Village of Lansing
Application for Boards & Commissions
Prefix
Mr.
Mrs.
Ms.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Are you registered to vote in Lansing?
Yes
No
How long have you been a resident of Lansing?
Present employer:
Occupation:
Are you or have you been involved in any local, civic, or community groups here in Lansing or another community?
Yes
No
If so, which one(s) and briefly describe your involvement:
Choose the board or commission you would like to be a part of:
Enhanced 911 Commission
Fire Pension Board
Human Relations Commission
Planning & Zoning Board
Police Pension Board
Police & Fire Commission
What in your experience makes you qualified to be appointed to the commission that you are interested in?
What would you personally hope to accomplish as a member of the chosen commission?
Suggest two primary goals of the commission that you are interested in and describe why each is important?
The Mayor requires applicants to attend at least one meeting of the board they are interested in applying for prior to their interview. Have you attended such meeting?
Yes
No
Please include a resume in addition to your application.
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