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2. 

4. Complete the following application to apply for the following Boards and Commission only:

   • Animal Shelter Advisory Board (3 mtgs. held per year)
   • Beautification Advisory Board (6 mtgs. held per year)
   • Cultural Arts Advisory Board (6 mtgs. held per year)
   • Ethics Commission (1 mtg. held per year or as needed)
   • Library Advisory Board (6 mtgs.held per year)
   • Parks and Recreation Advisory Board (6 mtgs. held per year)  

   The following information is necessary to apply for potential service on a City of Bedford Board or Commission. This information you provide will become a public record and available to the press and public. To apply and serve as a Board or Commission member, you must meet eligibility requirements of the specific Board or Commission for which you apply. By electronically signing this application you are acknowledging that you have applied for an appointed position with the City, and agree to serve on the Board or Commission for which you have applied in good faith. 

   All appointments are made by and at the discretion of City Council. Because vacancies may arise before the next regular appointment period, all applications are kept on file until the next application period. 

   Please note, you must be a resident of Bedford for at least 12 consecutive months preceding your appointment.

6. Name*
7. Phone Number*
9. Residential Address*
11. City
12. State
13. Zip Code
15. Email Address*
16. How long have you been a Bedford resident?*
18. Occupation*
19. Business Name (if applicable)
21. Are you a registered voter of the City of Bedford?*

    1. Yes
    2. No
22. Voter Registration Number
24. Have you served on any City Board or Commission?*

    1. Yes
    2. No
25. Do you currently serve on any City Board or Commission?*

    1. Yes
    2. No
27. If so, which one and when? Please provide dates.
29. Please indicate the Board or Commission in which you are interested (select a maximum of 2):*

    1. Animal Shelter Advisory Board
    2. Beautification Advisory Board
    3. Cultural Arts Advisory Board
    4. Ethics Commission
    5. Library Advisory Board
    6. Parks and Recreation Advisory Board
31. Please briefly explain why you are interested in serving on a Board or Commission:*
33. Upload any supplemental documents:
37. By typing your name below, you hereby affirm that you are aware of the requirements of the position and certify that you meet those requirements. *
39. Date:
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field