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Want to Serve on a City Board?

Name:

Address:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:

Please check the board(s) or commission(s) you are interested in serving on: 
 Board of Adjustment
 Historic Preservation Commission
 Planning & Zoning
 Friends of the New Bern Firemen's Museum
 Housing Authority
 New Bern Appearance Commission
 Police Civil Service Board

Do you live in the city limits of New Bern?    yes    no

How long have you been a resident of the city of New Bern?

Presently employed by: 

Occupation: 

Why do you want to serve on this board?

Have you previously served on any city board or commission?  yes   no
If yes, which one? 
 Board of Adjustment
 Historic Preservation Commission
 Planning & Zoning
 Friends of the New Bern Firemen's Museum
 Housing Authority
 New Bern Appearance Commission
 Police Civil Service Board
 Other

Why do you think you would be an asset to this board?

Attach your resume or other important documents or certifications here: