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Application for Nomination
Advisory Board, Commission or Committee
Board, Commission or Committee to which Nomination is Desired
General Information
Full Legal Name:
City Board District Residency:
Choose District Residency Below
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Voter Reg. #:
Present Occupation:
Business Name:
Business Address:
Zip:
Business Phone:
Fax Number:
Home Address:
Zip:
Home Phone:
E-Mail Address:
My qualifications and experience
for this committee - Please list
Community Service Activities - Please list
Do you currently serve on any other city, county or state advisory committees? If yes, please list
Do you have any family members that are currently, or were within the past two years, employed by the City of Hot Springs? If so, please list names, relationship to you and department they were employed.
Please state briefly why you desire to serve on this board, commission or committee.
Do you conduct any business with the City of Hot Springs? If so, please explain the nature of that business.
Note: To be eligible for nomination for a board, commission or committee, you must be a registered voter residing within the city limits and, in some cases, reside within a specific board district of Hot Springs.
QUESTIONS?
Call the City Manager's office, 321-6811.
