Type of Appointment:

Please indicate the Board/Committee(s)/Commission(s) to which you are interested in being appointed:

Enter a 1, if only one choice. If more than one, please number in order of choice with 1 as highest choice.
 

Human Services Advisory Committee

(typically meets monthly the second Thursday at 6 p.m.)

Social Services Task Force

(typically meets monthly the first Tuesday at 6 p.m.)

Mental Health Task Force

(typically meets monthly the first Thursday at 6 p.m.)

South Central Children’s Project Children’s Cabinet

(meets quarterly)

South Central Children’s Project Local Advisory Committee

(meets quarterly)

Community Corrections Advisory Board

(typically meets the second Friday at 7:30 a.m.)

Extension Committee

(typically meets bi-monthly)

Recycling Education Committee

(typically meets the first Tuesday at 5:30 p.m.)

Environmental Services Advisory Committee

(typically meets every other month on the third Thursday at 3:45 p.m.)

Planning Commission

(typically meets the first Wednesday at 7:30 p.m.)

Board of Adjustment

(typically meets as needed on the first Wednesday at 7 p.m.)

Applicant Information

Briefly tell us why you want to serve and/or continue to serve on this Board/Committee/Commission:

If this is a reappointment, briefly describe your experiences while serving on this Board/Committee/Commission:

List any special background or experience you have which would be helpful to this Board/Committee/Commission:

List your educational background:

List any social, fraternal, patriotic, governmental, or service organizations, which you have or currently are serving on:

If you are employed, please provide the name and address of your employer and your position: