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Application for Boards and Commissions

  1. Please type your full name. 

  2. Please Check all Boards and Commissions on which you would be willing to serve:*
  3. Are you at least 21 years of age?*
  4. Are you a resident of the City of Coldwater?*
  5. Are you a registered voter in the City of Coldwater?*
  6. Do you own property in the City of Coldwater?*
  7. Please tell us about your educational background

  8. Please tell us about your professional qualifications and or work experience

  9. Please tell us about your volunteer or community engagement experience

  10. Have you served on a board or commission or held a civic position in the past?*
  11. Do you foresee any potential conflicts of interest while executing the duties of this position?*
  12. Have you reviewed the current meeting schedule of the board or commission and can you commit to regular meeting attendance?*
  13. Electronic Signature

    In the section that follows, you will read the Electronic Signature Agreement. There will then be a question surrounding it. Please be sure to read through this section carefully. Any questions can be addressed to the City of Coldwater at (517) 279-9501. Thank you. 

    By checking the "I agree" box in the question that follows, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate matter, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature and 3) you may still be required to provide a traditional signature at a later date. 

  14. Please select the I agree box below*
  15. This will serve as your electronic signature.

  16. Leave This Blank:

  17. This field is not part of the form submission.