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Town Council, Planning Commission & Committee Application Form

2. 

4. Select the Council, Commission, or Committee applying for*
   -- Select One --Planning & Zoning CommissionTown Council (vacancies only)Open Space & Recreation Advisory Committee

   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

29. ELIGIBILITY AND RESIDENCY INFORMATION

31. Are you a United States citizen?*

    1. Yes
    2. No

33. Have you been an Eagle resident no less than 12 consecutive months?*

    1. Yes
    2. No

35. Length of Residency in Eagle

37. Are you a registered voter and eligible to vote in the Colorado General Election?*

    1. Yes
    2. No

39. EDUCATION AND HOBBIES

41. High School

43. College

45. Trade or Business School

47. Hobbies

49. ORGANIZATION MEMBERSHIP INFORMATION

51. Are you or have you served on other Boards, Commissions, or Committees?

    1. Yes
    2. No

53. If yes, which

55. Please list organization memberships and positions held

57. Please List Areas of Special Interest

61. ADDITIONAL QUESTIONS

63. 1. What opportunities does the Town of Eagle have?

65. 2. What challenges currently exist in the Town of Eagle?

67. 3. As a Council/Committee Member, how would you approach these challenges?

69. CONFLICT AND DISCLOSURES
    Nominations and appointments may require individuals to complete and sign an Affidavit of Acceptance and Conflict of Interest Disclosure forms. The Town Clerk will make these available when appropriate and necessary.

    Nominations and appointments may require individuals to complete and sign an Affidavit of Acceptance and Conflict of Interest Disclosure forms. The Town Clerk will make these available when appropriate and necessary.

71. Please attach a cover letter or experience information

    Please attach in .pdf format.

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72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit Submit and Print

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