APPOINTED OFFICIALS APPLICATION
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
______________________________________________________________________________________
Phone Number: _________________________________________________________________________
Email Address: _________________________________________________________________________
Occupation: ____________________________________________________________________________
Years living at current residence: _____
Years as West Columbia resident: ____
Community Organization Involvement: _______________________________________________________
______________________________________________________________________________________
Professional Experience: __________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Academic Background: ___________________________________________________________________
______________________________________________________________________________________
Additional Information: ___________________________________________________________________
______________________________________________________________________________________
200 N. 12
th
Street, West Columbia, SC 29169
803-791-1880
Signature: ______________________________________________________________________________
I am interested in: _____ Planning Commission
_____ Zoning Board of Appeals