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Application for Appointment to Committees, Boards and Commissions

Submit the online form below, or download/print and mail in the Application by mail

Application for Appointment to Committees, Boards and Commissions

To which committee, board or commission are you seeking appointment? Fill out one form for each committee/board/commission.
Have you ever attended this committee/board meeting?
- Yes
- No
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Date available for appointment
County Commission District
I am a registered voter in Otsego County
- Yes
In which township, city or village?
Community Service
List boards, commissions, committees or community service organizations that you are currently serving or have served upon, offices held and in what municipality or county
List any employment experience or education that, in your opinion, best qualifies you for this appointment. List job titles, duties (current and past), level of education and any certificates or degrees you have obtained
I have worked for Otsego County before
- Yes
If yes, please list dates and name(s) of departments
Personal
Rules of law and ethics prohibit appointees from participating in and voting on matters in which they may have a direct or indirect financial interest.
I am aware of potential conflicts of interest
- Yes
If yes, please indicate potential conflicts
I am aware of the time commitment necessary to serve on the committee, board and/or commission to which I seek appointment and will have such time*
- Yes
Please provide information about specific training, education, experience or interests you possess that qualify you as an appointee to the position you seek
I hereby certify that the preceding information is correct and to the best of my knowledge*
- Yes
Comments
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Application for Appointment to Committees, Boards and Commissions

Application for Appointment to Committees, Boards and Commissions

Community Service

Personal

Rules of law and ethics prohibit appointees from participating in and voting on matters in which they may have a direct or indirect financial interest.

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