2. Welcome

   Thank you for your interest in serving on a Hanover County board, commission or committee. Please complete the following information and submit this form or you may print the form and mail it to: County Administrator’s Office, Attn: Clerk to the Board of Supervisors, P.O. Box 470, Hanover, VA 23069. Your information will be reviewed by your Board representative and you will be contacted if you are selected for appointment to a role. There is an expectation that appointees attend at least 75% of the meetings. Appointments are for a specified term and certain positions have term limits.

4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
15. Magisterial District*
    -- Select One --AshlandBeaverdamChickahominyCold HarborHenryMechanicsvilleSouth Anna
17. Interested in:
    Please provide the names of boards, commissions or committees that you are interested in serving on. For more information please see the "Board Appointed Committees" page. If no specific position of interest, simply leave this section blank.
19. Educational background, experience, interests or skills (optional):
    Use this section to identify any talent, interest, special skills, experience or educational background that might be helpful to a specific board, commission or committee.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

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