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2. 

4. I hereby request to be considered for membership to the following board(s) and/or committee(s):  

   If you do not wish to submit your application online, you can mail a letter of interest to: Franklin County Planning & Building, 1428 S. Main, Suite 5, Ottawa, KS 66067.

6. Choose from the following:

   1. Planning Commission (1) One Opening
8. Full Name:*
10. Residential Address:*
12. Phone:*

    Please enter the best way to reach you.

14. Email Address
16. How long have you lived in Franklin County?
18. Employment History:

    Please list your present employer/position or your previous employer/position if retired.

20. Please list membership in community boards/organizations, dates involved, and activities performed:
22. Do you have any skills, experience, or training you would like to mention?
24. What is your reason for wanting to serve on this board?
26. Thank you for your interest!

    If you have any questions, please contact the Planning & Building Office at 785-229-3570.

Leave This Blank:


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

    This field is not part of the form submission.

30. Submit

* indicates a required field