Application for County Boards, Commissions, Committees and Authorities

All appointments to County Boards and Commissions are made by the Chesterfield County Board of Supervisors. 

Please indicate which board or commission you are interested in being appointed to and complete the application in its entirety. You can choose up to three boards or commissions that you are interested in serving.

If you have any questions about this form, or to check the status of your application, please contact the Clerk to the Board of Supervisors or by calling 804-796-7099. 

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Boards and Commissions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

References (1-3) are required for consideration.

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Application for County Boards, Commissions, Committees and Authorities

Application for County Boards, Commissions, Committees and Authorities

All appointments to County Boards and Commissions are made by the Chesterfield County Board of Supervisors. 

Please indicate which board or commission you are interested in being appointed to and complete the application in its entirety. You can choose up to three boards or commissions that you are interested in serving.

If you have any questions about this form, or to check the status of your application, please contact the Clerk to the Board of Supervisors or by calling 804-796-7099. 

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Magisterial District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Boards and Commissions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employment Experience {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please Share Your Interest and Commitment to Serve on this Committee. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

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Reference Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Reference Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Relationship/Business {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{binding NameFirstIfYouWouldLikeToAttachYourResumeYouMay_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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