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2. Check the box of any Board or Committee you are interested in joining.

   1. Planning & Zoning Commission (4 year term; meet the last Tuesday of every month)
   2. Tree Commission (3 year term; meets monthly)
   3. Board of Appeals
   4. Board of Adjustment (5 year term; meets the first Thursday of each month)
   5. Winterset Municipal Utilities Board of Trustees (6 year term; meet third Monday of each month)
   6. Winterset Airport Authority (4 year term; meet monthly)
   7. Low Rent Housing (2 year term)
   8. Library Board of Trustees (6 year term; meet monthly)
   9. Parks & Recreation Board (3 year terms; meet monthly)
   10. International Friendship Commission (3 year term; meet monthly)
6. First Name*
7. Last Name*
9. Date of Birth*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
19. Email Address*
21. Reside within City limits*

    1. Yes
    2. No
25. Employment/Volunteer Work*

    Please list your place of employment and/or activities such as hobbies, volunteer work, etc that you feel may qualify you for this appointment. 

27. Your Interest*

    Please describe why you are interested in serving on a City of Winterset board or commission.

29. Your Contributions*

    Please indicate what contributions you feel you can make. 

31. Accommodations

    Please provide any ADA accommodations you may have if appointed.

33. Signature*

    1. Signature

    I certify that there is nothing that would prohibit me from serving on a City of Winterset board or commission.  My application will be retained for one year.  This application is a public document and as such can be viewed, reproduced or distributed to the public.

    
    

34. Date of Application*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field