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Application to Serve on Board or Commission

  1. Gender

  2. Leadership Okmulgee Program Graduate

  3. Please attach resume or qualifications

  4. Please attach resume or qualifications.

  5. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  6. Note

    Applications will be purged after two years. Please consider reapplying at that time if you remain interested in serving on a Board and have not yet been appointed.

  7. Leave This Blank:

  8. This field is not part of the form submission.