Fillable CITIZEN APPLICATION FOR APPOINTMENT TO A NATRONA COUNTY (Natrona County)

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CITIZEN APPLICATION FOR APPOINTMENT TO A NATRONA COUNTY (Natrona County)

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The CITIZEN APPLICATION FOR APPOINTMENT TO A NATRONA COUNTY (Natrona County) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

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CITIZEN APPLICATION FOR APPOINTMENT
TO A NATRONA COUNTY COMMITTEE/COMMISSION/BOARD
ALL INFORMATION ON THIS FORM IS PUBLIC RECORD
Please return to:
Natrona County Board of County Commissioners
200 N. Center Street #115
Casper, WY 82601
PLEASE TYPE OF PRINT CLEARLY
(Last) (First) (MI)
PREFERRED ADDRESS HOME WORK
I am interested in serving on one or more of the following Board of Natrona County (Please prioritize if
more than one checked.)
NAME
CITY/TOWN
ZIP
MOBILE PHONE #
HOME PHONE #
EMPLOYER
OCCUPATION
BUSINESS PHONE #
EMAIL ADDRESS
Amoco Reuse Agreement JPB-3 yr term
Hall of Justice JPB-3 yr term
Casper Re-Entry Center Community Brd-3 yr term
Historic Preservation Commission-3 yr term
Central WY Fair Board-5 yr term
Juvenile Planning Commission-3 yr term
Central WY Senior Services BOD-3 yr term
Memorial Hospital BOT-3 yr term
Central WY Regional Water System JPB-3 yr term
Metro Animal Control Facility JPB-3 yr term
Citizen’s Transportation Advisory Comm.-3 yr term
Metropolitan Planning Commission-3 yr term
City-County Board of Health-5 yr term
Airport BOT-5 yr term
Economic Development JPB-3 yr term
Library Board-3 yr term
Planning & Zoning Commission-3 yr term
Community Action Partnership of NC-4 yr term
Travel & Tourism Council-3 yr term
Detention Center JPB-3 yr term
Weed & Pest Control District-4 yr term
NC Parks Board
Fire Fighters of NC-3 yr term
Planning & Development Board of Appeals-3 yr
term
What education or special training do you have which you feel particularly fits you for the appointment to this position?
What work experience or other experience do you have which will be beneficial in carrying out the responsibilities of this
position?
Referred by: Self Other
Please submit with a resume, letter of introduction, and references. Thank you for your interest to serve on a Natrona County
Board. You will be contacted regarding interview dates and times. It is possible there may be more candidates than Board
opening available, we encourage you to re-apply for consideration for consideration on future Board appointments.
SIGNATURE OF APPLICANT
DATE
Predator Management District BOD-3 year term
Vista West/West Gate JPB-3 yr term
Please print your completed form and mail it to the address listed. Keep a copy for your records.
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CITIZEN APPLICATION FOR APPOINTMENT TO A NATRONA COUNTY (Natrona County)

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Completed 18 July 2020

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