2. Name*
4. Address*
6. City
7. State
8. Zip Code
10. Phone Number*
11. Email Address*
13. Neighborhood You Live In (If Applicable)
14. Resume & Credentials
    Upload any applicable resume or credential information.
16. Which boards or committees are you interested in serving on?*

    Please check all that apply.

    1. Housing and Abatement Board
    2. Board of Zoning Adjustments
    3. Industrial Development Board
    4. Water Board

    1. Beautification Board
    2. Commercial Development Board
    3. Library Board
    4. Planning and Zoning Board
18. Additional Comments
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