Form Center

Step One

Name*
Address*
City*
State*
ZIP*
Home Phone*
Business Phone
Years as a County Resident*
Occupation & Employer*
May we contact you at work?*
1. Yes
2. No
Education Background
High School
1. Graduated
2. GED
College
1. Some College
2. Bachelor Degree
3. Advanced Degree
Have you ever been convicted of a felony?*
1. Yes
1. No
Relevant Job History
Previous Volunteer / Committee Experience
(Involvement with government committees, boards, projects, etc.)
Committee Involvement
Authorization Waiver
I have completed the above questions and to the best of my knowledge, what has been stated is true. If appointed, I agree to serve without reimbursement of any kind. I understand that I may be subject to a criminal records check. I further understand that irrespective of any criminal records check, the Solid Waste Agency may decline my volunteer application or volunteer services at time.
Digital Signature*
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Statement of Your Reasons for Desiring to Serve*
Please write a brief narrative describing your interest, qualifications and what you hope to accomplish in this position. Please include your skills, experience, and knowledge that you would contribute in this position.
Additional Document
(Please feel free to attach a cover letter, resume, or other helpful information.)
Additional Document
(Please feel free to attach a cover letter, resume, or other helpful information.)
Additional Document
(Please feel free to attach a cover letter, resume, or other helpful information.)
Statement of Any Relevant Concerns or Goals To Be Achieved While Serving On This Position:*
What do you think are the most critical issues facing the Solid Waste Agency in the next 3 years?*

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