Committee Member Application

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Please correct the field(s) marked in red below:

Serving on a board, commission, and committee can be a rewarding experience for community service-minded individuals. It is an excellent way to participate in the functioning of local government and to make a personal contribution to the improvement of our community.

Thank you for your interest in volunteering to serve on a board, commission or committee. Please complete the questions below.

1

Contact Information

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2

Are you a City of Janesville resident?

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3
How long have you been a City of Janesville resident?
4
Do you own or rent your home?
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5
If you are not a City of Janesville resident, do you own property within the corporate limits of the City of Janesville? If yes, please state the type of property and its address.
6
Do you own a business within the corporate limits of the City of Janesville? If yes, please state its name and address.
7
Which committee are you interested in serving? You may check as many committees as you wish.
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8
If applying for the Alcohol License Advisory Committee, are you representing the alcohol industry?
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If applying for the Audit Committee, do you have an accounting background?
10
If applying for the Community Development Authority (CDA), are you a Rent Assistance program participant?
11
If applying for the Parks and Recreation Advisory Committee, are you representing the ice skating community?
12
Are you applying for re-appointment to a committee in which you already serve?
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13
 Are you an alternate applying for a voting member position?
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14
Do you have any previous experience (including service on any city or county committee or volunteer experiences) that would be relevant to the committee of your interest?
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 Do you have any special qualifications or technical training that would be relevant to the committee of your interest?
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 Why do you wish to serve on a committee?
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You are welcome to attach additional information such as your resume or vitae that may further support your appointment. (Optional)

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