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Application for Board Appointment

  1. Are you related to a current employee of the Court?*
  2. Have you ever been convicted of a violation of any law, other than a minor traffic offense? (DUI convictions must be disclosed.)*
      1. Education
      2. Employment History
      3. REFERENCES: (List three persons not related to you who have definite knowledge of your qualifications for this position)
      4. I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any false statements will void this application and any action based upon it. Further, I authorize the Court to conduct a criminal history check and have provided my social security number for that purpose.*
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          2. This field is not part of the form submission.