Action Center / Boards and Commissions Application / Monroe County, IN

Boards and Commissions Application

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Your completed application will be submitted to the Monroe County Commissioners Office.

All applications are held for one year. As various openings come up, you may be contacted to see if you are interested in serving.

* Denotes a required field

TODAY'S DATE*

FULL NAME*

Please Do Not Complete The Following Field

Nickname

ADDRESS*

CITY*

ZIP CODE*

Zip-Zip +4
Second portion of ZIP Code is optional.

RESIDENCE TOWNSHIP*

Are You Eligible To Vote In The City Election*

Home

Phone Area Code-Phone 3-Phone 4 ext Extension

Work

Phone Area Code-Phone 3-Phone 4 ext Extension

Cell

Phone Area Code-Phone 3-Phone 4 ext Extension

OCCUPATION

Applying for Boards(s) and/or Commissions(s)*

Why are you interested in applying for this position?*

Please list your qualifications for this position.*