2. First Name
3. Last Name
5. Street Address
7. Phone Number
8. Email Address
10. Are you a registered voter and a resident of the City of Columbus, MS?
11. Select One

    1. Yes
    2. No
13. Board position you are applying for (Select One)
    -- Select One --Civil Service CommissionConvention & Visitors BureauCity Utilities CommissionColumbus Municipal School DistrictColumbus Housing AuthorityMunicipal Election CommissionColumbus-Lowndes Library BoardZoning Board of Adjustment & AppealsBoard of Adjustment & Appeals of Development CodesHistoric Preservation CommissionCity Planning CommissionGolden Triangle Regional Waste Management AuthorityTree BoardGolden Triangle Airport BoardRedevelopment Authority BoardGolden Triangle Link Development BoardColumbus Lowndes Airport Board
15. Please tell us why you would like to serve on this board.
17. Educational Background
19. Professional Experience
21. Other Experience
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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