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2. Note

   Except as otherwise provided by law, all appointments to City Boards and Commissions shall be electors of the City, residing within Kent city limits. This section does not apply to the Board of Building Appeals.

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Home Phone Number
14. Cell Phone Number
16. Email Address*
18. # of years you have lived in Kent*
20. Education*
22. Place of Employment*
24. Political Party
    Not applicable to the Salary Review Committee
26. Are you a registered voter?*

    1. Yes
    2. No
28. Which boards, commissions and committees are you applying for:*

    1. Architectural Review Board
    2. Board of Building Appeals
    3. Board of Health
    4. Board of Zoning Appeals
    5. Civil Service Commission
    6. Community Reinvestment Area Housing
    7. Design and Preservation Committee
    8. Fair Housing Board
    9. Income Tax Board of Review
    10. Loan Review Board
    11. Park & Recreation Board
    12. Planning Commission
    13. Portage Area Regional Transportation Authority
    14. Shade Tree Commission
    15. Stormwater District Review and Appeals
    16. Sustainability Commission
30. Please provide educational and professional background to assist Council in review of your application.*
32. Why are you interested in this appointment?*
34. Resume or other qualifications
Leave This Blank:


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

    This field is not part of the form submission.

38. Submit

* indicates a required field