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Application for Appointment
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APPLICATION FOR APPOINTMENT
To Boards, Commission and Committees Advising the Story County Board of Supervisors
Date
Date
Select the Board, Commission, or Committee applying for
*
-- Select One --
Select One
Assessor's Examining Board
ASSET
Board of Adjustment
Board of Health
Board of Review
BooST
Civil Service Commission
Commission of Veterans Affairs
Compensation Board
Condemnation Compensation Board
Conservation Board
Planning & Zoning Commission
Applicants for Planning and Zoning Commission and Board of Adjustment must be eligible electors and reside outside of city limits in rural, unincorporated Story County.
Personal Information
First Name
*
Last Name
*
Home Address
*
City
*
State
*
Zip
*
Occupation
*
Address at Work
City
State
Zip
Home/Cell Phone Number
*
Business Phone Number
*
Email Address
Education
List Names of Boards of Commissions in Order of Preference
Selection One
-- Select One --
Assessor's Examining Board
ASSET
Board of Adjustment
Board of Health
Board of Review
BooST
Civil Service Commission
Commission of Veterans Affairs
Compensation Board
Condemnation Compensation Board
Conservation Board
Planning & Zoning Commission
Selection Two
-- Select One --
Assessor's Examining Board
ASSET
Board of Adjustment
Board of Health
Board of Review
BooST
Civil Service Commission
Commission of Veterans Affairs
Compensation Board
Condemnation Compensation Board
Conservation Board
Planning & Zoning Commission
Selection Three
-- Select One --
Assessor's Examining Board
ASSET
Board of Adjustment
Board of Health
Board of Review
BooST
Civil Service Commission
Commission of Veterans Affairs
Compensation Board
Condemnation Compensation Board
Conservation Board
Planning & Zoning Commission
Why do you wish to serve on this board?
What qualifications do you feel you have?
Do you have anything else to add?
Click Here to Upload Supporting Documents such as Resumes or DD-214s
THANK YOU FOR YOUR INTEREST IN SERVING STORY COUNTY.
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