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2. PLEASE FILL OUT THE APPLICATION BELOW. ACCOUNT CREATION IS OPTIONAL.
   You do not need to create an account to apply, Please fill out the application below and click submit at the end.
4. Application to a Montrose County Board Position

   Thank you for your interest in applying for a Montrose County Board position. Please be as thorough as possible when completing this application. After screening all submitted applications, interviews will be conducted by the Board of County Commissioners. 

6. First Name*
7. Last Name*
9. Street Address*
11. City*
12. State*
13. Zip Code*
15. Email*
16. Best Phone Number*
17. Secondary Phone #
19. What Board are you applying to?
    -- Select One --Airport Advisory BoardBoard of AdjustmentCitizens Advisory CommitteeColorado River Water Conservation BoardCounty Fair BoardCounty Housing AuthorityCounty Planning CommissionCounty Weed CommissionGunnison Basin RoundtableHistoric Landmark Advisory BoardMMH Board of TrusteesMontrose Regional Library DistrictNucla/Naturita Cemetary DistrictOlathe Cemetary DistrictRegion 10Southwest Basin RoundtableSouthwest Water Conservation DistrictWest End Advisory Committee7th Judicial District Community Corrections Board
23. PERSONAL INFORMATION
25. Tell us about yourself. Also, please describe any volunteer or community activities in which you are currently involved.*
27. Will you be able to attend one Board meeting each month, and attend additional committee meetings each month?*

    1. Yes
    2. No
31. EMPLOYMENT HISTORY
33. Current employer or if retired, name of previous employer. Please include address, telephone number, how long in position, and job title.*
35. Additional employment history. Please include address, telephone number, how long in position, and job title.
37. Additional employment history. Please include address, telephone number, how long in position, and job title.
41. EDUCATION
43. List your highest level of education, including name, city and state of educational institution. Please also include what degree you earned and the year of graduation.*
47. QUESTIONS
49. What do you view as your role on the Board you are applying to?*
51. How is your professional and/or personal experience relevant to this Board position and what do you hope to achieve as a board member?*
55. REFERENCES - PLEASE PROVIDE THREE PROFESSIONAL OR PERSONAL REFERENCES
57. REFERENCE 1
59. Reference 1 Name*
60. Relationship *
61. Years Known*
62. Phone #*
64. REFERENCE 2
66. Reference 2 Name*
67. Relationship*
68. Years Known*
69. Phone #*
71. REFERENCE 3
73. Reference 3 Name*
74. Relationship*
75. Years Known*
76. Phone #*
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit Submit and Print

* indicates a required field