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Boards, Committees & Commissions Application Form

APPLICATION FOR BOARDS, COMMITTEES & COMMISSIONS

( * = Required )

First Name: *

Middle Name:

Last Name: *

BCC Applying For: *

Residential Address: *

Residential Zip: *

Mailing Address :

Mailing Zip:

Email:

Home Phone:

Other Phone:

Are you a resident of the City of Tucson?:

Yes

No

If YES - how many years have you been a resident?:

Have you been a member of a City of Tucson BCC?:

Yes

No

If YES - how many years have you been a member?:

Are you willing to serve a full term of 2 to 4 years?:

Yes

No

Do you have time to attend one meeting per month?:

Yes

No

Do you have 4 to 6 hours per month to prepare for meetings and work on BCC initiatives?:

Yes

No

Have you attended any meetings of this BCC?:

Yes

No

Please provide a brief background statement which qualifies you for BCC membership:

Please upload resume:

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