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Kalamazoo County Board of Commissioners

KALAMAZOO COUNTY GOVERNMENT ADVISORY BOARDS & COMMISSIONS

APPLICATION FOR APPOINTMENT TO:

Community Corrections Advisory Board
 
Name: 
Occupation: 
Home Address: 
Home City: 
Home Zip: 
Home Phone: 
Business Phone: 
Cell Phone: 
E-mail Address: 
Employer: 
 
The 13 positions on the CCAB are defined by Public Act 511 of 1988, MCL 791.407. Please indicate which position you are applying for, by marking the category.
County Sheriff: 
County Prosecuting Attorney: 
Chief of a City Police Department: 
Judge of the Circuit Court: 
Judge of District Court: 
Judge of the Probate Court: 
Communications Media: 
Business Community: 
Circuit or District Court Probation Officer: 
General Public: 
County Commissioner or City Council Person: 
Mental Health, Public Health, Substance Abuse, or Community Alternative Program: 
 
Are you currently, or have you served on the CCAB?
 
If the answer to the above question was no, please indicate experience and/or qualifications that would make you an effective member of the CCAB.
 
List current memberships on other Boards:
 
Verification Code:  (This helps prevent automated e-mails.)
 
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