Submit Downtown Advisory Board Application Online

2. Name
3. Email Address
5. Physical Address
7. Primary Phone
8. Other Phone
10. How long have you resided at this address?
12. Place of Work / Title
14. Why do you wish to serve on the DAB?
16. Please list any government or nonprofit board, committee, or commission on which you currently serve:
18. Please list any experience or education that you believe qualifies you for the position:
20. As defined by the Town of Pittsboro Code of Ordinances, attendance at board meetings is a requirement of this appointment. Are you able to commit to this requirement?*

    1. yes
    2. no
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field