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2. COMMITTEES*
   -- Select One --Accommodations Tax Advisory CommitteeAirport Development CommitteeBuilding AuthorityCommunity Corrections AdvisoryDepartment of Health & Human Services (DHHS)Foreign Trade Zone CommitteeLRE Substance Abuse CommitteeLandbank Fast Track AuthorityLibrary Board CommitteeMSU Extension CouncilMuseum BoardParks CommissionPublic Health Advisory CommitteeRoad CommissionSenior Activities CommitteeSolid Waste Planning CommitteeSustainability Advisory CommitteeVeterans' Advisory CommitteeWhite River/Natural River Zoning Board

   Please select the Committee on which you wish to be considered. If you would like to be considered for multiple committees, please fill out a form for each.
   
   *For those apply for consideration for the HealthWest Board, please apply using the New HealthWest Board Member Application (PDF)

4. Committee Position (if applicable)

   If there is a specific position opening in this committee, please enter that position name here for consideration.

6. Sustainability Advisory Committee Qualification List ONLY*
   -- Select One --An educator or representative of the educational community with an interest in the environment or sustainability.An environmental scientist or licensed professional environmental engineer.A LEED certified licensed architect or construction manager.A representative from a waste and/or recycling hauler operating in Muskegon County.A representative of an electric or gas utility company with customers in Muskegon County.A representative of a business located in Muskegon County that focuses on sustainability or has implemented sustainable practices.A representative from an organization or research institution with a focus on natural resource conservation.

   Please select the qualification that best suits your experience.

8. Full Name*

   Please enter your full legal name

9. Email Address*
11. Home Address*
13. City*
14. State*
15. Zip Code*
17. Employer Address
19. Employer City
20. Employer State
21. Employer Zip Code
23. Personal Phone*
24. Work Phone
26. Gender
    (voluntary)
27. Ethnicity
    (voluntary)
29. What special experience, education or interest do you have for serving on the board/committee you have selected?*
31. What special skills do you feel you could bring to this committee/board?*
33. What other boards/committees do you currently serve on, or have you served on in the past?*
35. Upload Cover Letter

    Please submit files in PDF format only.

36. Upload Resume
    Please submit files in PDF format only.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

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