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Board & Commission Application

  1. 200 Jackson St.
    P.O. Box 1428
    Fairmont, WV 26555-1428
    Ph: 304-366-6211, ext. 315
    Fx: 304-366-0228

  2. By completing this form, you are indicating your interest to serve on a city board, commission or committee. The Fairmont City Council and/or the City Manager make the appointments. All appointments remain at the discretion of the City Council and/or the City Manager. This application is a public document and will be on file for 2 years.

  3. Do you reside within the city limits of Fairmont?*

  4. Education*

  5. Provide dates.

  6. If you are appointed, could you meet:*

  7. Please check your 1st preference of the city boards, commissions and committees for which you would like to be considered for appointment:*

  8. Please check your 2nd preference of the city boards, commissions and committees for which you would like to be considered for appointment:*

  9. Please check your 3rd preference of the city boards, commissions and committees for which you would like to be considered for appointment:*

  10. Please specify day/evening.

  11. Please specify day/evening.

  12. Please specify day/evening.

  13. Leave This Blank:

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