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2. First Name
3. Last Name
5. Address
7. Phone Number
9. Email Address
11. How long have you resided in Muhlenberg Township?
13. What is your current occupation?
15. Which Board are you interested in serving on?

    1. Arts Board
    2. Parks & Recreation Board
    3. Planning Commission
    4. Zoning Hearing Board
17. Why are you interested in becoming a member of this Board?
19. What are you qualifications to serve on this Board?
21. Have you served on a Muhlenberg Township Board in the past? If so, when?
23. Any other additional comments you would like to add?
25. File Attachment

    If you would like to add any additional files (Letter of Interest, Cover Letter, Resume etc.) You may do so here. 

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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