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Today is Wednesday, June 19, 2024.
Boards & Commissions Application Form

Purpose. Please fill out this form if you would like to serve on a City Board or Commission.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
* Daytime Phone: (
Fax: (
* Address:
* City:
* State:
* ZIP:

* Appointment to Board/Commission/Committee (state first three preferences).

* Describe any education, training, or experience you have that will be useful if you are appointed to this Board, Commission, or Committee. (Please explain.)
For Planning and Zoning Commission or Board of Adjustment applicants only: What is your philosophy concerning zoning and land use issues? (Use separate sheet if necessary.)
* Community Involvement:
* Organization Membership:
* Personal References and Addresses:
Attach a Picture or File (max size: 30MB):
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Notice: The City of Winslow does not discriminate on the basis of disability in admission of, access to,treatment or participation in its programs or activities. Should special accommodations be necessary inorder for an individual with a disability to participate in this program, contact Suzy Wetzel, City Clerk/Treasurer, 21 Williamson Avenue, Winslow, Arizona or call (928) 289-2422 or TDD (928) 289-4784.

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