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City of Virginia Beach
webforms@vbgov.com
577 Central Drive
,
Virginia Beach
,
VA
,
23454
,
US
Virginia Beach Mayor's Committee for Persons with Disabilities Online Application
Type of Membership
Individual (Disabled)
Individual (family member of a Disabled Individual)
Service Provider
Organization
Ex-officio
Organization Information
Ex-offcio
Name
Email
Phone Number
Full Address
Street Address
City
State
Zip
Educational Background
Occupation/Employer
Civic/Volunteer Activities
Additional Background Information
Describe your involvement/interests with Persons/issues for Persons with Disabilities.
Why are you interested in serving on this Committee?
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