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Application for Township Boards and Commissions

2. Position applying for:*
   -- Select One --Planning CommissionZoning Board of AppealsBoard of ReviewDowntown Development AuthorityAny

   Appointed Board or Commission of interest

4. Applicant’s Name

6. Address

7. Email Address

9. Phone Number

10. Business Phone Number

12. Place of Employment

13. Occupation

15. Length of residence in Township:

16. Do you own property within the Township?

    1. Yes

    1. No

18. Please name any boards and/or commissions you have served on, or are serving, when and where:

20. Please list any community activities you may have been involved with, and positions held:

22. Why are you interested in serving on this board and/or commission?

24. Do you have any additional comments?

26. Applicant must be a registered voter in Delhi Charter Township.

28. Signature

29. Date
    Date

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field