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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. City Commission applicants must pick up an information packet at the Clerk’s Office, 750 Lakeside Drive SE, 8 a.m.-5 p.m. Monday-Friday. The packet includes an affidavit of identity and petition forms to collect signatures. Applicants must collect 26-50 valid signatures and return all forms to the Clerk’s Office by 4 p.m. Tuesday, April 22.

    

   For questions, contact City Clerk Lori Parmenter at 616.949.2110.

6. First Name*
7. Last Name*
8. Occupation*
10. Home Address*
11. City*
12. State*
13. Zip*
15. Daytime Phone*
16. Evening Phone*
17. Email Address
19. Length of Residence in EGR*
20. Are you a registered voter*

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

    1. Yes

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

    1. Yes

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


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

* indicates a required field