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General Boards and Commissions Application

4. Select the Board, Commission, or Committee applying for*
   -- Select One --Select OneAppeals and Variance Hearing OfficerArena Advisory BoardDiversity and Inclusion Advisory BoardEmergency Preparedness CommitteeHistoric Preservation CommissionMayor's Youth Council Advisory BoardParks, Trails and Recreation CommitteePlanning CommissionTree Commission
6. Personal Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Home Phone Number*
21. Business Address*
23. Business Phone Number*
25. Occupation*
27. Email Address
29. Residency Information
31. Length of Residency in Draper City*
33. Are you a registered voter*

    1. Yes
    2. No
35. Education and Hobbies
37. High School
39. College
41. Trade or Business School
43. Hobbies
45. Organization Membership Information
47. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
49. If yes, which
51. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
53. If yes, which
55. Please list organization memberships and positions held
57. Please List Areas of Special Interest
59. Please Enter Basic Resume Information Below
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit Submit and Print

* indicates a required field