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Boards and Commissions Application Form

  1. Applicant Information

  2. References

    Please provide 2 references

  3. Board Selection and Qualifications

  4. Select all commissions and boards for which you would like to be considered:*

  5. Qualifications for Serving

    Please read the Qualifications for Serving provided below. These are the general qualifications to serve on any board or commission of the City of Bentonville.

  6. Committee-Qualifications

  7. I have read the above qualifications to serve on a city commission or board.*

  8. Restrictions on Appointees

    Please read the Restrictions on Appointees provided below. Then type in your name and date to confirm that you are aware of and, if appointed, agree to the following rules.

  9. Appointee-restrictions

  10. By typing in your name above, you confirm your awareness and agreement to follow the above listed restrictions on appointees.

  11. Leave This Blank:

  12. This field is not part of the form submission.