2. 

3. COMMUNITY ALLIANCE APPLICATION

5. Name*
6. Email Address*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number (Primary)*
15. Type of Phone*
    -- Select One --PersonalWork
16. Phone (Secondary)
17. Type of Phone
    -- Select One --PersonalWork
19. Are you a resident of Snohomish county and reside within the boundaries of the Sultan School District?

    1. Yes
    2. No
20. Do you have children who attend Sultan School District? *

    1. Yes
    2. No
22. Are you currently a registered voter? *

    1. Yes
    2. No
24. Do you have any relatives that are employees of the City of Sultan? If yes, which Department do they work with?*
26. Please explain your interest in serving on the Alliance Board.*
28. Community-oriented experience relevant to the Alliance Board:*
30. Community involvement: *
32. Additional comments:
34. 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.
36. Electronic Signature*
37. Date*
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field