APPLICANT INFORMATION 
Name 
Street Address 
City   State   Zip 
Cell Phone   Home Phone 
Email 
 
AREAS OF INTEREST
Check the board or commission you are interested in.
 
Beautification Commission
Bicentennial Task Force
Board of Review
Board of Zoning Appeals (BZA)
Brownfield Redevelopment Authority
Cemeterian Task Force
Downtown Citizens District Council 
Downtown Development Authority (DDA)
Historic District Commission
Housing Commission
Liquor License Review Committee (LLRC) 
Northville Senior Advisory Commission
Planning Commission
Youth Network Commission                               
If you are applying due to a current vacancy, how did you hear about it?
 City News    City Website    Social Media
 Other   
Attended meeting(s) of this board or commission? Yes No
If yes, approximate dates 
Why do you want to serve on this board or commission?
Areas of expertise you would bring to this board
 
ADDITIONAL INFORMATION
Briefly summarize the following:
Education
Occupation (if retired, list former occupation)
Civic Involvement
 
CHARTER AND OTHER STATUTORY REQUIREMENTS 
City Charter and other State statutes have minimum qualification requirements that apply to certain boards.  Contact the City Clerk at [email protected] with questions.
Registered to vote in the City of Northville  Yes    No
Resident of the City of Northville in (Month and Year) 
Related to any city elected official or spouse?    Yes No
Related to the City Manager or spouse? Yes No
Explain relationship
In default to the City (taxes, UB, etc.)    Yes    No
In default to any other govt unit of Michigan     Yes   No
Answer these questions if you are applying to serve on the Downtown Development Authority (DDA):
Own property in the DDA district?  Yes  No  
If yes, provide property address                                   
Place of business in the DDA (owner or employee)? Yes  No   
If yes, provide business name and address 
Resident of the DDA district? Yes  No
 
APPLICATION CERTIFICATION 
Please note: Applications are kept on file for a period of 2 years.  If you are not appointed in that period, you must reapply.  When a vacancy occurs, the City Council Board/Commission Selection Committee reviews applications, interviews applicants at an Open Meeting, and makes an appointment recommendation to City Council.
By submitting this application, I certify the foregoing statements and answers are true and complete.  I agree in advance that any misrepresentation or falsification of any of the above information shall be cause for rejection of this application or termination of appointment, depending upon when the falsification is discovered.  I consent for the City of Northville to verify the information provided.
I understand and agree to the Application Certification    Yes   
 
 
 
 
 
 
                               
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