Columbus Consolidated Government
Clerk of Council
Biographical Sketch of Board Member Nominee Form

Name:

Nominated By Councilor:

Nominated for what board:

Date Nominated:

Non-Board Member? Yes No

For Position Formerly Held By:

Nominee's Home Address:


Nominee Resides In State Senatorial District No.: 15 29

Are you a resident of Muscogee County? Yes No
yrs mos

If less than one year, list former city:

Nominee's Phone Numbers:
Home Work Cell

Nominee's Email Address:


Nominee's Business Address:


Nominee's Occupation:

Nominee's Civic Activities:


Comments: