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Eligibility: Applicants must live and/or work within the Fairfax 94930 zip code area or must own a business with a commercial storefront in Fairfax. You are asked to attend a meeting of the committee before submitting this application.
Please check all that apply to you: * Required
- Resident
- Work in Town
- Own a business in Town
- I have attended a RESJ meeting
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Please explain your interest in serving on this committee.
Please describe your work/life experience or background relevant to serving on this committee.
The RESJ has several categories of membership. Please select all categories of membership you would like to be considered for:
- Youth (Under 18)
- Senior (65+)
- Black, Indigenous, and/or Person of Color (BIPOC)
- At-Large
- No preference
- Prefer not to state
Electronic Signature * Required
- By printing your name below and checking this box you agree that represents your electronic signature on the application.
Please type your full name here. * Required
Date
MM slash DD slash YYYY
Please return your application by clicking "submit" at the end of this form.

If you have questions or concerns contact Town Clerk Michele Gardner at: mgardner@townoffairfax.org

Your completed application will become a public record upon submittal to the Town.

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