Board and Committee Reappointment

Board/Committee Reappointment

City of Marquette Board/Committee Reappointment Form

Applicant Name as it Appears on License(Required)

First Middle Last

Driver’s License Number:(Required)

What board/committee are you reapplying for?(Required)

Email(Required)

Home Phone(Required)

Home Address(Required)

Street Address Address Line 2 City

Occupation(Required)

Business Name(Required)

Business Phone

Business Address

Street Address Address Line 2 City

Are you a registered voter in the City of Marquette?(Required)

According to the City Charter, each member appointed by the City Commission shall have been a resident of the city for at least one year immediately prior to the day of appointment and shall also be a qualified and registered elector of the city on such day and throughout the member’s tenure of office.

Have you been a City resident for at least 12 months?(Required)

Are you currently in default to the City of Marquette?(Required)

Are you related to any elected City Commissioner (including by marriage)?(Required)

Do you have any pending litigation against the City?(Required)

Is there any information you would like to add to your previous application?

Are you involved in any personal, professional or business pursuit that would affect your ability to make fair and impartial recommendations as a member of a City advisory board or committee?(Required)

Signature(Required)

Signature certifies that there are no misrepresentations, omissions or falsifications on this application and by signing this application consent is given to the City to conduct a background check to verify the information provided.

Application Date(Required)

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