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Board, Commission, and Committee Application

  1. As a candidate to a public board, commission, or committee, this application (which includes the information you enter into it) will be available to the City Council and the public upon request.

  2. I live within the City limits of Blaine*

  3. I am a citizen of the United States*

  4. I have lived within the City limits of Blaine for two years

    Answering "no" may impact your ability to serve depending on which vacant board, commission, or committee you are applying for.

  5. If retired, please indicate occupation before retirement.

  6. DO YOU OR YOUR SPOUSE HAVE A FINANCIAL INTEREST IN, OR ARE YOU AN EMPLOYEE OR OFFICER OF ANY BUSINESS OR AGENCY WHICH DOES BUSINESS WITH THE CITY?*

  7. By signing this Application, I hereby certify that the facts set forth in this Application and supporting documentation are true and complete.

  8. Other boards, commissions, or committees you would be interested in serving on:

  9. While not necessary, supporting documents can be uploaded here if you wish to do so.

  10. As a candidate to a public board, commission, or committee, this application (which includes the information you enter into it) will be available to the City Council and the public upon request.

  11. Leave This Blank:

  12. This field is not part of the form submission.