INTEREST FORM FOR COMMITTEE OR BOARD POSITIONS
Which Board or Committee are you interested? ______________________________
NAME________________________________________________________________
RESIDENCE ADDRESS _________________________________________________
MAILING ADDRESS ____________________________________________________
HOME PHONE ________________________________________________________
WORK PHONE ________________________________________________________
E-MAIL _______________________________________________________________
CURRENT EMPLOYER/ OCCUPATION
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POSITION ____________________________________________________________
RESIDENT OF THE CITY OF DRIGGS SINCE ____/____/____
RESIDENT OF TETON COUNTY SINCE ____/____/____
RESIDE IN THE DRIGGS AREA OF IMPACT ?
yes
no
DESCRIBE THE EXPERIENCE THAT YOU WOULD BRING TO THE COMMISSION
(attach additional sheet or resume if desired):
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City of Driggs - 60 S Main St - PO Box 48 - Driggs, Idaho 83422
Phone: 208-354-2362 Fax: 208-354-8522
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WHY DO YOU WANT TO BE CONSIDERED FOR APPOINTMENT TO THE
COMMISSION? (attach additional sheet if necessary)
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DO YOU ANTICIPATE ANY CONFLICT OF INTEREST IN ANY FINDING WHICH YOU
MIGHT BE REQUIRED TO MAKE AS A MEMBER OF THIS BOARD?
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City of Driggs - 60 S Main St - PO Box 48 - Driggs, Idaho 83422
Phone: 208-354-2362 Fax: 208-354-8522