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Personnel Review Board Application

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This is an application/membership questionnaire for citizens seeking appointment to the Personnel Review Board in Centreville. The form collects name, date, address, phone, email, and how long the applicant has lived in Centreville, and asks three short-response questions: why the applicant is interested in the position, prior municipal or county board/commission service, and the applicant’s view of what would constitute a conflict of interest. It is labeled as the Personnel Review Board Membership Questionnaire.

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Personnel Review Board
Citizens interested in seeking appointment to the Personnel Review Board are asked to
complete this form.
Name Date
Address
Phone Number
Email:
How long have you lived in Centreville?
1.) Why are you interested in a position on the Personnel Review Board?
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 Personnel Review Board
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