Durham County, NC: Board Application

Name

First NameLast Name

Email Address*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What district do you live in?*

Primary Phone*

Primary Phone

Alternate Phone

Which Boards would you like to apply for?*

Specific seat you are applying for: (i.e., At-Large, Optometrist, Private Sector, etc.)*

Qualification for specific seat;*

Occupation:*

Employer

Job Title

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Telephone Number:*

Business Fax Number:

In which zip code area do you reside?*

Education:*

Name of any Durham County or City of Durham Board/Commission/Committee on which you presently serve:*

If reapplying for a position you presently hold, how many consecutive terms have you served?

Based on your qualifications and experiences, briefly describe why your services on this Authority/ Board/Commission/Committee would be beneficial to the County of Durham:*

Are your City and County property and motor vehicle taxes currently paid in full?*

Other information you consider pertinent: (i.e., civic memberships, related work experience, etc.):

How did you find out about Durham County Boards and Commissions vacancies?*

Upload a Resume

Ethnicity*

Gender*