72069ef1-d84b-4df1-a760-c0e5fac06893
Textbox
|
Current Date:
|
*
selection is required
|
09a3aba4-329e-4479-a961-db26f357b635
Textbox
|
Candidate Name:
|
*
selection is required
|
1cef027b-70b5-4a79-8b97-52e30c27d848
Textbox
|
Wellington Property Address:
|
*
selection is required
|
bc2795af-797a-4c18-8d06-8bb1d35adca6
Textbox
|
Email:
|
*
selection is required
|
8b16db3d-4f81-42ad-99d4-189213f1023d
Textbox
|
Phone Number:
|
*
selection is required
|
b76a49ec-6d42-454b-b929-eb1e1f7aa89f
Textbox
|
How many years have you lived in the Wellington neighborhood?
|
*
selection is required
|
6c083c97-ed1c-4e0b-b4a6-d55890b42d01
Textbox
|
List any Wellington committees you have participated on
|
|
410b2c6e-ece2-4cf6-a0cf-113854666d13
Textbox
|
List any outside organizations and community groups you have been involved with and any relevant experience (i.e. previous board member)
|
|
507fc993-45eb-4a7b-94ba-b7eb757ce7e2
Textbox
|
Explain why you would like to serve on the Board of Directors
|
*
selection is required
|
342852a0-e325-4636-bb90-5cbb07a11803
Dropdown List
|
Have you been convicted of a felony or crime involving moral turpitude within the last 20 years?
|
*
selection is required
|
cb7c66fd-db0b-490e-b464-c05fc8fefe8d
Electronic Signature
|
By signing, I acknowledge that I am the property owner for the above Wellington Property Address and agree that the information contained in this form is accurate and current
|
|
| |
|