Fillable 893 Commission Application (Lake Land College)

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893 Commission Application (Lake Land College)

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The 893 Commission Application (Lake Land College) form is 2 pages long and contains:

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  • 13 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

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Village of Northbrook
Commission Application for Volunteer Service
This is a fillable PDF form. You may complete the form electronically and email a saved copy to
debbie.ford@northbrook.il.us or print the form and mail, fax or deliver it to
Village Clerk, Debbie Ford at Village Hall, 1225 Cedar Ln., Northbrook, IL 60062
General Information
Name:___________________________________________ Home Phone:_________________________
Address:_________________________________________ Cell Phone:___________________________
Email:___________________________________________ Resident of Northbrook for _________ years
Occupation:_______________________________________ Retired? qYes q No
Employer:_________________________________________ Position:_____________________________
Business Address:_________________________________________________________________________
Business Email:____________________________________ Business Phone:______________________
Interest, Qualifications and References
A description of each board, committee or commission is available at Village Hall or online at
www.northbrook.il.us. Please indicate which board(s), commission(s) or committee(s) you are interested in
volunteering for. Check all that apply:
q Plan Commission
q Senior Services Commission
Special Needs Inclusion Commission
q Stormwater Management Commission
q
Sustainability Commission
Zoning Board of Appeals
q Architectural Control Commission
q Arts Commission
q Board of Fire and Police Commission
q Community Commission
q Economic Strategy Commission
q Electrical Commission
Pedestrian & Bicycle Commission
Education – List schools attended, date graduated and type of degree or certificate:
Current or previous community service activities, public or private. For each list years served and position
held.
Any other special training or experience that would benefit your service on this board or commission:
Why do you wish to serve as a member of this board for commission?
What would you bring by way of perspective or experience to this board or commission?
Interest, Qualifications and References
Do you have any interests or associations which might present a conflict of interest? If yes, please explain:
Meetings are typically held in the evenings, Monday through Thursday. Are there limitations on your ability to
attend meetings?
qYes q No
If yes, please explain:
Acknowledgement & Signature
I understand that in connection with this application for appointment, the information contained herein
may be made available to the general public upon request.
Signature
Date
Thank you. The Village President will review this form and it will be kept on file in the Village Clerk’s Office. If it
appears your qualifications match the needs of a particular commission when a position becomes open in the future, you
may be contacted.
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893 Commission Application (Lake Land College)

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Completed 26 April 2022

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