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Board Application Form
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Select the Board, Commission, or Committee applying for
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Board of Adjustments
Urban Deer Advisory Group
Animal Shelter Advisory Board
Carbon County Airport Board
Carbon County Visitor's Council
Fire Civil Service Commission
RR Golf Course Advisory Board
Old Pen Joint Powers Board
Parks & Recreation Advisory Committee
Police Civil Service Commission
Rawlins Community Shooting Range Advisory Board
Urban Systems Commission
How do you pronounce your name? This will help council say in correctly during a motion to appoint.
Contact Phone Number
How long have you lived in Rawlins?
Are you a registered voter
Education, Experience and Hobbies
What knowledge, skills and experience will you bring to the Board/Commission/Committee you are applying for?
Occupation, Profession or Position
Please tell us about your work experience.
Please tell us about your education.
Please tell us about your interests.
Organization Membership Information
Please list any current or past experience on City Boards, Commissions, or other City volunteer opportunities, as well as any offices held:
Please list current activities or volunteer work (i.e., involvement in the areas of Health, Social Services, Education, Recreation, Youth, Aging, Government, Community Relations, Art, History, Agricultures, etc.):
Do you have a unique perspective regarding issues facing the board(s)?
Please list, if applicable, any curcumstances that may restrict your availablity to serve. Please also feel free to use this space to provide us any additional information. Thank you!
Please feel free to provide us with any additional information you believe would assist us in our appointment process. Use additional sheets if necessary. Letters of recommendation are welcome but certainly not a requirement.
I certify that all information contained on this application is true and complete to the best of my knowledge and belief. I understand that any misrepresentations or falsifications may result in removal of appointment.
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