Online Forms

Town of Smyrna Committee Application

Athletics Committee

The Athletic Committee assists the Parks and Recreation Department and provides advice and communication regarding the rec leagues. One person chosen by each non-profit athletic organization that has an existing relationship with the Parks and Recreation Department is placed on this committee. Term of service is one (1) year.

The Athletic Committee Meeting is scheduled for the second Monday of each month at 5:30pm at the Parks Athletics Office (100 Sam Ridley Parkway East).

1

Date

 *

Date

2

Committee Requested

 *

Athletics Committee

3

Name

 *

Name

4

Full Address (must live within Smyrna City Limits)

 *

Full Address (must live within Smyrna City Limits)

Street Address

City

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Zip Code

5

You will need to provide verification of your address by submitting a copy of your driver's license or other State-issued ID.

You will need to provide verification of your address by submitting a copy of your driver's license or other State-issued ID. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

If you are unable to upload a file, here are other ways to submit a copy of your driver's license or State-issued ID:

• Submit via e-mail
• FAX to (615) 355-5715
• Deliver in person to City Hall (315 South Lowry Street, Smyrna)

6

Phone Number

 *

Phone Number

Phone Numberext.

Alternate Phone Numberext.

7

E-mail Address

 *

E-mail Address

8

Are you a registered voter?

 *

Are you a registered voter?

Yes

No

9

How long have you lived in Smyrna?

How long have you lived in Smyrna?

10

Employment

Employment

Current Workplace

Job Title

Length of Employment

11

Business Address

Business Address

12

Business Phone Number

Business Phone Number ext.

13

Education

Education

14

Past / Current Community Involvement

 *

Past / Current Community Involvement

15

Professional Organizations

Professional Organizations

16

Explain why you would like to serve on the Athletics Committee.

 *

Explain why you would like to serve on the Athletics Committee.

17

Do you know of any potential conflicts?

Do you know of any potential conflicts?

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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