Home Government City Council Boards & Committees Online Application for Citizen Boards and Committees Online Application for Citizen Boards and Committees Name:Address:Address Line 2:City or Town:State or Province:Zip or Postal Code:Phone:Fax:Email:List the name of each Board, Committee or Volunteer Opportunity on which you are willing to serve (in order of preference).1st Choice*2nd Choice3rd Choice4th ChoiceHow long have you been a resident of Fairborn?*List the names, dates of service and any offices held (i.e. Chairperson) of all City or related Boards or Committees of which you have been or are presently a member of below.*The City of Fairborn conducts background checks on all of its volunteers. A valid driver's license or state ID is necessary to process the application. Are you willing to authorize the Fairborn Police Department to conduct a local background check?* Yes No Driver's License / State ID Number* Have you every been convicted of a crime (excluding minor traffic offenses)?*Yes No If filling a vacancy on a board or committee, please indicate how you heard about it.Government Access Channel 5 Newspaper Utility Bill City Newsletter Facebook / Twitter Website Other Electronic Signature Agreement*By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.I agree. Electronic Signature*Full NameDate*dd/mm/yyyy