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Board/Committee Application
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Have you ever been convicted of a felony?
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Are you a City of Piqua Government Academy Graduate?:
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Background, Experience and Interest relative to the appointment to a City Board/Committee:
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Are you interested in serving on additional Committee? Please list in preference order.
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
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