VPCSF Board Member Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Work Phone *

(###)

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I would like to be considered for appointment to the *

Villa Park Community Services Foundation

City Treasurer

Investment Advisory Committee

Other

Supplemental Application *

The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law.

I hereby certify that the facts within the foregoing application are true and correct to the best of my knowledge.