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2. First Name*
3. Last Name*
5. E-mail Address*
6. Primary Phone Number*
7. Work Phone
9. Address*
10. City, State and Zip*
12. Resident in Oak Harbor City limits?*

    1. Yes
    2. No
13. If Resident of City Limits, how long?
14. Are you a business owner?

    1. Yes
    2. No
16. Which Board, Commission or Committee would you like to serve on?*

    1. Arts Commission
    2. Civil Service Commission
    3. Historic Preservation Commission
    4. Investment Committee
    5. Law Enforcement Officer & Firefighter Disability Board
    6. Lodging Tax Advisory Committee

    1. Marina Advisory Committee
    2. Park Board
    3. Personnel Appeals Baord
    4. Planning Commission
    5. Police Community Advisory Board
    6. Salary Commission
18. Are you related to anyone employed by the City (including as a contractor or vendor) or serving on City Council or another board/commission/committee?*

    1. Yes
    2. No
19. If yes, please explain:
21. Current / Former Occupation & Work Experience*
22. Resume
24. Education / Special Qualifications / Interests / Activities*
26. Community Involvment*
28. Other General Comments
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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