Form Center

2. Board & Commission Application for appointment by Town Council to:

   1. Board of Zoning Appeals
   2. Planning Commission
   3. Redevel. & Housing Authority

   1. Parks & Rec Advisory Commission
   2. Memorials Advisory Commission
   3. Other
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Contact Number*
14. Email Address*
16. Employer/Occupation*
18. Number Years in Colonial Beach*
19. Reside in Colonial Beach*

    1. Yes
    2. No
20. Date of Birth*
    Date of Birth
22. Occupational History *

    Occupational History & Specific experience that would prepare you for service as an advisor to the Town Council

24. Resume (Optional)
26. Education*

    1. High School/GED Diploma
    2. Technical College
    3. Other

    1. Bachelor's Degree
    2. Master's Degree

    1. Doctorate
    2. Associate's Degree
28. Volunteer experience and/or special skills*
30. Membership on Boards and Commissions often entails several evening meetings throughout the year. Meeting usually occur one or twice a month. Can we expect you to be available for these meetings?*

    1. Yes
    2. No
32. Are there any particular evenings during the week on which you would not be available? If so, what are they.

    1. Monday
    2. Thursday
    3. Sunday

    1. Tuesday
    2. Friday

    1. Wednesday
    2. Saturday
34. Have you served or do you now serve on any board or commission?*

    1. Yes
    2. No
35. If Yes, Explain.
37. Are you active in any civic or service organizations?*

    1. Yes
    2. No
38. Would your membership in such organizations, your professional associations, or business activity pose any potential conflict of interest or inappropriate association as a member of a town board or commission?*

    1. Yes
    2. No
40. In a few words, please describe your interests in local government. Please indicate how your appointment to a board or commission would contribute to the over-all quality of local government in Colonial Beach.*
42. Why does the Board or Commission interest you most?*
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field