Boards and Commissions Online Application

Applicant Name: *

Date: *

Street Address: *

Mailing Address:

If different than home address.

Home Phone: *

Business Phone:

Email Address: *

How long have you been a Milwaukie resident:

Are any members of your household currently serving on a City of Milwaukie Advisory Board or Commission:

Yes

No

If so, which one:

Are you a registered voter in Milwaukie: *

Yes

No

How did you hear about the position:

Occupation:

Employer:

Employer's Address:

Employer's Phone:

Please list any prior civic or professional activities:

Why have you applied for this position:

What special training, skills, or experience have you had that would be pertinent to this application:

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