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2. Please Read This Important Notice Before Filling Out Application:

   The Board of Commissioners greatly appreciates your interest. After review of the applications the Board will consider appointments at its Regular Meeting, which is normally the first Tuesday of the month. After the appointments have been approved at the Regular Meeting, each applicant will be contacted regarding his/her appointment. If you have any questions, please do not hesitate to call 706-769-5120 or email Holly Stephenson, County Clerk, at hstephenson@oconee.ga.us or Tracye Bailey, Deputy Clerk, tbailey@oconee.ga.us.

4. Name
6. Address
8. City
9. State
10. Zip Code
12. Occupation
14. Home Phone Number
15. Work Phone Number
17. Cell Phone
18. Email Address
20. Other:
22. I would like to apply for the following committee:

    1. Animal Control Board
    2. Board of Elections
    3. Board of Tax Assessors
    4. Keep Oconee Co. Beautiful Commission
    5. Development Authority
    6. Family & Children Services Board
    7. Farmland Preservation Ranking Committee
    8. Library Advisory Board
    9. Planning Commission
    10. Board of Health
    11. Tourism & Visitors Bureau
    12. Recreation Advisory Committee
    13. Other
24. Do you live within a city/municipality?
    -- Select One --YesNo
26. If yes, which city?
28. Briefly explain your educational background
30. Are you the owner or officer in any business or corporation?
    -- Select One --YesNo
32. Is your spouse/immediate family member an owner or officer in a business or corporation?
    -- Select One --YesNo
34. If yes, please list the name and activity of the business or corporation
36. Please explain any previous experience with State or Local Government
38. Briefly explain why you seek this appointment
40. If appointed, I agree to serve.
    Signature (Print Name)
42. Today's Date
    Today's Date
44. Would you be willing to serve on a committee for which you did NOT apply?
    -- Select One --YesNo
46. If yes:

    1. I would prefer to serve on (list committee below)
    2. I would like the opportunity to serve on any committee
48. List committee
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field