3. 
6. HONOR FARM ENTERPRISE CITIZENS ADVISORY BOARD
   Application for Appointment
8. Contact Information
10. DATE
    DATE
12. FIRST NAME
13. Middle Initial
14. LAST NAME
16. HOME ADDRESS
18. CITY
19. STATE
20. ZIP
22. HOME PHONE
23. WORK PHONE
24. CELL PHONE
26. E-MAIL ADDRESS
28. ARE YOU CURRENTLY EMPLOYED WITH THE CITY OF PUEBLO?

    1. Yes
    2. No
29. OCCUPATION (or if RETIRED, your previous occupation)
31. Group Representation
33. Please select no more than TWO of the categories below according to what areas YOU would represent as a member of this board.

    1. Racing
    2. Off-Highway Motorized Vehicle Recreation
    3. Non-Motorized Trail Recreation
    4. Sky Corral Model Airplane Club

    1. Wildlife Preservation
    2. Other Recreational
    3. Open Space / Natural Resources Management
35. Questionnaire
    Please complete the following general information.
37. Please elaborate on your qualifications for or interest in the category or categories you selected above.
39. Why do you want to serve on the Honor Farm Enterprise Citizens Advisory Board?
41. What goals would you like to see this Board accomplish?
43. List any other civil or Community Commissions or Boards that you currently serve on.
45. List any other information that might be useful in consideration for your appointment to this Board.
49. Upload resume, references and/or other pertinent information
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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