Boards and Commissions Application

Profile
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In what ward of the City of Hopewell do you reside?
If you have relatives that are employed by the City of Hopewell, server on Hopewell City Council, or serve as a member of an agency in which you seek appointment, please list each relative and agency.
Application Details
Board Interest
What are your specific qualifications, skills and abilities as they relate to the Board(s), Commission(s) or Committee(s) on which you have requested to serve?
By entering your full name in this field, you are completing an electronic signature acknowledging the below statement. By my signature hereto, I certify that (1) the information given by me in this document is correct to the best of my knowledge, (2) I understand that I may be required to provide proof of identity and, if applicable, proof of residency, and (3) I understand and agree that the city of Hopewell may make an independent investigation of my background and qualifications, including (a) under Sec. 2-61 (Criminal background check required as a condition of service to the city) of the city code, and (b) as to my references, past and present employment, education, involvement in litigation or other proceedings, and other items.