Village Council Application

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Thank you for your interest in serving on the Village Council. Please complete the application below by November 30, 2018 at 5:00pm in order to be considered for the position. If you have any questions, please contact Village Clerk Beth Dunn at bdunn@vopnc.org.
Please correct the field(s) marked in red below:

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Date of Application:
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Contact Info
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Contact Info
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Are you a registered voter living in Pinehurst? 
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Are you a registered voter living in Pinehurst?
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Have you ever run for elected office? 
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Have you ever run for elected office?
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If so, when, where, and which office?

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If elected, how long did you hold that position? 

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Do you have any close relatives employed by The Village of Pinehurst? If so, please state their name and your relationship to them. 
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Why do you want to serve the Village of Pinehurst as a Councilmember?
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What qualifications do you have that would be relevant to your service as a Councilmember?
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What issues would you like the Village Council to address? 
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Summarize your educational background, volunteer experience, work experience, or any additional information that you believe would be relevant to the Village Council's consideration of your candidacy.  
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I certify that all statements made by me on this application are true and complete to the best of my knowledge.  I understand that any false statement, misrepresentation, or omission may cause me to be excused from service.

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STATE OF NORTH CAROLINA

COUNTY OF MOORE

RELEASE AND ACKNOWLEDGEMENT

The undersigned applicant is an adult person of sound mind who wishes to serve the Village of Pinehurst as a Council Member.

The applicant has read this document thoroughly and there are no other agreements, oral, or written, which are inconsistent with this document.

The applicant understands this application and all the information contained in it shall be a public record. 

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STATE OF NORTH CAROLINA COUNTY OF MOORE RELEASE AND ACKNOWLEDGEMENT The undersigned applicant is an adult person of sound mind who wishes to serve the Village of Pinehurst as a Council Member. The applicant has read this document thoroughly and there are no other agreements, oral, or written, which are inconsistent with this document. The applicant understands this application and all the information contained in it shall be a public record.
  1. To receive a copy of your submission, please fill out your email address below and submit.