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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. City Flag Redesign Committee
    3. Board of Building Appeals
    4. Board of Control
    5. Board of Health
    6. Board of Zoning Appeals
    7. Cable Television Commission
    8. Civil Service Commission
    9. Community Reinvestment Area Housing
    10. Design and Preservation Committee
    11. Fair Housing Board
    12. Equalization Assessment Board
    13. Income Tax Board of Review
    14. Loan Review Board
    15. Park & Recreation Board
    16. Parking Action Committee
    17. Planning Commission
    18. Portage Area Regional Transportation Authority
    19. Shade Tree Commission
    20. Standing Rock Cemetary
    21. Stormwater District Review and Appeals
    22. Sustainability Commission
    23. Tax Incentive Review Council
    24. Salary Review Committee
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