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Cemetery Advisory Committee Application

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This is the application / membership questionnaire for citizens seeking appointment to the Chesterfield Cemetery Advisory Committee. The form collects name, address, phone and email, length of residence in Centreville, and asks three short-answer questions: why the applicant is interested in the committee, prior municipal or county board/commission service, and the applicant's view of what would constitute a conflict of interest for someone in public service. The document is titled "Membership Questionnaire - Cemetery Advisory Committee."

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Chesterfield Cemetery Advisory Committee
Citizens interested in seeking appointment to the Chesterfield Cemetery Advisory
Committee are asked to complete this form.
Name Date
Address
Phone Number Cell Phone Number
Email Address
How long have you lived in Centreville?
1.) Why are you interested in a position on the Chesterfield Cemetery Advisory Committee?
2.) Have you served on other municipal or county boards and / or commissions? Describe:
3.) What, in your opinion, would constitute a conflict of interest for an individual in public
service?
Membership Questionaire-Cemetery Advisory Committee
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