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Committee Application Form

  1. City of Middleton Board/Commission/Committee Application Form
    The deadline to apply is March 31, 2021, If applying for a term ending in April 2021.
  2. See listing on board, commission, and committee home page
  3. Personal Information
  4. Education and Personal Interests
  5. Residency Information
  6. Do you currently reside in the City of Middleton?*
  7. Organization Membership Information
  8. Are you currently serving on other Boards, Commissions, or Committees?*
  9. Have you served on a Board, Commission, or Committee before?*
  10. Please type your name to attest the information you are submitting is true, accurate, and complete to the best of your knowledge.
  11. Leave This Blank:

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