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Board/Commission Application

  1. Cassilly Letterhead header

    County Executive and County Council members will review the following information for your possible appointment to a board or commission. 

    Please note, this data will become public information.

  3. Board or Commission Preference(s):*

    *Term runs concurrent with County Executive’s Administration

  4. Are you a registered voter?*
  5. What is your political affiliation?*

    (Some county boards and commissions require a balance of political-party representation)

  6. (Civic/Organizations)

  7. To the best of my knowledge, the above information is correct and may be used by the County Executive and the County Council in considering my nomination to a board or commission.
  8. (Please type your name here)

  9. This document is available in alternative format upon request.

  10. Leave This Blank:

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