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Advisory Board/Committee Application Form
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Depending on the specific committee, a separate application may be requested.
Select the Board of Committee you are applying for:
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Affordable Housing Advisory Committee
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Bagdad Architectural Advisory Board
Building Board of Adjustment
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Interested in serving on any committee
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Last Name
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Home Address
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Zip Code
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Phone Number
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Email Address
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Occupation:
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Have you ever been convicted of a felony?
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Length of Residency in Santa Rosa County:
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Enter the number of years you have lived in Santa Rosa County.
Are you a registered voter:
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High School
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Are you currently serving on a Board or Committee within Santa Rosa County?
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If yes, which:
Have you served on a Board or Committee before?
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If yes, which:
List all county and city Boards, Commissions, or Committees (Santa Rosa County or elsewhere) on which you have previously served (include dates of service):
Please provide a brief explanation of why you want to serve:
Please list any special qualifications you may have:
Type of Resume
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