Boards and Commissions Appointment Form Edit Form Appointment Form Applicant Information Applying for which board/commission* Board of Health Board of Review Mental Health Board Zoning Board of Appeals Jane Addams Trail Commission Pecatonica Prairie Trail Commission Name (First, Middle, Last)* Address* Home Phone Cell Phone Email Address* Are there any days of the week or times of day you are unavailable? Qualifications and Experience How did you become aware of this position?*? Education Interests Please list any other local involvement/interest (other boards/commissions, etc.) What other information would you like to share?* PLEASE ATTACH YOUR UPDATED RESUME
