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Advisory Committee membership application
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Name
Address
City
State
ZIP code
Phone:
alternate phone
email address
Are you a resident of Columbia County?
Please list, in order of priority, any Columbia County committee or commission on which you would be interested in serving, and why.
Please list all current and past volunteer activities.
Please list all education.
Please list the name, address and telephone numbers of two people who may be contacted as references who know about your interest and qualifications to serve on a Columbia County committee or commission.
Please list potential conflicts of interest between your private life and public services which might result from service on a committee or commission.
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