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2. Commission Applied For*

   1. Planning Commission
   2. Zoning Board of Appeals

   1. Parks & Recreation Commission
   2. Library Commission

   1. Board of Review
   2. EGR Community Foundation Board

   1. City Commission
   2. Any Available

   Check any commission you are willing to serve on.

       

4. First Name*
5. Last Name*
6. Occupation*
8. Home Address*
9. City*
10. State*
11. Zip*
13. Daytime Phone*
14. Evening Phone*
15. Email Address
17. Length of Residence in EGR*
18. Are you a registered voter*

    1. Yes
    2. No
19. Do you know of any conflict of interest or reason you should not receive an appointment?
21. EDUCATION, EXPERIENCE and INTEREST (Please include any details which would apply to your appointment.)
23. Are you currently serving on other EGR Boards, Commissions, or Committees?*

    1. Yes

    1. No
24. Have you served on an EGR Board, Commission, or Committee before?*

    1. Yes

    1. No
26. If yes, which
27. If yes, which
29. Educational Background / Work Experience
31. Volunteer Experience/Involvement
Leave This Blank:


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

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field