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  • Appointments Form

    Applications and Recommendations: Apply for Board

    Welcome! If you are interested in being considered to serve on a board, commission or committee, please take a moment to answer the following questions. Certain information is required in order to process your message, other fields are optional, as indicated, but will expedite handling and provide useful information about your request. 

    Please note that service on these boards and commissions is voluntary and does not include a paid salary. 

    Certain fields are required before the email will be sent.


    Your First Name  (required)
    Your Last Name  (required)
    Last Name Suffix
    Full Legal Name  (required)
    Street Address  (required)
    City, State ,  (required)
    Zip Code (required)
    Phone number  (required)
    Fire Department or Organization
    Title
    Date of Birth
    Resident of Alabama  (required)
    Citizen of the U.S.  (required)
    Email  (valid email required)
    Committees or Commission  (required)
    In the box please use the copy/paste function to paste your resume

    Website

    Describe any possible conflict of interest should you be appointed to this position:

    Please describe any formal charges, professional misconduct, criminal misdemeanor or felony ever filed against you in any jurisdition:


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