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Committee Application: Project Assistance Board

Please correct the field(s) marked in red below:

TownSeal

Town of Smyrna Committee Application

Project Assistance Board

The Project Assistance Program was created to provide financial assistance to citizens in the areas of utility services. The board consists of seven members including the Director of Utilities, the Police Department Community Services Coordinator and five members affiliated with benevolent organizations in the Smyrna / LaVergne area. Term of service is three (3) years.

The Project Assistance Board meets the second Tuesday of each month at 4:00pm at City Hall (315 South Lowry Street).

1
Date
 *
2
Committee Requested
 *
3
Name
 *
4
Full Address (must live within Smyrna City Limits)
 *
Full Address (must live within Smyrna City Limits)
5
You will need to provide verification of your address by submitting a copy of your driver's license or other State-issued ID.

If you are unable to upload a file, here are other ways to submit a copy of your driver's license or State-issued ID:

  • Submit via e-mail
  • FAX to (615) 355-5715
  • Deliver in person to City Hall (315 South Lowry Street, Smyrna)
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Phone Number
 *
Phone Number
7
E-mail Address
 *
8
Are you a registered voter?
 *
Are you a registered voter?
9
How long have you lived in Smyrna?
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Employment
Employment
11
Business Address
12
Business Phone Number
13
Education
14
Past / Current Community Involvement
 *
15
Professional Organizations
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Explain why you would like to serve on the Project Assistance Board.
 *
17
Do you know of any potential conflicts?
  1. To receive a copy of your submission, please fill out your email address below and submit.

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