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2. Name*
3. Email Address*
5. Address
7. City
8. State
9. Zip Code
11. Phone (Home)
12. Phone (Cell)
13. Phone (Work)
15. Are you a U.S. citizen? *

    1. Yes
    2. No
16. Have you been a City of Sultan resident for at least one year?*

    1. Yes
    2. No
17. Are you involved in litigation against the City?*

    1. Yes
    2. No
19. Do you have any relatives who are employees of the City of Sultan (please list)?
21. Please explain your interest in serving on the Salary Commission.
23. Please describe your community involvement.
25. Additional comments:
27. 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.

    1. I agree.
29. Electronic Signature
30. Date
    Date
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field