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2. City of Zeeland - Consideration for Appointment
4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Home Phone
14. Business Phone
15. Cell Phone
17. Email Address
18. # of Years as a Resident
20. Appointment Seeking:
22. Appointment Seeking:*
    -- Select One --Board of Construction AppealsAlcohol Review BoardLibrary BoardBoard of Public Works CommissionBoard of ReviewShopping Area Redevelopment Board (SARB)Board of Zoning AppealsAirport AuthorityCity CouncilCemetery/Parks CommissionLocal Officers Compensation CommissionNominating CommissionPlanning CommissionHospital Finance Committee
26. Employed by
27. Position Held
29. Current Memberships
31. Offices Held
33. Past Memberships
35. Past Offices Held
37. Qualifications
    Please state any specific qualifications you possess which would be beneficial to the appointment you desire such as: special skills, interests, education, experience
41. Personal References
43. Name/Occupation
44. Address
45. Phone No.
47. Ref2
48. add2
49. Phone2
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print

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