Commission/Committee Application (Webform)

Supporting Documents

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

Date:

edit-submitted-date-month

edit-submitted-date-day

edit-submitted-date-year

Name: *

Resident of City of Kenai?: *

Yes

If resident, how long?:

Residence Address: *

Mailing Address: *

Home Telephone: *

Home Fax:

Business Telephone:

Business Fax:

Email address: *

May we include your contact information on our website?: *

Yes

Yes, but not all (specify below)

If not all, what may we include?:

Employer: *

Job Title: *

Name of Spouse:

Current Membership Organization: *

Past organizational memberships:

Committees or commissions in which you are interested: *

Why do you want to be involved with this commission or committee?: *

What background, experience, or credentials do you possess to bring the board, commission, or committee membership?: