CITY OF CANFIELD BOARDS & COMMISSIONS APPLICATION
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First Name: _____________________________ Last Name: ____________________________
Address: _______________________________ Primary Phone: _________________________
Length of Residency in Canfield: ______________ Email Address: _________________________
Interested in: (check all that apply) Planning & Zoning Design Review Civil Service
Parks, Recreation, & Cemetery Cardinal Joint Fire District Income Tax Review
Other Committees/Citizen Advisory appointments
Education:
Hobbies:
ORGANIZATION MEMBERSHIP INFORMATION
Are you currently serving on other Boards, Commissions, or Committees?
Yes No If “Yes” which one(s): ____________________________
Have you previously served on a Board, Commission, or Committee before?
Yes No If “Yes” which one(s): ____________________________