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2. Application for appointment to: East Lansing Farmers Market Advisory Committee
4. Name*
6. Address*
8. Address2
10. City
11. State
12. ZIP
14. Phone Number*
15. Email*
17. Describe any experiences that led to your desire to serve in the community *
19. Provide a brief biography including your skills, background and expertise, as well as involvement in the community, professional or other nonprofit organizations that are specifically applicable to this board or commission*
21. Important Public Records Information
    All information submitted in this application is public information and subject to disclosure in response to a public records request made pursuant to the Freedom of lnformation Act. Please contact the City Clerk at (5l7) 319-6914 if you have any questions or concerns about the disclosure of specific information.
23. Truth and Accuracy*

    I certify that the information contained on this form is accurate and complete to the best of my knowledge. I understand that all information disclosed on this form will be available to the public as part of a Freedom of Information Act request.

    1. Yes
    2. No
25. Name*
26. Date*
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field