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Application for City Board or Commission

This form has been modified since it was saved. Please review all fields before submitting.

Steps

1. Applicant Information This section is complete This section is incomplete
2. Work Experiency This section is complete This section is incomplete
3. Education This section is complete This section is incomplete
4. Board Details This section is complete This section is incomplete
5. Short Answers This section is complete This section is incomplete

Applicant Information

First Name
Last Name
Home Phone
Cell Phone
Work Phone
Email Address*
Address1
Address2
City
State
Zip
Are your currently registered to vote in the City of Beavercreek?
1. Yes
2. No
Length of time your have lived in the City of Beavercreek:
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Work Experiency

Employer
Occupation
Address1
Address2
City
State
Zip
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Education

High School
Year Graduated
College or Training
Year Graduated
Other
Year Graduated
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Board Details

Have you ever been a member of any city board or commission?
1. Yes
1. No
If yes, please list the board(s) / commission(s), including number of terms:
Please chose from the drop down menus, in order of preference, those boards/commissions you are interested in serving on. (Maximum of three)
Select First Choice (required)
Select Second Choice (optional)
Select Third Choice (optional)
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Short Answers

Please describe your background. Include any abilities, skills, licenses, certificates, specialized training, or interests you have which are applicable to the board or commission for which you have applied. (If possible, please attach a copy of your resume):
Resume
Please explain why you want to be a board/commission member
Please list present membership in any community service or civic organization, of any.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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City of Beavercreek
1368 Research Park Drive
Beavercreek, OH 45432
Phone: 937-427-5500

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