2. Contact Information
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone Number
17. Email Address
19. I Am Interested In Serving On The Following Board(s)

    1. Airport Advisory Committee
    2. Airport Zoning Board
    3. Board of Adjustment
    4. Board of Forestry Examiners
    5. Board of Health
    6. Board of Plumbers
    7. Board of Public Works
    8. Building Code Advisory & Appeals Board
    9. CDBG Revolving Loan Fund Review Committee
    10. Civil Service Commission
    11. Downtown Improvement District Board
    12. Electrical Examining Board

    1. Friends of the Fremont Area Parks
    2. Housing Advisory & Appeals Board
    3. Housing Agency
    4. Housing Rehabilitation Board
    5. L.B. 840 Committee
    6. Library Board
    7. Mechanical Examining Board
    8. Park & Recreation Board
    9. Planning Commission
    10. Ridge Cemetery Association
    11. Water Conditioning Board of Examiners
21. 
    If I Am Selected To Serve On The Board(s), I Will Participate.
    
    
23. Date*
25. Signature*
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit

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