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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. This application will be retained within the records of the Town Clerk Department for a duration of one year.

51. Signature*

    Typed name is acceptable.

52. Date*
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field