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Chatham County Surveys & Forms
Survey/Form Review
Volunteer Application Boards & Committees
Personal Information
Name
MAILING ADDRESS (P. O. Box or Street)
Town and Zip Code
HOME ADDRESS (if different than above)
Town and Zip Code
Home Phone
Email Address
Township that you reside in:
Are you currently serving on a board or committee in Chatham County?*
Please list in order of preference the boards and committees on which you would be willing to serve:
1.
2.
3.

Why do you wish to serve the county in this capacity?
Education
Please list your educational background. Include names of schools and degrees held.
Employment
Name of Employer
Address of Employer
Position
Work Phone
Civic Involvement
Please list the names of the civic organizations in which you currently hold membership:
Demographic Information (OPTIONAL) We ask your help in assuring the diversity of membership on our boards and committees. This section is optional, and you may leave it blank.
Date of Birth
IMPORTANT!! WHEN YOU PRESS THE SUBMIT BUTTON BELOW, YOU SHOULD RECEIVE A MESSAGE THANKING YOU FOR YOUR APPLICATION. IF YOU DO NOT RECEIVE THIS MESSAGE, YOUR APPLICATION WAS NOT RECEIVED. YOU MAY HAVE TO GO BACK AND FILL IN ITEMS HIGHLIGHTED IN RED AND RESUBMIT. Call 542-8200 if you try at least two times and are unable to submit the form.