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Kalamazoo County Board of Commissioners

KALAMAZOO COUNTY GOVERNMENT ADVISORY BOARDS & COMMISSIONS

APPLICATION FOR APPOINTMENT TO:

Public Housing Commission
 
Name: 
Occupation: 
Home Address: 
Home City: 
Home Zip: 
Home Phone: 
Business Phone: 
Cell Phone: 
E-mail Address: 
Length of residency in Kalamazoo County: 
 
 By law, one member of this Commission must be a resident of a Public Housing Facility or a Recipient of a state or federal Housing Voucher. Please check if you meet either of these criteria.
 
The Board of Commissioners desires minority representation on its appointed commissions. You may choose to identify yourself as a minority. Checking "yes" or "no" will neither qualify nor disqualify you for the appointment.
   Representative of the minority community?
 
On what community board of directors/commissions are you a member?
 
Please indicate below the background experience you have which will be of value to you if you are appointed. Also indicate any reasons for desiring to serve on this Commission.
 
Verification Code:  (This helps prevent automated e-mails.)
 
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