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Citizen Committee Member Application
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This form has been modified since it was saved. Please review all fields before submitting.
Citizens interested in serving on any county committee should complete and submit this form.
First Name
Last Name
Address1
Address2
City
State
Zip
Are you a Bayfield County Resident?
*
Yes
No
Have you previously served on a county committe, board or commission?
*
Yes
No
If yes, which committee, board or commission?
Home Phone
Cell Phone
Email Address
*
Date
Date
What City/Town/Village are you a Resident of?
*
Barksdale
Barnes
Town of Bayfield
City of Bayfield
Bayview
Bell
Cable
Clover
Delta
Drummond
Eileen
Grandview
Hughes
Iron River
Kelly
Keystone
Lincoln
Town of Mason
Village of Mason
Namakagon
Orienta
Oulu
Pilsen
Port Wing
Russell
Tripp
Town of Washburn
City of Washburn
Committee
Please indicate the name of the committee you are submitting an application for.
List of Qualifications
*
Please be as specific as possible and include information that is targeted towards the committee, board, or commission you are applying for.
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Email address
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