Boards, Commissions, and Committees Online Application

First Name *

Last Name *

Street Address *

City *

Must be a resident of the City of Platteville. (few exceptions apply)

State *

Must be a resident of Wisconsin.

Email Address

Phone Number *

Formal Education

Organizational Memberships

Activities & Interests

Preference

Please list the top three boards, commissions, and committees you would prefer to serve on in order of preference.

Other Information

Please list any or all of the above choices by name and why you want to be on that particular committee and what you can contribute to that specific committee.

The colors on the American flag are Red, White, and ...

Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

Boards, Commissions, and Committees Online Application

Contact Information