Application for Membership Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Select the public interest category(ies) in which you are active and that you wish to represent: *Parent or Guardian of a child enrolled in the DistrictBoth a Parent or Guardian of a child enrolled in the District and active in a parent-teacher organization, such as the P.T.A. or a school site councilBusiness community located in the DistrictSenior citizens' organizationTaxpayers' associationCommunity at-largeIf an organization or business category was selected, please specify which:Why do you want to serve on the Citizens’ Bond Oversight Committee? *Brief statement of qualifications: *Please list three professional references, including name, position, and contact information: *Conflict of InterestPlease note: Employees, vendors, contractors, and consultants of the District are prohibited by law from being members of the Citizens’ Oversight Committee. Employment which could result in becoming a contractor or subcontractor to the district would also be a potential conflict.Are you an employee, vendor, contractor, or consultant to the District? *YesNoDo you have conflicts that would preclude your attending quarterly meetings? *YesNoDo you know of any reason, such as a potential conflict of interest, which would adversely affect your ability to serve on the Citizens’ Bond Oversight Committee? *YesNoAre you willing to comply with the ethics code included in the bylaws? *YesNoComplete Online ApplicationBy clicking on the submit button below you agree to submit this application by electronic means, and certify under penalty of perjury that the information you provided is correct and complete to the best of your knowledge.PhoneSubmit Application
