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2. 
3. City of Alamogordo Application to Serve on a City Board/Committee
5. First Name:*
6. Last Name:*
8. Phone Number:*
9. Email Address:*
11. Physical Address:*
13. City:*
14. State:*
15. Zip Code:*
17. Is the above address within City Limits?*

    1. Yes
    2. No
19. Mailing Address:*
21. City:*
22. State:*
23. Zip Code:*
25. Present Employer:*
26. Job Title:
28. Board/Committee you would like to serve on (1st choice):*
    -- Select One --Airport Advisory BoardAirport Zoning BoardAlamogordo Disability Council (ADC)Mayor's Committee on AgingParks & Recreation BoardPublic Library BoardSenior Volunteer Programs Advisory Council
29. Board/Committee you would like to serve on (2nd choice):
    -- Select One --Airport Advisory BoardAirport Zoning BoardAlamogordo Disability Council (ADC)Community Development Advisory CommitteeMayor's Committee on AgingParks & Recreation BoardPublic Library BoardSenior Volunteer Programs Advisory Council
31. Are you related to anyone who is presently employed by the City of Alamogordo?*

    1. Yes
    2. No
32. If so, what is their relation to you?
34. Are you related to an Elected Official of the City of Alamogordo?*

    1. Yes
    2. No
35. Is so, what is their relation to you?
37. Experience and education relating to the Board/Committee:*
39. Please indicate your interest in serving on a City Board/Committee:*
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field