Town of North Topsail Beach

APPLICATION FOR APPOINTMENT TO BOARDS AND COMMITTEES
Please print out and complete the following application.

DATE OF APPLICATION:________________________________

I am interested in community service and provide the following information for the use of the North Topsail Beach Board of Aldermen in considering my qualifications for appointment to the following boards/committees.  (Please number your preference of committee.)

PLANNING BOARD                           __________

BOARD OF ADJUSTMENTS            __________

BEACH NOURISHMENT                    __________

RECREATION & APPEARANCE      __________

TRANSPORTATION                            __________

APPLICATION INFORMATION:

Name:                        _________________________________________

Home Address:        __________________________________________

Home Telephone:    __________________________________________

Email Address:        __________________________________________

How many years have you been an NTB resident?  __________

Are you a registered voter in Onslow County? _____________

CIVIC/COMMUNITY PARTICIPATION:

Present Committee Memberships:    _____________________________

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Past Committee Memberships:  ________________________________

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CONFLICT OF INTEREST STATEMENT:

Do you anticipate any conflicts of interest if appointed? -------------------

GENERAL INFORMATION:

1.    You are encouraged to attend and observe meetings of any boards to which you desire appointment and to obtain other information about board's duties and work.

2.    If appointed, please bear in mind the importance of attending meetings.  Town Ordinance requires a minimum of 75% attendance required to maintain membership.

EDUCATIONAL BACKGROUND:

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PROFESSIONAL BACKGROUND:

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EXPERIENCE RELATED TO COMMITTEE:

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WHY DO YOU WANT TO SERVE ON THIS COMMITTEE:

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WHAT ROLE COULD YOU PLAY ON THIS COMMITTEE:

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Thank you for taking the time to fill out this application.  We look forward to working with you in the future.