Form Center

2. Which board are you applying for?
   -- Select One --Design Rreview BoardEconomic Development BoardParks & Recreation BoardParks Naming Ad Hoc CommitteePlanning CommissionPublic Safety Commission
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Cell Phone*
14. Email Address*
16. Are you a City Resident?*

    1. Yes
    2. No
17. If yes, how long have you lived in the City of Snohomish?
19. If yes, how long have you lived in the County?
20. Are you a County Resident?

    1. Yes
    2. No
22. Please list any previous City appointments:
24. Please list relevant employment or professional activities
26. Please list other community affiliations or activities that you feel would be a benefit to this position:
28. Why are you interested in serving on this advisory board?
30. What talents or experiences would you bring to this position?
32. What are your primary interests in naming parks?
34. Please not any special goals you may have for the City:*
36. Any other questions or information you wish to provide for Mayor and Council consideration?
38. Signature*
    By entering my name above I understand that my application will be subject to the Public Disclosure Requirements of the State of WA and information will be available to the public upon request.
40. Date*
    Date
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field