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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:
Continue

Work Experiency

Employer
Occupation
Address1
Address2
City
State
Zip
Continue |Go Back

Education

High School
Year Graduated
College or Training
Year Graduated
Other
Year Graduated
Continue |Go Back

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, in order of preference, only those boards/commissions you are interested in serving on. (Maximum of five)
Bikeway & Non-Motorized Transportation Advisory Committee
Board of Zoning Appeals
Charter Review Commission
Community Reinvestment Area Housing Council
Environmental Advisory Committee
Impact Fee Appeals Board
Parks, Recreation & Culture Board
Personnel Board
Planning Commission
Tax Incentive Review Council
Tree Advisory Board
Youth Development Committee
Greene Metropolitan Housing Authority Board
Greene County Board of Health
Continue |Go Back

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
Ph: 937-427-5500

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