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City of Madison Heights Application for Boards and/ or Commissions


  1. 1. Step One
  2. 2. Background Check
  • Step One

    1. Indicate the board you wish to apply for with an "x" in the box provided (Please use one application per board)*

      *Appointment to the Planning Commission will require you to resign from all other Boards/Commissions. (Code of Ordinances Section 2.109 and MCL 125.33(3))

    2. Do you currently serve on any other Boards/Commissions?*
    3. Have you ever been arrested and convicted of a misdemeanor or felony*
    4. Type Name
    5. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.*
    6. Thank you for your interest in serving on an Advisory Board or a Commission. This application will be kept on file for ONE YEAR. All information in this application is public information and subject to disclosure in response to public records request made pursuant to the Freedom of Information Act.