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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.