Board Bank Application
Full Name:
*
Mr., Mrs., Miss, Rank:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
example@example.com
Home Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Business Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Profession / Vocation:
*
Current Employer:
*
Which Board(s)/Commission(s) do you wish to serve on?:
*
Agency on Aging
Alcohol Safety Action Program
Arts Commission of York County
Arts Commission of Williamsburg
Beautification Committee
Board of Building Code Appeals
Board of Equalization
Board of Zoning & Subdivision Appeals
Chesapeake Bay Board
Colonial Behavioral Health
Colonial Juvenile Services Commission
Community Criminal Justice Board
Comprehensive Plan Steering Committee
Community Services Grants Advisory Committee
Economic Development Authority
Employee Grievance Panel
Historical Committee
Historical Triangle Bicycle Advisory Committee
Historic Yorktown Design Committee
Library Board
Local Finance Board
Marquis Community Development Authority
Parks & Recreation Advisory Board
Planning Commission
Senior Center Board
Social Services Advisory Board
Towing Advisory Board
Virginia Peninsula Community College Board
Wetlands Board
Williamsburg Regional Library Board of Trustees
Youth Commission
Why are you interested in serving on this Board/Commission/Authority?
What specific education, experience or other expertise do you have that makes you well qualified to serve on this Board/Commission/Authority?
Select the highest level of education completed:
*
High School
Associate Degree
Bachelor's Degree
Master's Degree
Other
Job experience:
*
Are you now or have you ever been active in civic or service organizations? If yes, which organization(s) and in what capacity?:
*
Are you currently serving on a Board/Commission?
*
Yes
No
Please list the Boards/Commissions you are currently serving on:
(If Applicable)
Have you previously served as a member of a York County Board or Commission?
*
Yes
No
If so, which Board or Commission?
Are you a registered voter?
*
Yes
No
What district do you live in?
*
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