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2. Application for City Commission Appointment

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*
9. Home Address*
10. City*
11. State*
12. Zip*
14. Daytime Phone Number*
15. Evening Phone Number*
16. Email Address
18. Length of Residency in City*
19. Are you a registered voter*

    1. Yes
    2. No
20. Do you know of any conflict of interest or reason you should not receive an appointment?
22. Business/Firm
23. Position/Occupation*
25. Work Experience
27. Volunteer Experience/Involvement
29. Educational Background
31. Letter of Application

    *Optional.

32. Deadline

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

Leave This Blank:


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

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field