Fillable Lane Community College Bond Oversight Committee Application for (Lane Community College)

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Lane Community College Bond Oversight Committee Application for (Lane Community College)

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The Lane Community College Bond Oversight Committee Application for (Lane Community College) form is 2 pages long and contains:

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  • 9 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lane Community College

BROWSE LANE COMMUNITY COLLEGE FORMS

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Lane Community College Bond Oversight Committee
Application for Appointment
General Information
Applicant Name ____________________________________________________________
Home Address _____________________________________________________________
Home Telephone # ______________________ Email ______________________________
Committee M
embership Designation (Check one)
___
_ I am applying for an at-large position, open to all district residents.
____ I am applying for a position to serve as a representative of construction
industry/business.
____ I would like to be considered for both positions
Employer Information
Name of Applicant’s Employer________________________________________________
Employer Address _________________________________________________________
Employer Telephone # ______________________ Email __________________________
Educational B
ackground (Optional)
(e.g
. college and/or university, degree/major, vocational and/or other training, certificates,
technical training, etc.)
Additional information
Are you now or have you ever been employed by Lane Community College? ____________
If yes, please list position(s) and year(s):
Describe your community service background including participation and membership in
local civic organizations. (You may attach an additional page or resume)
Describe your professional skills and training in finance, facilities, and/or construction or
other relevant experience, including participation in professional organizations. (You may
attach an additional page or resume)
Please answer the following questions:
How long have you been a resident within the boundaries of the District? ____ yrs ____ mo
Have you or your child(ren) ever attended Lane Community College? ____ yes ____ no
Comments: _______________________________________________________________
Do you have or have you had any other relatives or close friends who have attended Lane
Community College? ____ yes ____ no
Comments: _______________________________________________________________
Do you know of any reason, such as a potential conflict of interest (real estate, business,
litigation, etc.), which would adversely affect your ability to impartially serve on the Bond
Oversight Committee? ____ yes ____ no
Comments: _______________________________________________________________
Explain why you would like to be appointed to the committee
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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The committee normally meets three to four times per year. Is there a day(s) and time(s)
of the week that works best for you to meet?
_________________________________________________________________________
_________________________________________________________________________
Certification of Applicant
I certify that answers and statements in this document are true and complete to the best of
my knowledge and belief.
Signature ____________________________________ Date _______________________
Completed applications must be submitted to bond@lanecc.edu or mailed to:
Lane Community College
Attn: Vice President of Finance and Operations
4000 East 30th Ave
Eugene, OR 97405
Ve
r. 06/2020
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Lane Community College Bond Oversight Committee Application for (Lane Community College)

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Completed 26 July 2020

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