City of South Lyon

Application for Appointment

Name  Date

Address

Date of Birth Telephone

Occupation  Employer

Education and/or Related Experience-

Citizen of the United States? Y    N

Are you in default to the City? Y    N

Is a member of your family an elected official of the City? Y    N   If yes, please print the individual's name ______________________________________

Position(s) interested in-

Planning Commission     Parks & Recreation Commission    Board of Review 

Zoning Board of Appeals      Historical Commission         Building Authority 

Housing Commission        Beautification Committee  

Special Qualifications-

Describe why you are interested in this position-

How long have you lived in South Lyon?

Previous Residence

References: 

                  1.

                   2.

Please print this application and mail to City Clerk, 335 S. Warren, South Lyon, Michigan 48178 or copy and paste application into an e-mail message to City Clerk.