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Application for Appointment

  1. Application for Appointment to a City Board, Commission or Committee

  2. At which address would you prefer to be contacted?

  3. Are you a resident of the City of Pierre?

  4. I would like to serve on the following:

  5. The following references may be contacted:

  6. I understand the role and responsibility of membership on these Boards or Commissions and am willing to serve. I am willing to attend scheduled meetings unless I have a conflict. In applying for appointment, I understand the Mayor may contact the references listed. I also understand that I might be contacted by citizens or other board members at the address I indicated on this application.

  7. Thank you for your interest and willingness to serve!

  8. Leave This Blank:

  9. This field is not part of the form submission.