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City of Royal Oak, MI

support@romi.gov

203 S Troy St, Royal Oak, MI, 48067, US

APPLICATION FOR THE HUMAN RIGHTS COMMISSION

This application will provide the information to be considered during the appointment process. Applications are kept on file for one year, but will be superseded by any subsequent applications. Completed applications are open to public inspection upon request. 

Full Name

Full Address

At least four voting members must be Royal Oak Residents, while the other three members are open to people with an interest in the community such as a business owner, non-resident property owner, or employee at a business in Royal Oak. Are you applying as a:

Have you ever been convicted of anything other than a minor traffic violation?

This year, there are seats available for a 1-year, 2-year or 3-year term. Please rate in order from first choice, second choice and third choice as to which term you would prefer to apply to. 

 

First choice in term length

Second choice in term length

Third choice in term length

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Certification/Signature

I certify that there are no misrepresentations, omissions, or falsifications in the foregoing statements and answers, and that the entries made by me are true and complete. I further agree and consent in advance that any misrepresentation or falsification of any of the above information shall be cause, without any hearing, for rejection of this application or termination of appointment, depending upon when the falsification is discovered. I also consent for the City of Royal Oak to verify the information I have provided.

Full Date

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