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Application for Boards, Commissions & Committees

  1. Application for Boards, Commissions, and Committees

  2. Which address is preferred for mailings?*

  3. Additional Information

    Please provide additional information that may prove helpful for your appointment.

  4. Education

    Please list school, years attended, and study area.

  5. Interest in Boards, Commissions and Committees

    Please select any board, commission, or committee that you are interested in and willing to serve on. Then, indicate your order of preference below.

  6. Appointed by the Board of Supervisors

  7. Appointed by the Circuit Court

  8. Please list your selected boards, commissions, and committees in order of preference.

  9. Return Instructions

    You may submit this form online by clicking "Submit."

    If you prefer, you may also choose "Print" and mail us this form at:
    Orange County Administration Office
    Attn: Chief Deputy Clerk
    P.O. Box 111
    112 West Main Street
    Orange, VA 22960

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