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2. 
4. Select the Town Council or Planning Commission*
   -- Select One --Planning & Zoning CommissionTown Council (vacancies only)

   Use the drop-down to select.

6. PERSONAL INFORMATION
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Email Address*
21. Contact Phone Number*
23. Business Address
25. Business Phone Number
27. Occupation
31. TOWN COUNCIL ELIGIBILITY AFFIRMATION

    By answering these questions for a Town Council vacancy, the applicant is affirming all criteria are met pursuant to the Town's Charter. Those applying for a Planning Commission vacancy are also encouraged to provide the following information.

33. Are you a United States Citizen?

    1. Yes
    2. No
34. Are you a registered elector of the Town of Eagle?

    1. Yes
    2. No
36. Have you been an Eagle resident no less than 12 consecutive months?

    1. Yes
    2. No
37. Length of Residency in Eagle
39. Are you a registered voter and eligible to vote in the Colorado General Election?

    1. Yes
    2. No
43. EDUCATION AND HOBBIES
45. High School
47. College
49. Trade or Business School
51. Hobbies
55. ORGANIZATION MEMBERSHIP INFORMATION
57. Are you or have you served on other Boards, Commissions, or Committees?

    1. Yes
    2. No
59. If yes, which
61. Please list organization memberships and positions held
63. Please List Areas of Special Interest
65. Why do you want to serve your community in this capacity?
69. ADDITIONAL QUESTIONS
71. 1. What opportunities does the Town of Eagle have?
73. 2. What challenges currently exist in the Town of Eagle?
75. 3. As a Council/Committee Member, how would you approach these challenges?
77. Notarized Affidavit Required

    Please note that a Town Council appointment requires that you have on a file a notarized affidavit of a Conflict of Interest form. The Town Clerk will send this to you once your application has been received.

79. Please include a letter of interest and resume with your submittal.

    Please attach in .pdf format.

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80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit Submit and Print

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