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Application for Appointment to City Boards and Commissions
All information with * next to it must be provided. Incomplete applications will not be processed.
*Name of Board(s) or Commission(s)
Enter the Board/Commission
*Full Name
Enter your name
*Address
Enter your Address
*City State Zip
Enter City State Zip
Occupation
Employer
18 Years of Age or Older? (Yes/No)
Yes
No
*Home Phone
Home Phone Required
Enter (###) ###-#### Format
*Business Phone
Phone Number Required
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Email Address
Enter Valid Email Address
Cellular Phone
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Do you currently reside / live within the Oshkosh City Limits?
Yes
No
Number of Years:
Education
Do you have any relatives in the service of any department of the City of Oshkosh? (Yes/No)
Yes
No
List name, department and relationship
List any potential conflicts of interest
List City boards, commissions or committees on which you have served
Years:
Years:
Years:
Years:
Years:
Years:
What previous education, experience, training, or other special qualification from your background do you feel qualifies you for the position(s) you are interested in?
If selected, how would you work towards bettering the community through service on the Board/Commission?