District 7 County Commissioner Application

Name:
Address:
City, State, Zip Code:
Home Phone:
Business or Cell Phone:
Occupation:
Employer:
Are you a registered voter and resident of District 7?
List your interests and qualifications for the vacancy.
List any other information you feel would be pertinent in assisting the County Board of Commissioners in their selection.
List membership on any other civic Boards and/or Committees and any other elected positions.
Why do you want to serve as a county commissioner?
What are the roles and responsibilities of a county commissioner?
If appointed for this seat, do you intend to run for the 7th District Commissioner position in the upcoming election?
What is your e-mail address?

Please validate by entering the text from the image below into the provided field.
YOU WILL THEN BE ABLE TO CLICK THE SEND BUTTON TO SUBMIT YOUR FORM.

Generate New Image Get Audio Code

Missing Browser Plug-In

Enter the text from the image into this field. It is NOT case sensitive