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Committee Application Form

  1. City of Middleton Board/Commission/Committee Application Form

  2. See listing on board, commission, and committee home page

  3. Personal Information

  4. Residency Information

  5. Do you currently reside in the City of Middleton?*

  6. Education and Personal Interests

  7. Organization Membership Information

  8. Are you currently serving on other Boards, Commissions, or Committees?*

  9. Have you served on a Board, Commission, or Committee before?*

  10. Please type your name to attest the information you are submitting is true, accurate, and complete to the best of your knowledge.

  11. Leave This Blank:

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