Pickens County Government - Board Application
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authority/Board/Commission of Interest
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Board of Tax Assessors (5yr. Term)
Beer & Wine Board (Open Term)
Development Authority (6yr. Term)
Airport Authority (4yr. Term)
Board of Appeals (3yr. Term)
Water & Sewer Authority (3yr. Term)
Planning Commission (4yr. Term)
Recreation Board (2yr. Term)
Election Board (Chairperson Only)
List any governmental authorities/boards/commissions on which you currently serve or have served:
Why do you want to serve on this authority/board/commission?
*
Describe what education and experience you have that will provide a benefit to this authority/board/commission:
*
** (For Board of Election Applicants Only) Are you a registered member of either the Pickens County Republican or Democratric Party?
Submit
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