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Name of Board, Commission, Task Force, Advisory Board, or Committee Appointment Sought*

Only choose one (1)

Why Do You Wish to Obtain this Appointment?*

Please Explain Your Level of Support for the 2006 Comprehensive Plan:*

What Skills, Education, Training, Experience or Area(s) of Expertise Would You Bring to the Appointment?*

Explain:

Please Include the Name of Board, Commission, Task Force, Advisory Board, or Committee Appointment, the Approximate Date(s) Served and a Brief Description of the Quality of Your Service

I hereby certify that the foregoing answers are true, and that should I be appointed to the board, commission, task force, advisory body or committee, and should a conflict of interest exist or develop with regard to a specific matter, I will disclose the conflict of interest and recuse myself from the deliberations and action involved. Conflicts of interest include, but are not limited to: a direct or indirect financial interest by myself or a member of my family, and other interest which impairs my ability to participate fairly in the deliberations and actions in question.*

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Town of Boone Board Application

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Why Do You Want to Be Appointed?

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