Citizen Boards & Commissions

Applications are kept on file one year from the date of completion

(Fields marked with an '*' are required)

Contact Information

Name *

Date *

Registered Address *

City *

State *

ZIP *

Phone Number (Home) *

Phone Number (Cell)

Phone Number (Work)

Application Choice for Citizen Board/Commission

(To make multiple selections, hold the Control [Ctrl] key)

Residency

Are you over 21 years of age? *

Yes

Are you a resident of the City of Grand Haven? *

Yes

Are you a registered voter in the City of Grand Haven? *

Yes

Educational Qualifications

Place of Employment

Type of Work Performed

Please List Other Relevant Experience

Please enter all of the letters you see in order (not case sensitive)

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