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Boards and Commissions Application

Application Date *

Dropdown *

Name *

First

Middle

Last

Address *

Address Line 1

City

State

Zip Code

Phone

Email *

About yourself

EDUCATION

School or University

Number of Years Attended

Subjects Studied

Skills

Employment and Other Positions Held

Current Employer

Name

Current Position

Employed From//

Employed To//

Boards / Committees that you serve on, or have served on

(business, civic, community, fraternal, political, professional, recreational, religious, and social)

Organization / Committee

Name

Position Held

From//

To//

Board / Committee Selection

Please indicate your interest in no more than FIVE boards and committees as shown in the drop down selection below. Please mark your selection beginning with your first choice. Note you are not required to chose all 5 selections. Click the button below to submit this application:

Applying for Board / Committee (1st Choice): *

Applying for Board / Committee (2nd Choice):

Applying for Board / Committee:

Are you willing and able to attend board meetings? (which may be day or evening) *

Additional Comments

County Clerk Menu

County Clerk

100 West Washington Street
Hagerstown, MD 21740
Room 1101

Telephone: 240-313-2204
FAX: 240-313-2201

The office is open from 7:30 a.m. to 4:30 p.m. Monday – Friday

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ABOUT WASHINGTON CO.

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About yourself

Employment and Other Positions Held

Boards / Committees that you serve on, or have served on

Board / Committee Selection

County Clerk

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