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Boards & Commissions Online Application

  1. (If retired, please indicate so and include former occupation)
  2. Preferred Mailing Address*
  3. Statistical Information Only
    Must be completed to be considered for volunteer service
  4. Gender*
  5. Boards / Commissions / Committees / Authorities
    List three choices of Boards / Commissions / Committees to which you desire appointment listed in order of preference:
  6. Are you willing / able to serve on multiple boards?*
  7. The following must be completed in order to be considered for appointment:
  8. This application will be maintained in the Name Bank for two years and is subject to disclosure under the Freedom of Information Act.
  9. Leave This Blank:

  10. This field is not part of the form submission.