Citizen Volunteer Application for Appointment

Roanoke County Committees, Commissions and Boards

If you wish to volunteer to serve on one of Roanoke County's committees, commissions or boards, please complete the following application and submit to the Clerk's Office.  This information will be given to the Board members for their review.  Please answer all questions.  If you need more information, please call the Clerk's Office at 540-772-2005 or email us.

Click here to go to the Committee page on the Board's website.  You will find a listing of the  committees, vacancies, and web pages for each committee with additional information.

Applicant Information I am interested in serving Roanoke County as a member of:

Name:

Home Address: Number and Street

City:  State:   Zip Code: 

Area Code:     Phone Number     

Email Address:

Length of time at present address: 

Magisterial District District:  Some Board appointments are by district only and some are at-large.  If you do not know your district, you may go to our website to find it, call the Clerk's Office (540-772-2005) or email us.

Catawba Magisterial District
Cave Spring Magisterial District
Hollins Magisterial District
Vinton Magisterial District
Windsor Hills Magisterial District

Employment Information Present Employment Position:

Business Address: Number and Street or Post Office Box

City:  State:   Zip Code: 

Area Code:     Phone Number     

 

Additional Information Education:

Civic Activities, offices held, honors, etc.

Available time to devote to this committee:

Previous experience or special abilities which might qualify you for this appointment:

Any additional comments:

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Exemption from Distribution:
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