Application for Appointment to Boards

Name(Required)

First Last

Home / Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email Address

Home Phone(Required)

Home Fax

Employer(s)

Occupation / Job Title

Business Phone

Business Fax

Are you a township resident?(Required)

Yes

Are you a registered voter in the township?(Required)

Yes

Do you or your employer have business dealings with the Township that may present a conflict of interest?(Required)

Serving on Boards, Commissions and/or Committees are time-consuming. Are you committed to attending all regularly scheduled meetings(Required)

Yes

What Boards, Commissions and/or Committees are you willing to serve:

Planning Commission

Zoning Board of Appeals

Board of Review

Road Committee

Saugatuck Township Fire District Board

Park Commission

Interurban Transit Authority Board

Kalamazoo Lake Sewer & Water Authority Board

Saugatuck-Douglas Library Board

Please describe qualifications, expertise or special interests that relate to your possible appointment:(Required)

You may submit a cover letter with your application. Please return the to the Township Clerk’s Office at the above address for processing. The Township of Saugatuck recognizes and supports the concept of balanced representation in regard to filing vacancies on all Boards, Commissions and Committees. To this end, every effort is made to appoint members who represent Saugatuck Township’s diverse community, including citizens of all ethnic groups as well as people with disabilities. Reasonable accommodations and equal access to communication are provided upon request.

Cover Letter

Accepted file types: pdf, Max. file size: 2 MB.

Signature(Required)

Date(Required)