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2. Name*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Fax Number
14. Current Occupation*
16. Are you available for daytime meetings?*

    1. Yes
    2. No
18. If yes, what times are best?
20. Are you available for nighttime meetings?*

    1. Yes
    2. No
22. If yes, what times are best?
24. Please list any community or civic organizations that you have belonged to or volunteered for:*
26. Please tell us why you are interested in serving on the Lincoln County Fair Board:*
28. The Fair Board is a working body. The fair requires members to have responsibility in at least one of the following areas:*

    Check all that apply

    1. Land-based Agriculture
    2. Youth/Education
    3. Exhibitor/Vendors/Local Business
    4. Tourism Promotion/Visitor Services
    5. Ocean Science/Commercial Fishing
    6. Recreational Fishing/Other Ocean Use Sectors
    7. Volunteer Management
    8. Marketing/Promotion/Event Coordination
30. Please tell us about why this area interests you and any specific qualifications for it:*
32. Please share any other information about yourself or your experience you believe is relevant:

34. The Board of Commissioners encourages citizen involvement and appreciates your interest. If you are not selected for this particular committee, and you are interested in serving on another committee for Lincoln County, or want to know what committees are currently active, please contact the Board of Commissioners Public Information Officer boc@co.lincoln.or.us or call (541) 265-4100

    Lincoln County does not discriminate against any person on the basis of race, color, sex, religion, political affiliation, national origin, handicap, or age in employment or in admission, treatment or participation in its programs, services and activities. 

    The appointment process may be lengthy -- you will be notified of the Board's decision.

    Selected applicants will be subject to the county's background check process for volunteers.

36. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
38. Electronic Signature
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit