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Board & Commission Interest Form - Mayor's Office

  1. (if different from street address)

  2. Primary Phone Type*

  3. Secondary Phone Type

  4. I am interested in serving on the following Board or Commission*

  5. Some boards require a specific mix of Republican and Democrat members. Please check one:*

  6. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  8. This field is not part of the form submission.