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2. First Name*
3. Last Name*
5. Address*
6. City*
7. State
8. Zip Code
10. Phone Number*
11. Email Address
12. Years as Brown Deer Resident
14. What Village committee(s) are you interested in?

    1. Beautification & Public Works Committee
    2. Board of Appeals
    3. Board of Health
    4. Board of Review
    5. Building Board
    6. Community Development Authority
    7. Farmers Market Committee
    8. Human Relations Committee
    9. Library Board
    10. Park & Recreation Committee
    11. Finance & Personnel Committee
    12. Plan Commission
    13. Police Commission
    14. Special Events Committee
    15. Tourism Commission
    16. Water Commission
15. If interested in more than one committee, please indicate your highest preference.
17. What non-Village committee(s) would you like to get involved in?

    1. Brown Deer Foundation
    2. Brown Deer Historical Society
19. What committee(s) are you currently serving on, if any?
21. Why are you interested in serving on this committee:
23. Qualifications for serving on this committee:
25. Other community involvement:
27. Describe your experience and thoughts related to diversity, equity, and inclusion professionally and/or as a resident of Brown Deer:
29. Occupation/Employer:
31. Leisure activities/hobbies:
33. If appointed to a volunteer committee, do you have any conflict of interests that would impact your ability to vote on a matter brought to a certain volunteer committee? If so, please state what that conflict of interest would be:
35. Signature*

    By typing your name into this field you authorize the Village to consider this as an electronic signature.

36. Date*
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field