DAYTON TOWNSHIP
BOARDS AND COMMITTEES
APPLICATION FOR APPOINTMENT

When complete please return to
Township Clerk :
P.O. Box 305
Mayville Mi. 48744

Name:_______________________________________________________
Address______________________________________________________
Phone #______________________________________________________

Check the board or committee you are interested in:
____Board of review
____Compensation committee
____Road committee
____Zoning Board of Appeals
____Cemetery Committee
____Election inspector
____Zoning board
____Blight enforcement officer
____Other
____Ambulance Representative___________________ Mayville Ambulance Service
____Library Representative_______________________ Mayville Area Representative
____ Library Representative_______________________ Opperman Memorial Library/Kingston

Reason you are interested:

___________________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Experience and/ or education that will help you in this position:

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Applicant Signature________________________________ Date_________

Use reverse side if necessary.