Statement of Intent in Serving on a Saginaw Township Board or Commission
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
BACKGROUND
How long have you been a Saginaw Township Resident?
Are you a Saginaw Township Real Property Tax payer?
Yes
No
Profession or Occupation
Name of Business or Place of Employment
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
EXPERIENCE
What experience, if any, do you have in the field of government?
Please list positions held or involvement in the following categories during the past ten (10) years:
BUSINESS OR PROFESSIONAL
COMMUNITY OR CIVIC SERVICE
OFFICES TO WHICH YOU HAVE BEEN EITHER ELECTED OR APPOINTED
STATEMENT OF INTEREST
Please explain why you would be interested in an appointment to a particular Saginaw Township Board or Commission, and what you feel you could offer the Township in the way of leadership, direction, and stability on that Board or Commission
DISCLOSURE
Do you own or have any interest in a company that does business with Saginaw Township?
Do you have any family member or relative now employed with Saginaw Township?
Do you own or rent any property in Saginaw Township other than your Homestead? If yes, describe briefly and indicate if development is planned.
I attest to the accuracy of the above declarations and acknowledge that any inaccurate or false information will be cause for disqualification.
Signature
Attach resume or additional information you consider pertinent.
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