Application for Appointment to
Boards, Committees and Commissions

Note: Please complete this application form in its entirety. Should this application form not be fully completed, or contain false or misleading information, the Board of Commissioners reserves the right to reject the application or terminate the appointment. Information included in this application is public and subject to the Michigan Freedom of Information Act. All applicants may, at the County’s discretion, be subject to a security check and clearance. All qualified applicants receive consideration for appointment without regard to race, color, sex, age, disability, national origin, religion, genetic information, political affiliation, marital status, height, weight, arrest record, sexual orientation and/or any other reason in accordance with applicable state and federal laws.

In order to be eligible for application, you must be at least 18 years of age, a U.S. citizen and a resident of Oakland County.

For Materials Management Planning Committee applicants: County residency requirements apply only the elected government official representatives. Representatives of the solid waste management industry, environmental interest groups, industrial waste generator and SEMCOG should conduct business and be active in the county.

Your Home/Legal Residence









Board / Committee / Commission
Note: Applications for the Oakland Community Health Network Board and the Senior Advisory Council each require different applications that can be found on our website when positions are available.













Education





Employment
Please list your most recent work experience first, including full-time, part-time and volunteer work. You may also upload a copy of your resume or any documentation that supports your employment history.






If you would like to mail or fax documents, see our contact page for address and fax number.
References



I affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge.  I understand that falsified information or omissions may disqualify me from further consideration for appointment and may be considered justification for removal if discovered at a later date. 

I authorize an Oakland County representative to contact individuals or organizations listed as references or previous employers on this application. 

I understand that typing my name in the signature box below creates an electronic signature that has the same validity as actually signing the form and either faxing it back or mailing it back via the U.S. Postal Service.