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Collects applicant identification, contact details, employment and prior work history, and volunteer experience. Requests disclosure of current or past elected/appointed offices, understanding of the board role, meeting attendance availability, potential conflicts of interest, and weekly time commitment. Includes sections for relevant expertise areas, highest education, voter and property tax status, criminal background check authorization, and signatures with staff-only council district and recommendations.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/county-boards-and-commissions-application-form/305683/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/county-boards-and-commissions-application-form/305683.png","ImageObject",442,249,{"name":88,"@type":89},"Theodora","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-15","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Is this form for new appointments or reappointments?","Question",{"text":109,"@type":110},"The form supports both new appointment and reappointment, indicated by the applicant selecting the appropriate option.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What disclosures are required about offices and potential conflicts?",{"text":114,"@type":110},"Applicants must state whether they currently hold or previously held elected/appointed office in the county, and whether they have personal connections to the board’s work that could pose a conflict of interest.",{"name":116,"@type":107,"acceptedAnswer":117},"How is meeting attendance and background checking handled?",{"text":118,"@type":110},"The form asks whether the applicant can attend regularly scheduled meetings and will pledge participation if appointed, and it includes authorization for a criminal background check by the county and its agents.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305683,1791122021,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},687197207919,"https://ap-avatar.wpscdn.com/avatar/a000253d6f5f7c60be?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779446848396160552","Sample Application Form for County Boards and Commissions  \nThis application is for: 􀂉 Reappointment 􀂉 New appointment  \nTo which board or commission are you applying?    \nIn order for your application to be given consideration, it is critical that you answer all questions as completely as possible.  \n􀂉 Mr. 􀂉 Mrs. 􀂉 Ms. Name:   Home address:   City:   Zip Code:   Home phone:   Work phone:   Occupation:   Employer:   Employer address:   Previous work experience:    \n__________________________________________________________________________________________  \nVolunteer experience (please list and describe):  \n__________________________________________________________________________________________  \nDo you currently hold any elected or appointed office in [county name]? 􀂉 Yes 􀂉 No  \nIf yes, please list this office:   Have you ever held any elected or appointed offices in [county name] in the past?  \nIf yes, please list these offices:   Describe your understanding of the role of the board or commission to which you are applying:  \n__________________________________________________________________________________________  \n__________________________________________________________________________________________  \nHave you ever attended a meeting of this board or commission? 􀂉 Yes 􀂉 No  \nCan you attend at the regularly scheduled date and time of the board or commission meetings? 􀂉 Yes 􀂉 No If appointed, will you pledge to faithfully attend the meetings and actively participate? 􀂉 Yes 􀂉 No  \nDo you have any personal connections to this board’s work that might pose a conflict of interest? 􀂉 Yes 􀂉 No If yes, please describe:   How many hours per week are you available to dedicate to this board or commission?    \nWhy did you decide to apply for a position on this particular board or commission?    \n__________________________________________________________________________________________  \nWhat specific skills do you have to contribute as a member of this board or commission?    \n\n| Do you have expertise in any of the following areas? Please check all that apply: |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| 􀂉 Accounting 􀂉 Corrections 􀂉 Inspections |  |  | 􀂉 | Recruiting |\n| 􀂉 Administration 􀂉 Education 􀂉 Investigation |  |  | 􀂉 | Research |\n| 􀂉 Auditing 􀂉 EMS 􀂉 Landscaping |  |  | 􀂉 | Soil and Water |\n| 􀂉 Budgeting 􀂉 Engineering 􀂉 Law |  |  | 􀂉 | Training |\n| 􀂉 Communications 􀂉 Fire Service 􀂉 Planning |  |  | 􀂉 | Waste Management |\n| 􀂉 Construction\u003Cbr>􀂉 Contracting | 􀂉 Healthcare\u003Cbr>􀂉 Information Systems | 􀂉 Public Relations\u003Cbr>􀂉 Purchasing | 􀂉 | Zoning |\n| List any additional information relevant to items checked above: _ |  |  |  |  |\n|  |  |  |  |  |\n\n__________________________________________________________________________________________  \nHighest degree of education earned:    \nSchool attended:   Field of study:   Do you have any relatives currently employed by [county name]? 􀂉 Yes 􀂉 No  \nIf so, please list relative(s) name(s):   Are you currently a registered voter in [county name]? 􀂉 Yes 􀂉 No  \nAre you current in payment of [county name] property taxes? 􀂉 Yes 􀂉 No  \nI understand this appointment will require substantial effort on my part and I am willing to devote the necessary time to carry out the responsibilities and requirements of the position.  \nI hereby authorize [county name] and/or its agents to conduct a criminal background check and further understand that the same investigation can be considered for or against appointment to a board/commission for [county name] .  \nSignature:   Date:    \nRecommended by:    \nStaff Use Only  \nCouncil district:    \nIf this is a reappointment, percent of meetings attended last year:   Does this person have the recommendation of the board or commission chairperson?   Comments of the board chairperson about this applicant:    \n_________________________________________________________________________________  \n___________________________________________________________________________","cbCaijR1LwQstvP7","https://ap.wps.com/l/cbCaijR1LwQstvP7","pdf",215693,"English","# Application purpose and board selection\n## Applicant information\n## Experience, offices, and role understanding\n## Attendance and conflict of interest\n## Skills and expertise areas\n## Education and disclosures\n## Authorization and submission","[{\"question\":\"Is this form for new appointments or reappointments?\",\"answer\":\"The form supports both new appointment and reappointment, indicated by the applicant selecting the appropriate option.\"},{\"question\":\"What disclosures are required about offices and potential conflicts?\",\"answer\":\"Applicants must state whether they currently hold or previously held elected/appointed office in the county, and whether they have personal connections to the board’s work that could pose a conflict of interest.\"},{\"question\":\"How is meeting attendance and background checking handled?\",\"answer\":\"The form asks whether the applicant can attend regularly scheduled meetings and will pledge participation if appointed, and it includes authorization for a criminal background check by the county and its agents.\"}]","County Boards and Commissions Application Form | PDF",1789827100]