Fillable Fseprd519902 (USDA Forest Service)

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Fseprd519902 (USDA Forest Service)

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Secure Rural Schools
Daniel Boone Resource Advisory Commiee Membership Interest
If you are interested in serving a four-year term as a Resource Advisory Commiee member please complete the
following informaon.
Name: ______________________________________ Organizaon: ____________________________________
Address: ______________________________________________________________________________________
Phone: __________________________ Fax: _______________________ Email: _________________________
Please indicate interest group(s) you represent (check all that apply):
Category A
Organized labor or non-mber
forest product harvester groups
Developed outdoor recreaon,
o highway vehicle users, or
commercial recreaon acvies;
Energy and mineral development
interests; or commercial or
recreaonal shing interests
Commercial mber industry
Hold Federal grazing or other
land use permits, or represent
nonindustrial private forest land
owners, within the area for which
the commiee is organized
Category B
Naonally recognized
environmental organizaons
Regionally or locally
recognized environmental
organizaons
Dispersed recreaonal
acvies
Archaeological and historical
interests
Naonally or regionally
recognized wild horse and
burro interest groups, wildlife
or hunng organizaons, or
watershed associaons
Category C
Hold State elected oce or
their designee
Hold county or local
elected oce
American Indian tribes
within or adjacent to
commiee area
School ocials or teachers
Represent the aected
public at large.
Provide a brief statement explaining why you would like to serve, what special qualicaons or experse you may
have, or any other informaon you would like to include.
Secure Rural Schools • Forest Service • U. S. Department of Agriculture • www.fs.fed.us/srs
United States Department of Agriculture
Email:
Fill out this form and email to:
kimberly.bonaccorso@usda.gov
Print this form, ll out and mail to:
ATTN: Kimberly Bonaccorso
Daniel Boone Naonal Forest
1700 Bypass Road
Winchester, KY 40391
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Fseprd519902 (USDA Forest Service)

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Completed 20 July 2020

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