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2. Individuals interested in serving as a Forestry Review Committee member must complete this application form. Please be concise.

   For additional questions regarding board membership, please email COB@co.humboldt.ca.us or call 707-476-2384.

   To learn more about this committee, please visit the Forestry Review Committee webpage:  https://humboldtgov.org/193/Forestry-Review-Committee

   Please note that your application is subject to the California Public Records Act and disclosure requirements. 

4. First Name*
5. Last Name*
7. Address 1*
9. Address 2
11. City*
12. State*
13. Zip*
15. Email*
16. Phone (Home or Cell)*
17. Phone (Work)
18. Fax
20. Occupation*

    Please list your current occupation and employer.

22. Personal References*

    Please list two references who can speak to your qualifications and ability to serve on the Forestry Review Committee. Include their name, title/affiliated organization, their relationship to you, their phone number and email address.

24. Prior Advisory Board or Board of Directors Experience*
    -- Select One --YesNo

    Select one.

25. Resume*

    Please upload a current resume.

27. Why are you interested in serving on the Forestry Review Committee?*

    Please write a brief statement describing why you are interested in serving on the Forestry Review Committee.

29. Acknowledgement*

    1. Confirm

    By checking this box and submitting this application, I declare under penalty of perjury under laws of the State of California that the above is true and correct.

31. Type or Sign Your Name*
32. Date*

    Applications will be kept on file for two years.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field