Planning

Resilience Security Advisory Commission Application

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Resilience & Security Advisory Commission Application

Select the seat you want to apply for:*

Southcentral Borough Seat - Term Expires 09/20/2026Northwest Borough Seat - Term Expires 09/30/2026At-Large Seat Borough-wide - Term Expires 09/30/24 You must choose one.

Name:*

Invalid Input

Mailing Address:*

Invalid Input

City:*

Invalid Input

State:*

Invalid Input

Zip Code:*

Invalid Input

My Residence Address is DIFFERENT from my Mailing Address Invalid Input

Residence Address:*

Invalid Input

City:*

Invalid Input

State:*

Invalid Input

Zip Code:*

Invalid Input

Email:*

Invalid Input

Home Phone:

Invalid Input

Mobile Phone:

Invalid Input

How long have you lived in the area served by this Resilience & Security Advisory Commission?*

Invalid Input

In which of the 10 areas defining the scope of the commission do you have experience?*

Invalid Input

Comments (areas of interest, additional experience or qualifications, etc.):*

Invalid Input

 

Applicants are required to submit a resume.
To submit your resume, please email it to assemblyclerk@kpb.us.

 

Enter the characters shown here:*

Get new characters Invalid Input - Please enter the characters shown in the image.

Submit