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2. Citizen Volunteer Application for Appointment
4. If you wish to volunteer to serve on one of Roanoke County's committees, commissions or boards, please complete the following application. This information will be given to the Board members for their review. Please answer all questions. If you need more information, please call the Clerk's Office at 540-772-2005 or email us.
   
   You will find a listing of the committees and vacancies, along with additional information on our Committees, Commissions & Boards section.
6. Applicant Information
8. I am interested in serving Roanoke County as a member of:*
10. Name:*
12. Home Address: Number and Street*
14. City:*
15. State:*
16. ZIP:
18. AreaCode:*
19. Phone:*
20. Email:*
22. Length of time at present address:*
24. Magisterial District
26. Some Board appointments are by district only and some are at-large. If you do not know your district, you may call the Clerk's Office at (540-772-2005.*
    -- Select One --CatawbaCave SpringHollins VintonWindsor Hills
28. Employment Information
30. Present Employment Position:*
32. Business Address: Number and Street or Post Office Box*
34. City:*
35. State:*
36. ZIP:*
38. Business AreaCode:*
39. Business Phone:*
41. Additional Information
43. Education:*
45. Civic Activities, offices held, honors, etc.:*
47. Available time to devote to this committee:*
49. Previous experience or special abilities which might qualify you for this appointment:*
51. Any additional comments:*
53. Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please call (540) 772-2003.
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

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