2. The KACCB Board of Directors meets the first Wednesday of every month from 3:30 to 5:00 p.m. with additional committee work conducted between these meetings. The KACCB Board of Directors reviews applications and makes recommendations to the Mayor and Commission for formal approval. The term of office is for three years beginning July 1 of each year.
   
   Eligibility: Applicants must be an Athens-Clarke County resident and registered voter.
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4. Applicant Information
6. Are you a Clarke County resident and registered voter?*

   1. YES
7. Commission Voting District
   -- Select One --OneTwoThreeFourFiveSixSevenEightNineTen
9. Name*
11. Reply Email
12. Phone number
14. Street Address*
16. City*
18. Zip Code
20. Have you ever been convicted of a felony?

    1. Yes
    2. No
21. If yes, please explain.
23. Do you have any past obligations owed to the Unified Government of Athens-Clarke County, such as past due taxes, stormwater fees, utility bills, or fines?

    1. Yes
    2. No
24. If yes, please explain.
26. Are you applying to join the board on behalf of yourself or of your business or organization?*

    1. Business Member?
    2. Citizen Member
28. Employer
29. Title
31. Are you available to attend board meetings the first Wednesday of each month from 3:30 PM to 5:00 PM?

    1. Yes
    2. No
33. How much time do you have available to commit to the KACCB Board each month?

    1. 1 to 5 hours per month
    2. 6 to 10 hours per month
    3. 1 to 5 hours a week
    4. 6 to 10 hours a week
35. Please provide a brief description of your interest in serving on the KACCB Board of Directors.
37. Please list professional and community experience related to this position (boards, organizations, etc). Please include the dates of service.
39. What appointed, elected, or paid positions do you hold or have you held with Athens-Clarke County or with the former City of Athens or Clarke County governments? Please include the dates of service.
41. Please share the skills you would bring to the KACCB board table; and how you think those skills could be best put to use to further the mission of KACCB.
43. Optional, you may submit a resume in support of your application.
45. Thank you for applying!
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field