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Advisory Board Application - Current Member

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CURRENT MEMBER
Last name of Board Member
First name of Board Member
Mailing Address
City
State
Zip
Phone Number
E-mail
Board
Date of Term Expiration
Please mark your preferred method of contact:
1. E-mail
2. Phone
Board Member: Please check the following applicable boxes regarding your interest in serving another term on the Board.
1. I AM interested in serving another term. (If marked, please complete box below)
2. I am NOT interested in serving another term.
3. I am interested in serving on a different board or committee of the City. (If this option is marked, please complete "New Member" application.)
Please list what expertise and/or capabilities you would bring to this board, committee, or task force:
THANK YOU FOR SERVING THE CITY OF EL DORADO!