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2. ****We are no long accepting applications for the current vacancy on the Board of Zoning Appeals.****
4. PERSONAL INFORMATION
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Home Phone Number*
18. Email Address*
20. Occupation*
22. Business Name*
24. Business Address*
26. Business Phone Number*
27. Business Email Address*
29. Resume Upload (optional)
31. EDUCATION
33. High School
34. Location
36. Dates
37. Major / Degree
39. College
40. Location
42. Dates
43. Major / Degree
45. Trade / Business School / Other
46. Location
48. Dates
49. Major / Degree
51. EMPLOYMENT
53. Current Employer
54. Location
55. Dates
57. Past Employer
58. Location
59. Dates
61. Past Employer
62. Location
63. Dates
65. Student
    -- Select One --YesNo
66. Retired
    -- Select One --YesNo
68. PRESENT OR PREVIOUS COMMUNITY / VOLUNTEER ACTIVITIES
72. SELECT THE ITEMS OF INTEREST FROM THE OPTIONS LISTED BELOW
74. Agriculture

    1. Lancaster County Extension Board
76. Environment

    1. Air Pollution Control Advisory Board
78. General Government

    1. Keno/Human Services Advisory Committee
    2. Lancaster County Personnel Policy Board
    3. Public Building Commission
80. Health & Human Services

    1. Lincoln-Lancaster County Board of Health
    2. Aging Partners Areawide Advisory Council
    3. Veterans Service Committee (Must be an Active Duty Wartime Veteran)
    4. Mental Health Crisis Center Advisory Committee (Please note if you are a professional, consumer, or famly member)
82. Health & Human Services (continued)
    If you selected the Mental Health Crisis Center Advisory Committee please note above if you are a professional, consumer, family member or none of the previously mentioned.
84. Hospital Authority No. 1

    1. Board of Trustees
86. Justice & Law Enforcement

    1. Indigent Defense Advisory Committee
88. Library

    1. County Liason to the LIncoln Library Board (additional application requried below)
90. Library (continued)
    Lincoln City Libraries Board Appointment Information

    Please complete the application using the link above.
92. Planning & Development

    1. Lancaster County Board of Zoning Appeals
    2. Lincoln-Lancaster County Planning Commission
94. Recreation

    1. Parks & Recreation Advisory Board
96. Tourism

    1. Visitors Promotion Advisory Committee
98. Notes:
Leave This Blank:


100. 1. Receive an email copy of this form.
101. Email address

     This field is not part of the form submission.

102. Submit Submit and Print

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