2. Board Preferences*

   Choose three (3).

   1. Board of Tax Appeals
   2. Board of Water and Sewer Charge Appeals
   3. Board of Water and Sewer Charge Review
   4. Board of Zoning Appeals
   5. Community Appeals Board
   6. City Plan Board
   7. Citywide Development Board of Trustees
   8. Civil Service Board
   9. Compensation Board
   10. Dayton Board of Building Appeals

   1. Environmental Advisory Board
   2. Greater Dayton Premier Management
   3. Greater Dayton Regional Transit Authority
   4. Greater Downtown Priority Land Use Board
   5. Housing Appeals Board
   6. Human Relations Council
   7. Joint Office of Citizens - Ombudsman
   8. Landmarks Commission
   9. North Central Priority Land Use Board
   10. Northeast Priority Land Use Board

   1. Port Authority
   2. Procurement Enhancement Program Oversight Committee
   3. Sister Cities Committee
   4. Southeast Priority Land Use Board
   5. Special Improvement District Committee
   6. Use-of-Force Committee
   7. Welcome Dayton Committee
   8. West Dayton Development Trust Fund Advisory Board
   9. West Priority Land Use Board
4. Full Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Fax Number
16. Years in Dayton*
18. Business Affiliation
19. Position / Title
21. Business Address
23. City
24. State
25. Zip Code
27. Business Phone Number
28. Email Address
30. Commitment to the Community*

    Please list professional, community, church, civic affiliations, or societal causes for which you have served the Dayton community. Include any office, committee, or leadership positions held, and the time of your affiliation.

32. Ability to Set and Achieve Goals*

    Describe your most significant career or civic achievement. Please be specific, including the primary goals set, how they were achieved, and your responsibility in establishing and achieving the goals.

34. Employment*

    Describe your current job position, responsibilities, and how long you have held this position. Also describe your most memorable employment responsibility.

36. Education*

    Please list schools, fields of study, degrees earned, and conferences and/or training programs you have attended.

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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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