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Application for Public Body Appointment

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Steps

1. Step One This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete

Step One

Public Body Applying For
Other Public Body Applying For (not in drop down list)
First Name*
Last Name*
Residence Address
Mailing Address*
Phone Number(s)*
Email Address*
If not applicable, enter N/A
Is your residence within Town limits?*
1. Yes
2. No
How long have you lived in the Chino Valley area?*
Are you a qualified to vote even if not registered?*
1. Yes
2. No
Are you related to any Town employee*
1. Yes
2. No
If yes, what is the employee's name?
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Application for Public Body Appointment

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