Section 1 of 1 in this document
City of Montgomery Boards and Financing Authorities Application
*Please note: There might not currently be a vacancy on a desired board. However, applications will be kept as a matter of record for consideration should a vacancy occur. Appointments are totally at the discretion of the Council. You must be a resident of Montgomery to be considered.
Are you a resident of Montgomery?
Yes
No
Title
Choose One
Mr.
Mrs.
Dr.
Ms.
Full Name
First Name
*
Last Name
*
Home Address
Street Address
*
City
*
State
*
Zip
*
Email
*
Phone Number
*
Employment
Company/Agency
*
Title
*
Gender
*
Choose One
Male
Female
Rather not say
Ethnicity
*
Choose One
African-American
Asian
Caucasian
Latino
Native-American
Other
Age
*
Boards/Commissions of Interest
First Choice
*
Second Choice
*
Third Choice
*
More information
*
Referred by:
References:
*
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First Name
Last Name
Email
Choose how to sign
Draw
Type
I certify that the facts contained in this application are true and correct to the best of my knowledge. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my qualifications and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damages that may result from furnishing the same to you.
disregard this