BOARDS AND COMMITTEES

Volunteer Application Form

Request for Appointment: (Indicate preference order)

____ ABC Board

____ Board of Adjustment (BOA) and Lake Structures Appeals Board

____ Parks and Recreation Board

____ Zoning and Planning Board

____ Golf Course Advisory Committee

____ Lake Advisory Committee (LAC)

____ Other (please specify) :_______________________________________

Name: ________________________

Address: ______________________ Lake Lure Resident for ______ years

Home Phone #: __________________  Business Phone #: ___________________

Employer: ______________________ Address: ___________________________

Professional Activities: ________________________________________________

Volunteer Activities: __________________________________________________

Qualifications for serving on requested board/committee: _____________________

___________________________________________________________________

Other boards or committees on which you currently serve: ____________________

___________________________________________________________________

Reason you wish to volunteer: ___________________________________________

___________________________________________________________________

Please attach a resume or any additional information you feel is pertinent, especially current and prior occupation.