RequestTracker Forms • Guthrie • CivicEngage

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Application for City Council

Leave This Blank:

Name:

Address:

Number of years at this address?

Are you a registered voter?

Yes

Home Phone:

Cell Phone:

Email Address:

Occupation:

Employer:

What interests you in serving on the City Council?

Please identify the issues you feel are important to Guthrie and/or your key areas of interest:

Have you participated in the City of Guthrie Citizens Government Academy?

Yes

If so, when?

Have you served on any City of Guthrie Board or Commission?

Yes

If so, when?

Please list your educational background:

Please provide three personal references:

Have you been a resident of Guthrie for at least two years?*

Yes

Have you verified that you live within the boundaries of the Ward you are applying for?*

Yes

Are you at least 21 years of age?*

Yes

Do you have a criminal history?

Yes

If so, please explain:

Are there any other things that you would like us to know?

* indicates required fields.