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Application for Appointment to Boards, Committees, and Commmissions Appointed by the Wilson County Board of Commissioners

Post Office Box 1728 Wilson, NC 27894 Telephone: (252) 399-2803 Fax: (252) 237-4341

Request for Appointment to:*

Name*

Address*

City, State, Zip*

Telephone*
Email Address*

How long have you been a resident of Wilson County?*

Do you live in the ETJ of your city or town (1 mile extra-territorial jurisdiction outside the city or town limits?)*

Education*

Work History*

Volunteer Activities/Other Boards & Commissions:*

Why do you wish to serve on the Board, Committee, or Commission requested?*

What do you feel are your qualifications for serving on the Board, Committee, or Commission requested?*

How did you learn of the opening on the Board or Commission for which you are applying?*

* indicates required fields.

2201 Miller Road South • Wilson, NC 27893 • Ph. (252) 399-2803
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