Forms • Clayton, OH • CivicEngage

APPLICATION FOR CITIZEN COMMITTEE

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NAME*

PHONE #*

ARE YOU A CLAYTON RESIDENT?*

Yes I am a resident

CITIZEN COMMITTEE INTERESTED IN SERVING ON*

	Parks Advisory Commission
	Planning Commission

	Board of Zoning Appeals
	Other

BACKGROUND/ RELEVANT EXPERIENCE (you may upload a resume in lieu of a statement)

Upload Resume (in lieu of providing statement above)

STATEMENT OF INTEREST*

REFERENCES (Please submit a minimum of three) include Name & Phone Number*

* indicates required fields.