APPOINTED OFFICIALS APPLICATION
Name: _______________________________________________________________________________
Address: _____________________________________________________________________________
_____________________________________________________________________________________
Phone Number: ______________________
Email Address: ________________________________________________________________________
Occupation: ___________________________________________________________________________
Years living at current residence: _____ Years as West Columbia resident: ____
Are you a current resident of West Columbia? _____________
Are you currently a registered voter? ____________________
Community Organization Involvement: _____________________________________________________
____________________________________________________________________________________
Professional Experience: _________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________