2. First Name*
3. Last Name*
5. Home Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. How long have you lived in Gig Harbor?*
16. Please indicate which advisory board(s) you are interested in serving on:*

    1. Arts Commission
    2. Building Code Advisory Board
    3. Civil Service Commission
    4. Design Review Board
    5. Parks Commission

    1. Lodging Tax Advisory Committee (Collector Position)
    2. Lodging Tax Advisory Committee (Receiver Position)
    3. Planning Commission
    4. Salary Commission
18. What is your interest/objective in serving on this advisory board?*
20. What is your educational background?*
22. Do you have other civic obligations and/or memberships in professional organizations (please list office held, duties, and term of office)?*
24. What previous experience do you have serving on a volunteer advisory board, committee or commission?*
26. Where are you currently employed and what is your job title?*
28. References
    Please list three personal references.
30. Reference #1 Name*
31. Reference #1 Phone Number
32. Reference #1 Email Address
34. Reference # 2 Name
35. Reference # 2 Phone Number
36. Reference #2 Email Address
38. Reference #3 Name
39. Reference #3 Phone Number
40. Reference #3 Email Address
42. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. By signing this application electronically, you certify that your answers are correct and complete to the best of your knowledge.

    1. I agree.
44. Electronic Signature
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46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field