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2. Select the Board, Commission, or Committee applying for*
   -- Select One --Select OnePlanning CommissionPark CommissionCommission on AgingEconomic Development Authority
4. Personal Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Home Phone Number*
19. Email Address
21. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
23. If yes, which
25. Please tell us why you are interested in applying?
27. Please tell us about your work experience:
29. Please tell us about your educational experiences:
31. Please tell us about any prior or current civic involvement not with the city.
33. Please tell us about any "life experiences" that may help you fulfill the position:
35. Please tell us what time commitment you can provide the city beyond regular meetings:
    There maybe additional workshops and/or special meetings throughout the year as well. Do you foresee any conflicts with the meeting schedule?
37. Please tell us what you think you can contribute to the community"
39. Please disclose any affiliations that may be construed as a conflict of interest:
41. Thank you for your interest in serving the City of Watertown!
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43. 1. Receive an email copy of this form.
44. Email address

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