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2. APPLICATION FOR APPOINTMENT TO COMMON COUNCIL-AT LARGE EVEN YEARS

   Please consider this application my intent to see City of Whitewater Common Council appointment to fill the remaining term for the position of Councilmember At-Large Even  Years (This term will expire on April 2, 2024).

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Employment History*
18. Education Background*
20. Political Experience (include any elected or appointed positions or committees you have served on)*
22. Community Service Experience (include volunteer work or other community activities)*
24. Signature of Applicant *
25. Date*

27. 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

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

    This field is not part of the form submission.

33. Submit

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