2008-2011 Secure Rural Schools
Dixie NF Resource Advisory Committee
Membership Interest
If you are interested in serving a four-year term as a Dixie National Forest Resource
Advisory Committee member please complete the following information and return this
form to the Dixie National Forest, Attn: Gretchen Merrill-RAC,, 1789 North Wedgewood
Lane, Cedar City, Utah 84721. Only hard copy applications will be accepted.
Applications are due by May 1, 2009 at 5:00 p.m.
Name:
Organization:
Address:
Phone:
Fax:
Email:
Please indicate interest group(s) you represent (check all that apply):
Category A Category B Category C
Organized labor or non-timber
forest product harvester groups
Nationally recognized
environmental organizations
Hold State elected office or
their designee
Developed outdoor recreation, off
highway vehicle users, or
commercial recreation activities;
Regionally or locally recognized
environmental organizations
Hold county or local elected
office
Energy and mineral development
interests; or commercial or
recreational fishing interests
Dispersed recreational activities American Indian tribes
within or adjacent to
committee area
Commercial timber industry
Archaeological and historical
interests
School officials or teachers
Hold Federal grazing or other land
use permits, or represent
nonindustrial private forest land
owners, within the area for which
the committee is organized
Nationally or regionally recognized
wild horse and burro interest
groups, wildlife or hunting
organizations, or watershed
associations
Represent the affected
public at large.
Secure Rural Schools Forest Service U. S. Department of Agriculture
www.fs.fed.us/srs
Print Form
Secure Rural Schools Forest Service U. S. Department of Agriculture
www.fs.fed.us/srs
Provide a brief statement explaining why you would like to serve, what special
qualifications or expertise you may have, or any other information you would like to
include (use back of page if necessary).