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2. I am interested in serving on the following Board(s) or Commission(s):*

   1. Architectural Review Board
   2. Arts Commission
   3. Board of Adjustment
   4. Business Development Commission
   5. Crossroads Special Business District
   6. Green Space Advisory Commission
   7. Health & Environmental Services
   8. Historic Preservation Commission
   9. Library Board

   1. Old Orchard Special Business District
   2. Old Webster Special Business District
   3. Parks & Recreation Commission
   4. Personnel Board
   5. Plan Commission
   6. Police Community Engagement Board
   7. Sustainability Commission
   8. Traffic Advisory Commission
4. Date of Application
   Date of Application
8. Contact Information
10. First Name*
11. Last Name*
13. Street Address*
15. City
16. State
17. Zip
19. Email Address*
21. Primary Phone*
22. Work Phone
24. Other Phone
28. Personal Information
30. How long have you lived in Webster Groves?*
32. Education*
34. Current Employer*
36. Years With Current Employer
37. Position
39. Work Address
41. City
42. State
43. Zip
45. Additional skills, training, or abilities*
47. Volunteer Experience*
51. References
    Please list three (3) Webster Groves residents who are familiar with your experience and abilities.
53. Name*
55. Address*
56. Phone*
58. Name
60. Address
61. Phone
63. Name
65. Address
66. Phone
68. Signature
70. If printing form, please return to City Clerk
71. Board and Commission applications will be held for two years. The City Council will invite applicants for an interview when a vacancy occurs.
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73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

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