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2. Select which Committee you are applying for:*

   1. Transit Services Advisory Committee (TSAC
   2. Citizens Transit Advisory Group (CTAG)
4. Name
5. Home Phone
7. Home Address
8. Cell Phone
10. Do You Reside in the Town Limits?
11. Do You Reside in the ETJ?
13. Present Occupation
14. Work Phone
16. Place of Employment
17. Email Address
19. Approximate Hours Available Per Month for Serving on Advisory Board
21. Name of Any Town or County Boards/Committees/Commissions You Are Presently Servng on:
    Include Expiration Date
23. Education
25. Business and Civic Experience
27. Areas of Expertise and Interests / Skills
29. Please describe the reason you are applying for this committee.
31. I, the undersigned, acknowledge that this application and questionnaire will remain active for a two (2) year period, unless withdrawn by me, the applicant, and if appointed, the Town Board may remove members who do not meet attendance requirements pursuant to the Rules of Procedure : must attend seventy-five percent (75%) of the Regular meetings in a twelve (12) consecutive month period, or miss three (3) consecutive regular meetings.
33. Signature of Applicant
    Please type your name to agree to the terms and conditions of this form.
34. Date
    Date
36. Nominations
    The Town of Huntersville Board of Commissioners sincerely appreciates the interest of all citizens in the Town’s advisory committees and urges the public to nominate qualified persons for membership. Nominations may be sent to:
    TOWN OF HUNTERSVILLE
    ATTN: Tracy Barron
    P.O. BOX 664
    HUNTERSVILLE, NC 28070
38. Thank you for completing the application and questionnaire.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

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