Fillable APPLICATION TO SERVE ON APPOINTED BOARDS COMMITTEES OR (Union County Government)

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APPLICATION TO SERVE ON APPOINTED BOARDS COMMITTEES OR (Union County Government)

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The APPLICATION TO SERVE ON APPOINTED BOARDS COMMITTEES OR (Union County Government) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Union County Government

BROWSE UNION COUNTY GOVERNMENT (NC) FORMS

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Revised 3/18/2013 Page 1
APPLICATION TO SERVE ON APPOINTED BOARDS
COMMITTEES OR COMMISSIONS
BOARD:
NAME:
ADDRESS:
TOWNSHIP: YEARS IN UNION COUNTY
TELEPHONE: (Home) (Office)
(Fax)
E-mail Address:
EDUCATION:
List Schools, dates attended, Degrees obtained
OCCUPATION:
Past 3 and current employers and positions held
Please list civic and fraternal organizations in which you participate in Union County.
Revised 3/18/2013 Page 2
Please explain your interest in serving on the above named board:
Any other comments:
Have you ever been convicted of a felony?
Date: Signature:
Note: Information provided in this application is considered a matter of public record. It is,
therefore, subject to disclosure and copying upon request pursuant to North Carolina's Public
Records Law, N.C.G.S. §132-1, et seq.
Return to: Lynn G. West, Clerk to the Board, 500 N. Main Street, Room 921, Monroe, NC 28112 or Fax to
704-282-0121 or e-mail to
west@co.union.nc.us.
FOR OFFICE USE ONLY: Date Received:
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APPLICATION TO SERVE ON APPOINTED BOARDS COMMITTEES OR (Union County Government)

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Completed 18 July 2020

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