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Boards & Commissions Application

  1. NOTE: To submit this form you do not have to sign in or create a Jackson County Form Center account above. However, you will have to complete the form in its entirety without the option to save your progress unless you do create an account.

  2. THANK YOU

    We appreciate your interest in serving the citizens of Jackson County through applying to serve on one of our boards or commissions. Your application will be given thoughtful consideration.

  3. Contact Information

  4. Check All The Boards/Commission For Which You'd Like To Be Considered*

  5. Are you currently a member of this board?*

  6. Education

  7. Graduated*

  8. Graduated

  9. Graduated

  10. Current Employment

  11. PDF and Word Doc. accepted

  12. General Questions

  13. Could you or your family be affected financially by decisions made by the board or commission for which you are applhying?

  14. Have you been a registered lobbyist or have you employed a lobbyist at any time during the past five years?

  15. If yes, did you receive any compensation?

  16. If board/commission meetings are held during the day, will be able to come prepared and ready to actively participate?

  17. Military Service

  18. Have you ever been on active duty in the U.S. military?

  19. Personal Information

  20. Gender

  21. Are you a U.S. citizen?*

  22. Are you registered to vote in Jackson County?*

  23. Have you ever been convicted of a crime or offense? (Exclude traffic violations for which the fine was less than $200.)*

  24. Leave This Blank:

  25. This field is not part of the form submission.