Village Board Participation Form

Village Board Participation Form
Apply to become a member of your village board. Please provide your information and share your interest in serving the community.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Occupation
Please select your areas of expertise relevant to the village board (select all that apply):
Other
Please describe your motivation for joining the village board.
Do you have previous experience serving on community boards or committees?
If yes, please briefly describe your previous community involvement.
How many hours per month can you dedicate to village board activities?
Please provide a reference (name and contact information) who can speak to your community involvement or character.
Should be Empty: