CITY OF
LAVONIA
"A GEORGIA
CITY OF
EXCELLENCE"
12221
Augusta Road
P
.
0
.
Box 564
Lavonia,
GA 30553
Office:
(706) 356-8781 Fax
:
(706)
356-4694
Website:
lavoniaga.gov
Board/Commission/ Authority Application Form
Complete this form and return to: Lavonia City Hall, P.O. Box 564, Lavonia, GA 30553
Name __________________________________________________Phone ______________________
Address ________________________________________________Email________________________
For which Board/Commission/Authority are you applying? _____________________________________
1) What is your vision for this Board position?
2) Relevant community and/or professional experience.
3) Have you previously served on other Boards? If so please list.
4) Why are you interested in serving as a Board Member?
5) Area(s) of expertise/contributions you feel you can make as a Board Member.
6) If not appointed to this Board/Commission/Authority, are you willing to serve on any others? If so
please list.