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City of Battle Creek Board and Commission Application

  1. City of Battle Creek Board and Commission Application

    Please select the board(s) or commission(s) on which you are interested in serving. This application will remain active for one year from the date of receipt.

  2. Boards and Commissions

  3. Do you live in the City of Battle Creek?

  4. Are you at least 18 years of age?

  5. Please attach additional documents and information here, if necessary to complete your application.

  6. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. By signing this form, you acknowledge that any or all information on this form may be verified, and consent to the release of this information for publicity purposes.

  8. Leave This Blank:

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