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2. Purcell Parks & Recreation Advisory Board Member Application

   Thank you for your interest in applying for the Parks & Recreation Advisory Board for the City of Purcell.  Members of this board advise the City Council, City Manager, and Parks & Recreation Director on ideas for operations, projects, and mission. Meetings are currently held on every second Wednesday of the month at the Purcell Multi-Purpose Center at 7:00pm.

   Please fill out the following information to be submitted to the current Parks & Recreation Advisory Board and to the City Council for consideration.  All members are sworn in upon City Council approval.

4. Full Name*
5. Email Address*
7. Physical Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
15. Are you an active user of parks & recreation in Purcell?*

    1. Yes
    2. No
16. Have you attended Parks & Recreation Advisory Board meetings in the past?*

    1. Yes
    2. No
18. Are there previous Parks & Recreation projects that you feel have been a benefit to the community? Please list them below:*
20. What are your reasons for wanting to join the Purcell Parks & Recreation Advisory Board?*
22. Please list any boards, committees, organizations, or other achievements you have accomplished in the past:*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field