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Citizen Committee Interest Form
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Contact Information
First Name
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Last Name
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Address1
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City
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State
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Zip
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Phone Number
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Email Address
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I Am Interested In Serving On The Following Board(s)
Board of Ethics
Brownfields Advisory Committe
Building Board of Appeals
Cemetery Commission
Citizen Advisory Committee
Committee on Aging
Community Development Authority
Crime Prevention Committee
Harbor Commission
Industrial Development Corporation
Library Board
Manitowoc International Relations Association
Manitowoc Public Utilities Commission
Municipal Tree Commission
Plan Commission
Police and Fire Commission
Rahr-West Art Museum Board
Transit Commission
Zoning Board of Appeals
Length of Residency in the City of Manitowoc
Current Occupation
Business Name
Business Segment (Manufacturing, Retail, etc.)
Past and Current Community Service
Are you currently serving on other Boards, Commissions or Committees?
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No
If yes, which
Education Information
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