1. In which Supervisorial District do you reside? (Available from the Clerk of the Board)
2. I am applying for memberships on the following:(board, commission, committee, council)
3. If membership requires special qualifications, such us parent member, provider member, general practitioner, etc.,
please indicate the category for which you are applying:
4. Are you currently serving on a board/commission/committee/council?
if yes, please list:
5. Time available (days, evenings, etc.)
6. Employment Experience:
7. Organization and Community Experience:
8. Other Experience:
10. Other Training:
Please review your application then click the Submit button.
You can print a completed copy of your application after you click the Submit button.
Thank you for your application. Applications will be retained for one year
and the Board of Supervisors will consider your application when a vacancy exists, and if you meet the requirements.
Information Technology Department, County of Yolo