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BOARD AND COMMISSION APPLICANT

PERSONAL PROFILE

  1. Name:  

  2. Telephone Number:  

  3. Address:  

  4. E-mail Address:  

  5. Date:  

  6. Years as a Village Resident:  

  7. Occupantion:  

  8. Background/Interests:


  9. Please indicate the Board/Commission(s) that you would like to serve on:












  10. Why would you like to serve on the Board/Commission(s) that you have selected:


  11. Concerns for the Village; if any: