BOARD OF DIRECTORS - APPLY ONLINE - Klamath 9-1-1 Emergency Communications District

BOARD OF DIRECTORS - APPLY ONLINE

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The Klamath 911 Emergency Communications District is seeking applications for appointment to fill vacancies on the Board of Directors representing Zone #1 and Zone #5.
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Zone #1 Map.pdf Zone #5 Map.pdf

Online Application

Klamath 911 Emergency Communications District - Board Application

Zone Applying to Fill:

Date:

Name:

Address:

Phone:

Alternate Phone:

Email Address:

Are you a U.S. Citizen:

Yes

Do you reside within the Zone for which you are applying in Klamath County?

Yes

Why do you want to be a member for the Board of Directors for the 9-1-1 District?

If appointed to this position, are you prepared for the time commitment involved?

Yes

What, if any, relevant experience do you have?

State any additional information you feel may be helpful to us in considering your application.

If your application is considered for acceptance, do you consent to a criminal background check?

Yes

If yes, please provide your driver's license information.

State:

Number:

I certify that the answers given herein are true and complete to the best of my knowledge.

Signature of Applicant

Date:

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