[Lee County, NC] Boards and Commissions Application

NOTE: If you do not recieve e-mail confirmation of your completed application, please reach out to Hailey Hall, Clerk to the Board, at hhall@leecountync.gov or 919-718-4605 ext 5521.

BOARDS AND COMMISSIONS

If applying for the Consolidated Human Services Agency Board, please notate what position you are applying for:

IMPORTANT

Applicants under the age 18 must have a parent or guardian's signature authorizing the application.

YOU MUST BE A RESIDENT OF LEE COUNTY TO APPLY.

Youth Council Applicant School and Grade

Youth Representative Applicant School and Grade

Applicant Name

First Name

Last Name

Home Address

Street Address

City

State

Zip

Mailing Address

Street Address

City

State

Zip

Home Phone / Cell Phone

Years Living in Lee County

District You Live In

Employment Information

Employer

Occupation

Other Municipal or County boards/commissions on which you serve:

Race (Information for the purpose of assuring a cross section of the community)

Please list three (3) local personal references and phone numbers

(Generally, the Board of Commissioners desires to broaden participation on Boards/Commissions for as much citizen involvement as possible; therefore per Board policy, appointees can serve on no more than two (2) Boards/Commissions at a time)

Are you related to anyone currently serving on any County board/commission?

Please state your relative's name and board on whlich they serve

Reason(s) you wish to serve

If you wish, you can click here to upload a document for a more detailed reason or reasons for applying to serve

Click Here to Upload

Applicant or Parent/Guardian Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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NOTE: If you do not recieve e-mail confirmation of your completed application, please reach out to Hailey Hall, Clerk to the Board, at hhall@leecountync.gov or 919-718-4605 ext 5521.

NOTE: ALL TAXES MUST BE PAID IN FULL BEFORE BEING CONSIDERED FOR APPOINTMENT. THIS APPLICATION IS CONSIDERED A PUBLIC RECORD. APPLICATIONS WILL BE ACCEPTED ON AN ONGOING BASIS FOR ANY VACANT POSITIONS. FOR QUESTIONS, CONTACT THE CLERK TO THE BOARD OF COMMISSIONERS AT HHALL @LEECOUNTYNC.GOV OR AT 919-718-4605 EXT. 5521

NOTE: APPLICATIONS ARE SUBJECT TO NC PUBLIC RECORDS LAW AND MAY BE DISCLOSED PURSUANT TO A PUBLIC RECORDS REQUEST.

COUNTY OF LEE APPLICATION TO SERVE ON BOARDS/COMMISSIONS