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Board and Commission Application (Rev. 10/2023)

  1. Important Public Records Information

    All information submitted in this application is public information and subject to disclosure to a public records request made pursuant to the Freedom of Information Act (FOIA).

  2. Acknowledgement

    I understand that appointment to a City of Portage Board or Commission requires attendance at all board meetings. Members with three (3) unexcused absences will be referred to the City Council for review and possible dismissal.

  3. 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.

  4. Boards and Commissions

    Please review the desired qualifications for each board and commission.  Rank your preferred boards by first, second, and third, and include a brief summary as to what experience or professional credentials you would bring as a member. 

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  6. This field is not part of the form submission.