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2. Name*
4. Address*
6. Phone Number*
8. Email Address*
10. Commission/Committee of Interest*
12. Education
14. List your civic affiliations and community activities, including service on other commissions and committees?*
16. Describe your understanding of the responsibilities of the commission or committee that you are applying for and how your personal, community or professional experience relate to these responsibilities?*
18. Describe why you want to serve on this commission and what you hope to accomplish as a member?*
20. Additional Information you would like to add?*
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21. Submit

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