City of South Portland Boards & Committee Application
I understand that this application, other than information that I expressly submit in confidence, becomes a public document should I be appointed by the City of South Portland. As a result, I understand that the City of South Portland cannot guarantee me its confidentiality.

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If you have questions contact the City Clerk at 767-7627.

Date
MM
/
DD
/
YYYY
Name
Your answer
Street Address
Your answer
Which City District do you live in?
Email Address
Your answer
Phone
Your answer
Present Employer
Your answer
Occupation
Your answer
Educational Background
Your answer
State Interest or Reason for Wanting to Serve
Your answer
Have you lived in the City less than 3 years?
Could you commit to attending a minimum of 75% of scheduled meetings?
Select the Board or Committee interested in
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