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Application for Boards, Commissions and Commitees

  1. Board, Commission, Committee Application

    Thank you for your willingness to serve the Lisle community! Please complete this application for consideration to serve on a Village of Lisle Board, Commission, or Committee.

  2. Select the Board, Commission, or Committee applying for*

  3. PROFILE

  4. Are you a Lisle resident?*

  5. Are you a Lisle business owner?*

  6. Are you currently serving on a Board, Commission, or Committee?*

  7. Have you served on a Board, Commission, or Committee before?*

  8. Do you have any personal or business interest that could create a conflict (either real or perceived) if appointed?*

  9. Is there anything that would adversely affect public confidence in your appointment or service?*

  10. Boards, Commission and Committee Disclaimer

    I certify that the information provided in this application is true and correct to the best of my knowledge. I authorize all persons having information concerning my qualifications to release information to Village representatives and release such persons from all liability for any damages connected with the release of such information. I also release and discharge the Village of Lisle from any claims and damages, losses, liabilities, costs, expenses or any other charges or complaints arising out of the Village's use of any information provided pursuant to this release. I understand that affixing my name in this form is deemed an electronic signature that has the effect of a written signature and will be presumed a valid signature, absent notification otherwise. I hereby acknowledge that this application and information provided herein may constitute a public record under the Illinois Freedom of Information Act, and as such, may be released in accordance with all applicable public record laws.

  11. Please check this box after reading the above disclosure statement:*

  12. Leave This Blank:

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