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2. Date*
   Date

   Date
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Home Number
16. Work Number
18. City Ward
19. Email Address
21. Occupation
23. Employer
25. Are you currently a resident of the city of Midland?*

    1. Yes
    2. No
27. In what year did you become a city resident?*
29. Are you a resident of the downtown district or live within .5 miles of it?*

    1. Yes
    2. No
31. Are you a property or business owner in the district? *

    1. Yes
    2. No
33. If Yes please provide the name and address of the business
35. The Downtown Development Authority Board of Directors meets regularly on the second Wednesday of every other month beginning with January at 3 p.m. at City Hall. The Board's meetings are cablecast on MGTV-96. Meetings are scheduled to be approximately two hours in duration. Other special meetings and training sessions may be conducted throughout the year as necessary.
37. Are you available to meet at these times?*

    1. Yes

    1. No
39. Why are you interested in serving on the Downtown Development Authority Board of Directors?*
    If attaching documentation please simply write: Attached
41. Why do you feel you are qualified to serve on the DDA Board of Directors?*
    If attaching documentation please simply write: Attached
43. List any other information you feel would be pertinent in assisting the City Manager in his selection (you're welcome to attach a resume or list any relevant personal or professional accomplishments).*
    If attaching documentation please simply write: Attached
45. Appointed members are expected to attend all meetings of the board. A position shall be considered vacant if a member shall miss four (4) consecutive, regular held meetings, or if a member misses more than 25% of the regular meetings scheduled in any fiscal year.
47. Signature
    The above information is accurate. I have read and understand the requirements to serve as a member on the Downtown Development Authority Board of Directors.
49. Note: Unless otherwise indicated, all information included on or attached to your application will become a matter of public record and will be viewable on the City of Midland website as an informational item attached to City Council agendas. If you would like one or more pieces of information - such as a home phone number - removed from the application and/or any accompanying attachments you provide for City Council's consideration, please indicated that below, and those items will be removed before the information is posted to the City's website.
51. Please Remove:
53. Please return this form to the City Manager's Office. 333 W. Ellsworth Street, Midland, MI 48640-5132, or by fax 989-837-5727 to the attention of Patty Wilke.
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field