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PUBLIC DOCUMENT
SUBJECT TO FREEDOM OF INFORMATION ACT
APPLICATION EXPIRES DECEMBER 31, 2021
Board and Commission Application
The Abingdon Town Council has adopted this application for use by individuals interested in appointment to
any of the Town’s advisory boards and commissions. To ensure your application will receive full
consideration, please answer all questions completely. Questions? Call 276-492-2149
Please return this application either:
In person (3
rd
floor of the Town Hall), 133 West Main Street, Abingdon, VA;
By mail, Boards and Commissions, Town of Abingdon, P.O. Box 789, Abingdon, VA 24212; or
kkingsley@abingdon-va.gov
***PLEASE PRINT OR TYPE***
Name Date: ________________________
Address City/State
Zip
Do you live inside the Town limits of Abingdon? Yes
No
Telephone: __________ __________
Email Address: (required) _______________________________________________________________
Place of Employment: ___________________________________________________________________
Address: _____________________________________________________________________________
Description of job duties: ________________________________________________________________
Educational background:
_____________________________________________________________________________________
_____________________________________________________________________________________
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Are you currently serving on a board or commission of the Town of Abingdon? Yes_____ No ______
If so, which Board(s) or Commission(s)?
__________________________________________________
When do(es) your present term(s) expire? (mm/yy) ___________________________________
Have you ever served on any boards or commissions in the past, either Abingdon or in other localities?
Yes __ No __
If so, name and date(s) of service? ______________________________________________________
Why do you wish to serve the Town in this capacity? Do you have an area of interest or background that
you
believe would be a beneficial service in this capacity? If so, what is it and how would it be helpful?
___________________________________________________________________________________
___________________________________________________________________________________
To the best of my ability, all information on this application is true and correct.
SIGNATURE
Thank you for your interest in appointment to the Town’s Advisory Boards and Commissions. **
Members of the Planning Commission, Economic Development Authority, Board of Zoning Appeals,
Housing and Redevelopment Authority, and Historic Preservation Review Board are required to complete a
Statement of Economic Interest.
Please circle any other committees you are willing to serve on:
Board of Building Code Appeals **
Planning Commission */**
Board of Zoning Appeals
Recreation Advisory Commission
Economic Development Authority
Sinking Spring Cemetery Committee **
Infrastructure Advisory Committee
Sustain Abingdon Committee
Historic Preservation Review Board */**
Tourism Advisory Committee **
Housing and Redevelopment Authority
Tree Commission
Muster Grounds Steering Committee
Virginia Highlands Small Business Incubator
*May be required to attend training and/or obtain certification during term
**Appointment contingent upon residency, qualified voter, or other qualifications as set forth in
Ordinance and/or bylaws
Note: All applicants are subject to background verification.