Kalamazoo County Board of Commissioners

KALAMAZOO COUNTY GOVERNMENT ADVISORY BOARDS & COMMISSIONS

APPLICATION FOR APPOINTMENT TO: Road Commission
Name:
Occupation:
Home Address:
Home City:
Home Zip:
Home Phone:
Business Phone:
Cell Phone:
E-mail Address:
Length of residency in Kalamazoo County:
In what city, township, village do you reside:
Please list membership on other boards of directors/commissions
Please indicate below the background or experience you have which will be of value to you if you are appointed. Also indicate any reasons for desiring to serve on the County Road Commission:
* Verification Code:		(This helps prevent automated e-mails.)
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