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Departments / BOCC / Advisory Boards / Board Application Form

Mecklenburg County Advisory Board Application

The Mecklenburg County Board of Commissioners appreciates the interest of all citizens willing to serve their Community through participation on County advisory boards.

For a hard copy of the application form, call the Clerk's office, or send an email here. You can also submit the application online thanks to Mecklenburg County's E-Government:

Name of Advisory Board: (one board per application)

Name:

Address: (Please do not use P.O. Box numbers.)

Zip Code:

Home Phone:

Work Phone:

E-Mail Address:

Occupation:

Place of Employment:

Race:

Sex:

Age:

Hours Per Month Available for Position:

County Advisory Board Currently Serving On:

Expiration Date:

Education:

Business and Civic Experience:

Areas of Expertise and Interests/Skills:

(Below are advisory boards that require certain professions be represented. Please choose from the lists below. Each board has general public representation as well therefore anyone can apply.)

Area Client Rights Committee
Mental Health Professional
Substance Abuse Professional
Developmental Disabilities Professional

Board of Eqalization and Review
Attorney
CPA
Commercial Real Estate Rep.
Residential Real Estate Rep.

Building Development Commission
American Institute of Architects-Charlotte
Master Electrical Contractors Association of North Carolina, Inc.
Carolina's Branch Associated General Contractors of America
Development Industry (nominated by The Charlotte Chamber of Commerce)
Home Builders Association of Charlotte
Charlotte Chapter of American Society of Landscape Architects
Charlotte Heating and Air Conditioning Contractors Association
Charlotte Plumbing, Heating, Cooling Contractors Association
Professional Engineers of North Carolina-South Piedmont Chapter
Multi-family residential inductry represent the Charlotte Apartment Association

Certified Development Corporation
Local Government Representative
Private Lending Institute Representative
Community Organization Representative
Business Associate Representative

Adult Care/Nursing Home Committies
Do you or an immediate family member have a financial interest in a home served by the committee?
Are you an employee or a board member of a home served by the committee?
Is an immediate family member a resident in an Adult Care or Nursing Home?
Signature of Applicant:

Date:

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704-336-2472

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Mecklenburg County, North Carolina

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