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Request for Consideration to Serve on Appointed Board or Committee

  1. Appointed Board Form Consideration

    The Town has several appointed Boards and Committees that serve to assist the Town Board of Commissioners in governing and setting policy of the Town (see website). The members consist of town residents and extraterritorial jurisdiction residents. Members are recommended by the Mayor and approved by the Town Board of Commissioners. In some cases, the extraterritorial jurisdiction members must also be approved by the Wake County Board of Commissioners.

  2. I reside:*

    Only residents of the town limits or Fuquay-Varina extraterritorial jurisdiction are eligible to serve on Town advisory boards.  Please indicate where you live. 

  3. I am interested in serving on the following board(s)*
  4. Optional Information

    The information requested below would help the town obtain a well-balanced cross-section of interest and community representation.

  5. If I Am Selected To Serve On The Board(s), I Will Participate.

  6. Leave This Blank:

  7. This field is not part of the form submission.