Application for Appointment to Public Office

Please complete this form to be considered to serve as a Village of Belgium Public Official. To be eligible to serve, an individual must be a citizen of the United States and the State of Wisconsin, a qualified elector, and a resident of the Village of Belgium.

Please indicated any Board or Commission you would like to serve on.

Village Board of Trustees

Plan Commission

Zoning Board of Appeals

Other

First name

Last name

Address

Phone

Please provide a brief statement as to why you would like to serve as a Village Official.

I certify that I meet all the Eligibility requirements for appointment to a Village of Belgium Public Office and I am able to attend required meetings.

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Application for Appointment to Public Office

Please complete this form to be considered to serve as a Village of Belgium Public Official. To be eligible to serve, an individual must be a citizen of the United States and the State of Wisconsin, a qualified elector, and a resident of the Village of Belgium.

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Belgium Village Hall

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