Forms • Snohomish, WA • CivicEngage

Economic Development Committee Board Application

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Name:*

Address:*

Home Phone:*

Cell:

Work #:

E-mail:*

City Resident:

Yes

How long?

If you are not a resident of the City please indicate the type of affiliation(s) you have with the City?

Please list any previous City appointments or offices:

Other Community affiliations or activities you feel would be a benefit to this position:

Why are you interested in serving on this advisory board?

What talents or experience would you bring to the position?

What are your primary interests in City Government and City Services?

Please relate any special goals you may have for the City:

Any other comments or information you wish to provide for Mayor and Council consideration:

Signature:*

Date:

* indicates required fields.