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2. 

4. First Name*
5. Last Name*
7. Home Address*
9. City*
10. State*
11. Zip Code*
13. Mailing Address (if different)
15. City
16. State
17. Zip Code
19. Phone Number*
20. Email Address*
22. Employer*
23. Occupation/Profession*
25. Are you a high school student applicant?*

    1. Yes
    2. No

    Students must be high school grade level and residing or attending school in Forest Grove or Cornelius. 

27. If so, which grade level and school do you attend?*
29. Are you currently on the Sister Cities Committee and reapplying?*

    1. Yes

    1. No
31. Do you reside within the City limits of Forest Grove or Cornelius?*

    1. Yes
    2. No
33. What specific topics interest you that relate to the Sister Cities Committee?*
35. What contributions do you hope to bring to the Sister Cities Committee? *
37. List your educational experience*
39. List any community involvement, appointed offices, elected offices and/or affiliations*
41. How did you hear of this opportunity*
43. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
45. Electronic Signature
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field