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2. To nominate yourself or someone else for appointment to Roanoke Neighborhood Advocates, please complete the printed application (requires the free Adobe Acrobat Reader) or submit the online form below:
4. First Name
5. Middle
6. Last Name
8. Home Address:
10. City
11. State
12. Zip Code
14. Telephone
15. Email Address
17. Years at Present Address
19. Business Information
21. Position
22. Employer
24. Date Employed
26. Business Address
28. City
29. State
30. Zip Code
32. Telephone
33. Fax
35. Email
37. Are you a resident of the city of Roanoke?
39. Are you over the age of 18?
41. Education
43. Civic Activities (include offices held, honors, etc.)
45. Availability of time to devote to this function
47. What is your motivation for serving on the RNA?
49. What do you hope to contribute as a member of the RNA?
51. What do you hope to gain as a member of the RNA?
53. Previous experience and special abilities that might qualify you for this appointment
55. If a deadline is listed with the vacancy announcement, your application must be submitted by the deadline in order to be considered. If you have any questions, please e-mail [email protected] or call (540) 853-5210. All applications will be open to the public, and applicants may be required to sign their applications in person at a later date.
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57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

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