Citizen Profile for Appointment Application

Registered Voter: *
I would be interested in serving on the following boards or committees: *
Education (select one): *
Are you at least 18 years of age? *
Are you a resident of Floyd County? *
Have you ever been convicted of a felony? *
Do you owe any delinquent tax to Floyd County? *
Are you willing to attend training relative to the responsibilities of the Board Membership, as provided by Floyd County? *
Educational Background: *
Select all that apply.