and / or Other Experience

28. Have you served on a board / committee or held a civic position in the past?

    1. Yes
    2. No

29. If yes, please explain.

31. Do you foresee any potential conflicts of interest while executing the duties of this position?

    1. Yes
    2. No

32. If yes, please explain.

34. Reason(s) You Wish to Serve

36. Have you reviewed the current meeting schedule of the board / committee and can commit to regular meeting attendance?

    1. Yes
    2. No

38. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
40. Electronic Signature

41. Date
    Date

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field