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2. Select the Board, Commission, or Committee applying for (First Choice)*
   -- Select One --Select OneAirport Advisory BoardAnimal Shelter Advisory CommitteeCapital Improvement Advisory CommitteeCivil Service CommissionEconomic Development CorporationHistoric Landmark Preservation CommitteeLibrary Advisory BoardMuseum Advisory BoardParks & Recreation Advisory BoardPlanning & Zoning CommissionProperty Standards & Appeals BoardRecreational Development CorporationYouth Advisory CommitteeZoning Board of Adjustments
4. Select the Board, Commission, or Committee applying for (Second Choice)
   -- Select One --Airport Advisory BoardAnimal Shelter Advisory CommitteeCapital Improvement Advisory CommitteeCivil Service CommissionEconomic Development CorporationHistoric Landmark Preservation CommitteeLibrary Advisory BoardMuseum Advisory BoardParks & Recreation Advisory BoardPlanning & Zoning CommissionProperty Standards & Appeals BoardRecreational Development CorporationYouth Advisory CommitteeZoning Board of AdjustmentsOpen to any Board & Commission
6. Select the Board, Commission, or Committee applying for (Third Choice)
   -- Select One --Airport Advisory BoardAnimal Shelter Advisory CommitteeCapital Improvement Advisory CommitteeCivil Service CommissionEconomic Development CorporationHistoric Landmark Preservation CommitteeLibrary Advisory BoardMuseum Advisory BoardParks & Recreation Advisory BoardPlanning & Zoning CommissionProperty Standards & Appeals BoardRecreational Development CorporationYouth Advisory CommitteeZoning Board of AdjustmentsOpen to any Board & Commission
8. Personal Information
10. First Name*
11. Last Name*
13. Address*
15. City*
16. State*
17. Zip*
19. Length of Residency*
20. Home Phone Number*
21. Cell Phone Number*
23. Email Address
24. Driver's License Number*
26. DOB*
    DOB
28. Occupation*
30. Organization Membership Information
32. Have you ever served as a member of any Lancaster Boards, Commissions, or Committees?*

    1. Yes
    2. No
34. If yes, which
36. Please list any particular qualifications you feel would be beneficial to serving on any particular board or commission.
38. Please Enter Basic Resume Information Below
40. Disclosure of Personal Information

    1. I ALLOW public access to my personal information
    2. I DO NOT ALLOW public access to my personal information

    Note: Under the Public Information Act, a personal e-mail address is not public information and would not be released.
42. To be an effective member of a Board or Commission, you must be willing to attend and participate in all scheduled meetings.
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field