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2. Salutation

   1. Mrs.
   2. Ms.
   3. Mr.
3. First Name*
4. Last Name*
6. Phone Number*
7. Email Address*
9. Current Address*
11. City*
12. State*
13. Zip Code*
15. Addresses for the past 5 years
    Please include any address you've lived at within the past 5 years.
17. Which Boards / Commission / Committees are you interested in? *

    Please check all that apply.

    1. Annexation
    2. Board of Review
    3. Brown County Planning Commission
    4. Downtown Green Bay Inc Business Improvement District
    5. Economic Development Authority
    6. Ethics Board
    7. Equal Rights Commission
    8. Green Bay Public Arts Commission
    9. Green Bay Housing Authority
    10. Landmarks Commission
    11. Military Avenue Business Improvement District Board

    1. Olde Main Street Business Improvement District
    2. Plan Commission
    3. Police & Fire Commission
    4. Redevelopment Authority
    5. Sex Offender Residency Board
    6. Sustainability Commission
    7. Traffic, Bicycle, and Pedestrian Commission
    8. Transit Commission
    9. Water Utility Commission
    10. Zoning and Planning Board of Appeals
19. Statement of Interest*
21. How did you hear about Board / Commission / Committees? *
23. Occupation*
24. Employer*
26. Education*

    1. High School
    2. Some College
    3. Associate
    4. Bachelors
    5. Masters or Higher

    Check the highest level you have completed
27. Professional Licensing
29. Upload References*
    Please upload a document with the name and contact information for 2 references.
30. Upload Resume*
    Please upload your most recent resume, which should include your address.
32. Race/Ethnicity*

    1. American Indian
    2. Asian
    3. African American
    4. Hispanic or Latino
    5. Native Hawaiian or Other Pacific Islander
    6. Caucasian
    7. Other
    8. Prefer not to Say
33. Gender*

    1. Male
    2. Female
    3. Other
    4. Prefer not to Say
34. Languages Spoken, Other than English
35. Different Ability
37. Additional Comments
    Anything else you'd like us to know.
Leave This Blank:


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

    This field is not part of the form submission.

41. Submit Submit and Print

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