CASCADE COUNTY
BOARD APPLICATION
Please complete this form and return it to the County Commission Office, Room 111 Courthouse Annex,
325 2
nd
Avenue North, Great Falls, MT. 59401. If you have any questions, please contact the Commission
Office @ (406) 454-6810. This application is designed to obtain information as to your interest and
qualifications for serving on a County Government Board.
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(Please Print or Type) Date_______________________________
NAME_______________________________________________________________________________
TELEPHONE (Home)__________(Work)_________(Cell)_________ (E-Mail)_____________________
CURRENT
ADDRESS____________________________________________________________________________
Previous Public Experience (Elected or Appointed) ____________________________________________
Previous Volunteering or County Boards _____________________________________________________
______________________________________________________________________________________
Current Volunteering or County Boards ______________________________________________________
Current
Employer______________________________________________________________________________
Education______________________________________________________________________________
Please indicate which of the following Boards/Trustee positions you are interested in.
Mark 1
st
, 2
nd
, 3
rd
choices below.
__ Board of Health __ Fire Fee Service Area __ Planning
__ Compensation __ Great Falls Airport Authority __ Tax Appeal
__ DUI Task Force __ Great Falls Transit __ Weed Board
__ ExpoPark Advisory __ Historic Preservation Advisory __ Zoning Board of Adjustment
__ Fire District Area __ Library Trustee __ Other
Please list special experience or education you may have for serving on any of the boards
(Additional information, comments or resume may be added to the back of this form.)