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1/5/12 2:27 PM


Volunteer for a Board, Commission or Committee

Volunteer Applications will be kept on file for two (2) years from the date of submittal.  You must be a registered voter to serve on a board, commission or committee.

Please use the Tab key to move through the form.  The "Enter" key has been disabled on this form to prevent accidental submissions.  Please don't use any dashes (hyphens) in your responses. 

Fields in red are required.

Personal Information
Please fill in the blanks.



Education Information
 Please list education that applies to your interest in serving Washington County.
:

Employment Information
 Please list the positions you have held in the last five years, beginning with the most recent.

Community Activities
 Please list below any civic, political, hobby-related, religious, or other organizations to which you have belonged. Include the name of the organization, special projects that you worked on, positions you held, and the dates of membership.

Current Service
 Do you presently serve on a public board or commission? If so, please list those with which you are involved and state whether it is a local, regional, state, or federal group.






Areas of Interest
 Please indicate below FIVE(5) areas at most that interest you and rank them in order of your preference. Pick Only
FIVE(5) Areas of Interest.
Select Five (5) Areas of Interest Level of Interest Clear Buttons
1 = Very Interested, 2 = Interested, 3 = Somewhat Interested 1 2 3
Adult Public Guardianship Review Board Clear Buttons
Advisory School Design Review Committee Clear Buttons
Agricultural Education Center Clear Buttons
Agricultural Marketing Advisory Committee Clear Buttons
Agricultural Land Preservation Advisory Board Clear Buttons
Agricultural Reconciliation Board Clear Buttons
Airport Advisory Commission Clear Buttons
Animal Control Authority Clear Buttons
Black Rock Golf Course Clear Buttons
Commission on Aging Clear Buttons
Disabilities Advisory Commission Clear Buttons
Economic Development Commission Clear Buttons
Electrical Board Clear Buttons
Emergency Services Advisory Council Clear Buttons
Ethics Commission Clear Buttons
Fire & Rescue Communications Advisory Committee Clear Buttons
Gaming Commission Clear Buttons
Historic District Commission Clear Buttons
Historical Advisory Committee Clear Buttons
Housing Authority Clear Buttons
Local Management Board Clear Buttons
Mental Health Authority Clear Buttons
PenMar Development Corp. Clear Buttons
Planning Commission Clear Buttons
Plumbing & Mechanical Board Clear Buttons
Property Tax Assessment Appeals Board Clear Buttons
Recreation & Parks Board Clear Buttons
Social Services Board Clear Buttons
Solid Waste Advisory Committee Clear Buttons
Tri-County Council for Western Maryland Clear Buttons
Water & Sewer Advisory Commission Clear Buttons
Women's Commission Clear Buttons
Zoning Appeals Clear Buttons

Please choose no more than five areas of interest.


Comments
Are there other areas of concern to you? Is there anything else about yourself that you'd like to state on this application? Please describe:



Thank you for your willingness to make a difference in Washington County by offering your time and service. Your application will be kept on file for the next two years with the Board of County Commissioners and will be consulted when appropriate board vacancies arise.

Validation:
Please type the numbers on the right into the text box to prove you are a Human and not a Bot!

Volunteer Applications will be kept on file for two (2) years from the date of submittal.