Online Application Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSelect the public interest category(ies) in which you are active and that you wish to represent: *Student active in a community college support group, such as student governmentCommunity at-largeBusiness community located in the DistrictSenior citizens' organizationTaxpayers' associationSupport organization for the District, such as a FoundationWhy do you want to serve on the Citizens’ Bond Oversight Committee? *Brief statement of qualifications: *Please list three professional references, including name, position, and contact information: *Are you an employee, vendor, contractor, or consultant to the District? *YesNoDo you have conflicts that would preclude your attending quarterly meetings? *YesNoDo you know of any reason, such as a potential conflict of interest, which would adversely affect your ability to serve on the Citizens’ Bond Oversight Committee? *YesNoAre you willing to comply with the ethics code included in the bylaws? *YesNoApplications are reviewed and, when appropriate, forwarded to the Board of Trustees for review and approval in public open session. Personal information such as address, phone, and email is NOT included in the information provided to the Board, however completed applications become public records and cannot be kept confidential by law..CommentSubmit Application
