Form

Committee Interest Form

You may complete the online interest form and it will be submitted to the County Executive Office.

First Name: Last Name: Address: City: State: OtherAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Country: Zip Code: Email Address: Phone Number: Fax Number: Comments: Committees (Please check all committees you are interested in): Adjustment Board Aging and Disability Resource Center Board Community Options Planning Commission Criminal Justice Coordinating Board Ethics Board GB Metropolitan Sewerage District Children with Disabilities Education Board Harbor Commission Board of Health Housing Authority Human Services Board Land Information Office Board Library Board Nicolet Federated Library Board Local Emergency Planning Committee Neville Public Museum Governing Board NEWCAP Board Planning Commission Solid Waste Management Board Professional Football Stadium District Board Transportation Coordinating Committee Traffic Safety Commission Community Service: Current Employer: Current Position: Educational Background: Employment History: Professional/Trade Affiliations: