State Government Boards and Commissions Submission Form

Complete this form if you are interested in serving on a State Government Board or Commission. 

Click here for a list of all Boards and Commissions.

Name the Already Existing State Government Board or Commission You Wish to Serve On: *

Name: *

Address: *

Address 2: *

City: *

County: *

State: *

Zip: *

Daytime Phone: *

Cell Phone: *

Email: *

Education: *

Employment: *

Board/Commission You Have Served On: *

Civic Activities: *

Areas(s) Of Interest (e.g., health, education, children): *