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2. First Name*
3. Last Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code
13. Phone Number*
15. How long have you lived in the City of Fenton?*
17. Please give a brief summary of your educational and work background.
19. Please list any previous civic or service club involvement.
21. Please tell us more about yourself and your interest in serving on a board or commission for the CIty of Fenton.

23. The information you have supplied will be provided to the Arts & Culture Commission, the City Council, and is subject to public disclosure under the Michigan Freedom of Information Act. If you have any questions, contact the Office of the CIty Clerk at 810-629-2261.

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