Butte County California: Board Application

Profile

First Name *
Middle Initial
Last Name *

Email Address *

Primary Phone * Primary Phone
Alternate Phone Alternate Phone

Home Address *
Suite or Apt
City *
State *
Postal Code *

Which Butte County Supervisorial District do you live in? *

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If you don't know which District you live in, click here to lookup your address: https://gisportal.buttecounty.net/portal/apps/webappviewer/index.html?id=0e7d184a5d6e454fa16f3e566cc...

Job Title
Occupation

Education

What is your highest level of education? Check all that apply. *

List Any Education, Schooling, Programs, or Training That You Have Completed. Include the Institution Name(s), Course(s) of Study/Major(s), and Degree(s)/Certificate(s) Awarded *

Interests

Which Boards would you like to apply for? *

Please select a Board

Which position/seat are you interested in?

Have you served on other County Boards, Committees, or Commissions? If yes, please the position titles and term dates served for each one. *

Why are you interested in serving? *

Do you have any additional/applicable community experience or affiliations?

Additional Attachments

Upload any additional/applicable documentation you think would helpful for the Board of Supervisors in making this appointment decision.

Upload a Resume
Accepted file types: RTF, DOC, DOCX, PDF, TXT, JPG, JPEG, GIF, PNG

Upload any Additional Documents Here
accepted formats: doc, docx, rtf, txt, and pdf

References

Please provide three references. List the Name, Title/Occupation, Phone Number, and Email.

Reference #1 *

Reference #2 *

Reference #3 *

Note

Please be aware that this application is a public document and is subject to the California Public Records Act (CA Gov. Code Sections 6250-6270). Once you are ready to submit your application, click "submit". Your completed application will automatically be sent to the Board/Committee/Commission you applied to, the Board of Supervisors, and the Butte County Clerk of the Board for further review and consideration. Thank you!

Butte County, California Boards & Commissions