Fillable Board/Commission Application (Village of Wheeling)

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Board/Commission Application (Village of Wheeling)

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The Board/Commission Application (Village of Wheeling) form is 3 pages long and contains:

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  • 10 check-boxes
  • 28 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Village of Wheeling

BROWSE VILLAGE OF WHEELING (IL) FORMS

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Board/Commission Application
PERSONAL INFORMATION
LAST NAME: FIRST NAME:
STREET ADDRESS:
CITY:
STATE: ZIP CODE:
EMAIL ADDRESS:
PHONE NUMBER:
How Many Years
at Present
Address?:
EDUCATION
High School graduate?
College attended:
Address:
Major field of study
Degree received, if any:
CURRENT OCCUPATION
Company name:
Address:
Telephone:
May we contact you at
work?
Retired? Yes
No
Company's principal
business activity:
Brief description of
employment duties:
Length of employment:
Approximate time
available to devote to the
duties of the appropriate
position:
On which Village Board/
Commission would you be
interested in serving?
Board of Health
Board of Fire & Police Commission
Plan Commission
Senior Citizen Commission
Other
What do you believe to be
the most important task or
basic mission of the
Board/Commission you
are applying for?
In what civic duties are
you presently engaged
(list all professional
affiliations)?
To the best of your
knowledge and belief,
would there be any conflict
of interest (personal,
business, investment, etc.)
if you were to be
appointed to this Board/
Commission?
Yes
No
If Yes, please
explain:
By signing below you understand that if appointed to this Board/
Commission you will uphold the Code of Ethics of the Village of
Wheeling. If you agree, click the "yes" button next to this box.
Yes
Signature:
Date:
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BoardCommission Application (Village of Wheeling)

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Completed 17 July 2020

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