APPLICATION FOR OPEN TOWNSHIP ADVISORY BOARD POSITION
Application for:__________________________________________ Board/Commission/Committee
1. Name:
________________________________________________
2. Address:
________________________________________________
3. Phone:
Home:______________
Cell:__________________
Work:_______________
E-mail:_______________
4. Township Resident Yes __________
(or)
Property/Business Owner Yes _____
No ____________
How Long? _____________
No ____________
How Long? _____________
5. Please list any previous Township appointments or offices:
_______________________________________________________________________________
_______________________________________________________________________________
6. Please list any relevant employment or professional activities:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
7. Other community affiliations or activities you feel would be a benefit to this position:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
8. Are you aware of the meeting schedule for this Board/Commission/Committee, and are you available to
attend regularly scheduled meeting?
Aware of schedule?: Yes __________________
No________________
Can attend?:
Yes__________________
No________________ Unsure ____________
9. Why are you interested in serving on this Board/Commission/Committee?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
10. What talents or experience would you bring to this position?
_______________________________________________________________________________
_______________________________________________________________________________
11. What are your primary interests in Township Government and Township services?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
12. Any other comments or information you wish to provide to the Board consideration:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
__________________________________________
Signature
______________________________
Date
Thank you for your interest in serving as a volunteer Board/Commission/Committee member.
Appointments to Advisory Boards, Commissions and Committees are nominated and confirmed by consent of the full Board
of Commissioners. If you are applying for a specific and currently open position, you will be notified by the Township
Manager’s Office following the application deadline whether you are being nominated.
If you are submitting an application to be considered in the future as openings occur, you will be contacted by Township staff
when the vacancy is announced in order to confirm your interest in this specific opportunity.
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