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2. Applications to fill a vacant seat of the City of Beaumont Finance & Audit Committee will be accepted until filled.
4. First Name*
5. Last Name*
7. Primary Phone*
8. Alternate Phone
10. Home Address*
12. Address 2
14. Email*
16. Occupation/Profession
17. Employer Name
19. Are you 18 year of age or older?*

    1. Yes
    2. No
20. Do you reside in the City of Beaumont?*

    1. Yes
    2. No
22. Questions
24. Are you aware of any conflicts, financial or otherwise, which could affect your appointment as a Finance & Audit Committee member?

    1. Yes
    2. No
26. If you answer "Yes", please explain*
28. Qualifications - Briefly state your qualifications, including any education, skill, or background related to finance & audit functions*
30. Additional Information
32. Resume
34. Additional Information
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field