Form Center

2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip*
11. Home Number*
12. Cell Number*
14. Fax Number
15. Work Number
17. E-Mail Address*
19. Committees of Interest*
    -- Select One --911 Communications Advisory BoardABC BoardAging Planning Board Beach CommissionCarteret County-Beaufort Airport Authority Board of Equalization & Review Carteret County Area Transportation System (CCATS) Carteret County Bicycle & Pedestrian SubcommitteeCarteret Community College Board of Trustees Carteret County Public Library SystemChild Fatality Prevention Team Coastal Care LME Area Board Coastal Regional Solid Waste Management Authority Consolidated Human Services BoardCultural and Recreation Advisory Board Eastern Carolina Workforce Development Board Eastern Carolina Regional Housing Authority Economic Development FoundationFire & EMS Commission Fireman’s Relief Fund Board Harbor Authority Hospital Board of TrusteesHwy. 70 Corridor CommissionIndustrial Facilities & Pollution Control Financing AuthorityJury CommissionJuvenile Crime Prevention CouncilLibrary BoardMarine Fisheries Advisory BoardMayors' Committee for Persons with DisabilitiesMunicipal ETJ BoardsN.C. Eastern Region (Global TransPark)Nursing Home Advisory BoardPeer Recovery Center BoardPlanning CommissionPublic Water Access CommitteeRegional Aging Advisory Committee (RAAC)Rural Transportation Advisory Committee (RTAC)Rural Transportation Coordinating Committee (RTCC)Scenic Byway CommitteeSenior Center Advisory BoardTourism Development AuthorityTransportation CommitteeWaterways Management CommitteeWestern Carteret Interlocal Agency BoardZoning Board of Adjustment
20. Committees of Interest (Second Choice)
    -- Select One --N/A911 Communications Advisory BoardABC BoardAging Planning BoardBeach CommissionCarteret County-Beaufort Airport AuthorityBoard of Equalization & ReviewCarteret County Area Transportation System (CCATS)Carteret County Bicycle & Pedestrian SubcommitteeCarteret Community College Board of TrusteesCarteret County Public Library SystemChild Fatality Prevention TeamCoastal CareCoastal Regional Solid Waste Management AuthorityConsolidated Human Services BoardCultural and Recreation Advisory BoardEastern Carolina Workforce Development BoardEastern Carolina Regional Housing AuthorityEconomic Development FoundationFire & EMS CommissionFireman's Relief Fund BoardHarbor AuthorityHospital Board of TrusteesHighway 70 Corridor Commission Industrial Facilities & Pollution Control Financing Authority Jury Commission Juvenile Crime Prevention Council Library BoardMarine Fisheries Advisory Board Mayors’ Committee for Persons with Disabilities Municipal ETJ Boards N.C. Eastern Region (Global TransPark) Nursing Home Advisory BoardPeer Recovery Center BoardPlanning Commission Public Water Access Committee Regional Aging Advisory Committee (RAAC) Rural Transportation Advisory Committee (RTAC)Rural Transportation Coordinating Committee (RTCC)Scenic Byway Committee Senior Center Advisory Board Tourism Development Authority Transportation Committee Waterways Management CommitteeWestern Carteret Interlocal Agency BoardZoning Board of Adjustment
22. Experience*
    Please describe your background, experience, education, or training (work and/or life experience) that relates to your interest in county government.
23. Occupation*
24. Employer*
26. Are you currently serving or have you ever served on a public board or commission?*
    -- Select One --YesNo
28. If so, please list below:
30. Please explain any anticipated conflict of interest or scheduling difficulties you may have, if appointed:*
32. Number of Years Living in Carteret County:*
33. Are you a registered voter in Carteret County?*
    -- Select One --YesNo
35. Applicants may attach a resume’ or additional information about your interests for the Board of Commissioners to consider. Also, note that this document is considered a public document.)
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

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