Board, Authority & Committee Application/Nomination - City of Dalton

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Name

Street Address

City, State, Zip

Primary phone number

Secondary phone number

Current Employer

Email Address

On which board/authority/committee are you most interested in serving?

Which board/authority/committee would be your second choice (if applicable)?

Which board/authority/committee would be your third choice (if applicable)?

Why are you interested in serving on this board/authority/committee?

Are you available during the regularly scheduled meeting times for the board/authority/committee(s) you have selected?

Yes

Unsure

Contact Information