Application for Appointment to Boards,
Commissions, & Committees of City Council

Please mark which appointments interest you:

Rockbridge Area Community Services Board

Dabney S. Lancaster Community College

Board of Equalization (Judge Appointed)

Industrial Development Authority (IDA)

Rockbridge Regional Library Board

Planning Commission

Shenandoah Valley Workforce Investment

Rockbridge Area Economic Development Commission

Rockbridge Area Tourism Board

Rockbridge Disability Services Board

Board of Zoning Appeals

Name:     E-Mail:

Address:

Home Phone:     Work Phone:

Years lived in Buena Vista:

Current Employer:    How long?

Current Civic Activities:

Past Civic Activities:

Have you ever served as an officer: Yes    No

If yes, give details (What, where, how long?):

Special Interests & Qualifications:

Submission of this form does not guarantee appointment.  It is intended to give City Council a pool of interested applicants for when an opening becomes available.