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2. 
4. First Name
5. Last Name
6. Date
8. Place of Employment
9. Email Address
10. Length of Residency
12. Address1
13. City
14. State
15. Zip
17. Best Number to Contact You
19. I am interested in serving on one or more of the following Boards of Campbell County:

    1. Airport (5 Year Term)
    2. Boys & Girls Club (3 Year Term)
    3. Building Code Appeals (3 Year Term)
    4. Children's Developmental Services (3 Year Term)
    5. Corrections (4 Year Term)

    1. Fair (5 Year Term)
    2. Lodging Tax Joint Powers (3 Year Term)
    3. Joint Powers Fire (3 Year Term)
    4. Joint Powers Public Land (3 Year Term)
    5. Natural Resource and Land Use Plan (3 Year Term)

    1. Energy Capital Economic Development (3 Year Term)
    2. Parks and Recreation (5 Year Term)
    3. Planning Commission (3 Year Term)
    4. Predator Management District (3 Year Term)
    5. Public Health (5 Year Term)

    1. Public Library (3 Year Term)
    2. Rockpile Museum (3 Year Term)
    3. Senior Center (3 Year Term)
    4. Joint Powers Regional Water Panel (3 Year Term)
21. Please describe why you wish to serve on a Board, areas you would like to improve upon and specific objectives you would like to accomplish as a Board Member?
23. Please list all Boards you have previously served on and the length of your term?
25. Please list any formal Board training on programs, such as the Gillette Area Leadership Institute, in which you have participated?
27. If appointed to a Board, would you have any personal or professional conflicts of interest? If so, please describe.
29. Please describe any current or past association you have had with the organization to which you are applying to become a Board Member?
31. Please list your current and past areas of community and county involvement?
33. If you have any questions please call the Office of the Commissioners at 307-682-7283.Thank you for your interest in applying to serve on a Campbell County Board. You will be contacted regarding interview dates and times. It is possible there may be more candidates that Board openings available, we encourage you to re-apply for consideration on future Board appointments.
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