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Community Visioning Committee

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The application deadline is Thursday, April 11, 2019 at 12:00 p.m.
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone (home)*
Phone (cell or business)
Email
Occupation
Are you currently serving on a City Board, Commission or Committee?*
1. Yes
2. No
If so, please provide the name of the Board, Commission or Committee.
Why do you want to be on the Visioning Committee? *
What are some ideas you have to gather insight and feedback from residents and the community-at-large?*
What experience do you have that qualifies you for this committee?*
Professional Qualifications and/or Work Experience.
Please attach a resume or additional documentation, if needed.
Boards/Commissions/Committees on which you have served. (Please list municipalities and dates)
Elective offices that you have held. (Please list office and dates served.)
Other Organizations
Pertinent Education
Hobbies/Interests
Any additional information you would like to provide.