Form Center

2. Name
3. Email Address
5. Home Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Years of Residence
14. Date
    Date
15. Current Occupation/Employer
19. Business Address
21. City
22. State
23. Zip Code
25. Business or Cell Phone Number
27. Community Activities:
29. Please provide a brief statement concerning your interest in serving on a board or commission.
31. Upload a file of your statement (or a continuation of what you typed), if desired.
33. Select the board(s) or commission(s) in which you are interested.

    1. Appearance Review Commission
    2. Board of Building Appeals
    3. Board of Police Commissioners
    4. Board of Zoning Appeals
    5. Cable & Telecommunications
    6. Cemetery Commission
    7. Community Relations Commission
    8. Electrical Commission

    1. Family Days Commission
    2. Fine Arts Commission
    3. Plan Commission
    4. Police Pension Board
    5. Stormwater Management
    6. Sustainability Commission
    7. Village Center Commission
    8. Volunteer Engagement Commission
35. Of the selections you made, rank them in order of preference (1 being most desired).
37. The undersigned acknowledges that information contained is this application may be retained in the files of the Village of Deerfield for future use in consideration of the undersigned’s application.
39. Applicant's E-Signature
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

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