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2. APPLICATION FOR APPOINTMENT TO COMMON COUNCIL ALDERMANIC DISTRICT 1

   Please consider this application my intent to see City of Whitewater Common Council appointment to fill the remaining term for the position of Councilmember Aldermanic District 1 (This term will expire on April, 2025)

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. If appointed, I plan to run for the Councilmember Aldermanic 1 position in the April, 2025 election.. (Check one)*

    1. Yes
    2. No
    3. Undecided
18. Employment History*
20. Educational Background*
22. Political Experience (include any elected or appointed positions or committees you have served on)*
24. Community Service Experience: (include volunteer work or other community actiivities)*
26. Signature of Applicant *
27. Date*

29. Submit your application to the City Clerk  on or before 4:30 p.m. on January 30, 2024.  

    Any questions, please email hboehm@whitewater-wi.gov

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field