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On which Board or Committee would you like to serve? (choose one).
Please choose an alternate if necessary. (optional)
Registration Number Found on Voter Card
All Town of Jupiter Board and Committee members are required to view the Palm Beach County Code of Ethics one hour long video prior to serving.
Please provide your last 5 years of work experience.
Decribe why your service on the requested board(s) or committee(s) would be beneficial to the Town of Jupiter.
Name of any Town of Jupiter boards or commitee you currently serve on or have served on in the past (list dates; type "none" if you have never served).
Please type your First and Last name
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