Board/Committee Application

Fill out the online form below to apply for a county board or committee. Current vacancies and application deadlines are listed here. If you prefer to send a hard copy via postal mail or fax use this form that you can fill out, print and submit to the office. For the Non-County Agency Funding Committee use this form if not using the form below.

Applications are kept on file for 18 months.

Board or Committee being applied to:*
Category*
What category do you represent in the list of required categories for the desired committee/board?
Category*
What category do you represent in the list of required categories for the desired committee/board?
Name*
First Last
Email*
Home Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from home address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Business Phone
Fax
Years living in New Hanover County*
Personal information collected below is to assure a cross-section of the community is represented.
Gender*
- Male
- Female
- Other
Race*
Age*
Do you have a family member employed by New Hanover County?*
- Yes
- No
What is/are their name(s)?*
Applicant's Employer*
In accordance with Article VI, Sec. 7 of the New Hanover County Personnel Policy, a person currently employed by the agency or department for which this application is made must resign his/her position with New Hanover County upon appointment. Furthermore, the applicant should have no immediate family member employed by such agency or department.
Occupation*
Professional Activities
Volunteer Activities
Why do you wish to serve on this board or committee?*
Conflict of Interest: If a board member believes he/she has a conflict or potential conflict of interest on a particular issue, that member should state this belief to the other members of his/her respective board during a public meeting. The member should state the nature of the conflict, detailing that he/she has a separate, private, or monetary interest, either direct or indirect, in the issue under consideration. The member should then excuse himself/herself from voting on the matter.
What areas of concern would you like to see addressed by this committee?
Qualifications for serving:*
Other municipal or county boards/committees on which you are serving:*
If you do not serve on any other municipal board or committee, please indicate “None.”
List three local personal references and phone numbers:
Reference 1*
Reference 1 Phone*
Reference 2*
Reference 2 Phone*
Reference 3*
Reference 3 Phone*
Additional comments:
Upload additional information.
If you need to supply supplemental information, it can be uploaded here. Accepted file types: doc, docx, pdf, xcf, xls, xlsx, txt, rtf, ppt, pptx, jpg, png, gif. Limit of 5 files and 50MB total.
Drop files here or

Accepted file types: doc, docx, pdf, xcf, xls, xlsx, txt, rtf, ppt, pptx, jpg, png, gif.
Date*
Date Format: MM slash DD slash YYYY

Applications are kept on file for 18 months.
Consent*
I understand that any board or committee appointee may be removed without cause by a majority of County Commissioners.

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New Hanover County

Commissioners and Clerk to the Board

Board/Committee Application

Personal information collected below is to assure a cross-section of the community is represented.

List three local personal references and phone numbers:

Boards and Committees

New Hanover County Departments & Agencies

New Hanover County All news »

Board/Committee Application

Personal information collected below is to assure a cross-section of the community is represented.

List three local personal references and phone numbers:

Boards and Committees

eNews

New Hanover County
Departments & Agencies

New Hanover County
All news »