Form - Board Application to Serve

Contact Information

First Name

Last Name

Home Address

City

State

Zip Code

Email

Board / Commissions

I wish to be considered for (required) Appointment Reapointment

to the following Citizen Board(s) or Commission(s).

If selecting more than one board/commission, indicate order of preference below.

Application Choices (required) Airport Board Audit Review Committee Board of Review Brownfield/Economic Development Corporation Cemetery Board Community Center Board Compensation Commission Construction Board of Appeals Duncan Park Commission Harbor Board Historic Conservation District Human Relations Commission Loutit District Library Main Street DDA Musical Fountain Committee Parks/Recreation Board Planning Commission Zoning Board of Appeals Other

If You Chose Other Please Specify

If selected more than 1, please list in order of preference

Residency

Are you over 21 years of age? (required) Yes No

Are you a resident of the City of Grand Haven? (required) Yes No

Are you a registered voter in the City of Grand Haven? (required) Yes No

Educational Qualifications

Place of Employment

Type of Work Performed

Please List Other Relevant Experience