Admin Use: Received: Resident: Y N Ward: Appointed To: Appointment Date:
Town of Fort Mill
Application for Service on Town of Fort Mill
Board, Commission, or Committee
Do you live within town limits?
Years at current address:
Current Occupation/Employer:
On which board, commission, or
committee are you interested in
serving? (Check all that apply.)
Board of Zoning Appeals
Historic Review Board
Building Code Board of Appeals
Stormwater Advisory Committee
Strawberry Festival Committee
Other
Other
Do you have any special training
and/or experience that would
qualify you for this position?
Are you serving, or have you
served, on any governmental
board, commission or committee?
How many hours are you willing to
commit each month?
By submitting this form, I certify that all information included in this application is true and accurate:
Return Completed Form To:
MAIL: Town of Fort Mill, Attn. Virginia Burgess, 200 Tom Hall Street, P.O. Box 159, Fort Mill, SC 29716
FAX: (803) 548-4722 E-MAIL: vburgess@fortmillsc.gov