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2. 
4. Boards & Commissions Application
6. First Name*
7. Last Name*
9. Home Address*
11. Home Address
13. City*
14. State*
15. Zip*
17. Mailing Address
19. Mailing Address
21. City
22. State
23. Zip
25. Phone Number*
26. Alternate Phone Number
28. Email Address*
29. Are you older than 18 years of age?*
    -- Select One --YesNo
31. Do you live in the incorporated boundaries of Sahuarita?*
    -- Select One --YesNo
32. How many years have you lived in Sahuarita?*
34. Name of Employer*
35. How long?*
37. Please list any organizations with which you have been affiliated*
    Please include community, civic, professional, social, education, cultural or athletic organizations.
39. Education*
    Briefly describe your educational background(high school, college, vocational training, ect.)
41. What do you consider to be your greatest skill or achievement and why?*
43. On which Board or Commission would you like to serve?
    -- Select One --Planning & Zoning CommissionBoard of AdjustmentParks & Recreation CommissionBoard of Appeals (no residency requirement)Special Purpose Commission
45. Please describe any relevant experience which will help you serve on the Board or Commission of your choice.*
47. Certification*

    1. By checking this box you are certifying all the information contained in this application is true and complete to the best of your knowledge.
49. Signature*
    Typed name is acceptable.
50. Date*
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field