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Environmental Advisory Committee Application

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This is an application/membership questionnaire for citizens seeking appointment to the Environmental Advisory Committee in Centreville. The form asks for contact information and how long the applicant has lived in Centreville, and includes three substantive questions: why the applicant is interested in the committee, prior service on municipal or county boards or commissions, and the applicant’s view of what would constitute a conflict of interest in public service.

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Environmental Advisory Committee
Citizens interested in seeking appointment to the Environmental Advisory Committee 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 Environmental 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-Environmental-Advisory-Committee
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