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Statement of Interest to Serve

  1. Only complete this blank if you are applying for appointment to a Fire Tax Board.

  2. Race*

  3. Do you live in Warren County?*

  4. Educational Background:

  5. List all past employment and/or volunteer experience you have had which may be beneficial in evaluating your qualifications.

  6. How did you become aware of Warren County volunteer opportunities?

  7. NOTE TO APPLICANT: This form is active for six (6) months from date of submission.

  8. Leave This Blank:

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