Application For Appointment

 
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Application for appointment to     
First Name     
Last Name     
Address     
City     
Zip     
Home Phone     
Occupation     
Employer     
Business Address     
City     
Zip     
Are you a resident of Calhoun County     
Length of residence in Calhoun County     
Education     
Relevant Organizations/Affiliations     
Relevant Employment/Volunteer Experience     
Work Phone     
Military Service (for Veteran's Affairs Committee Applicants)     
Brief Statement as to interest in serving on this Board/Commission     
Have you been convicted of a felony within the past 10 years?     
If yes, please explain (You do not need to disclose a felony that has been legally expunged.)     
Are there any felony charges pending against you?     
If yes, please explain. (Answering yes to either question does not necessarily disqualify an applicant.)     
References (Name, Address, Phone)     
Reference #1     
Reference #2     
Reference #3     
Note: You may be required to be a resident of Calhoun County to serve on certain boards and committees.   
Email Address     
Are you employed in Calhoun County     
Upload resume or Curriculum vitae in one of the following formats: Word(.doc,.docx), PDF(.pdf), Plain Text(.txt)  

 
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