Please complete the following information.

 *

Please complete the following information.

First and Last Name	Address
Mailing Address (if different)	Email Address
Preferred Phone Numberext.	Alternative Phone Numberext.
Years in Tulare	Employer

Please indicate which boards, commissions, or committees you would like to be considered for. You may select more than one.

 *

Please indicate which boards, commissions, or committees you would like to be considered for. You may select more than one.

Aviation Committee	Board of Public Utilities
Committee on Aging	Library Board
Measure I Citizen Oversight Committee	Parks & Recreation Commission
Planning Commission	Police Department Citizen Complaint Review Board
Tulare Mosquito Abatement District

Please provide a brief statement about yourself, background and why you are interested in serving on the above selected boards, commissions, or committees. 

 *

Please provide a brief statement about yourself, background and why you are interested in serving on the above selected boards, commissions, or committees.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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