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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

    *Optional.

30. Deadline

    Please submit this form by 5:00 p.m. on Friday, January 6, 2023

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