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Board and Commission Application

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Steps

1. Step One This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete

Step One

Application for Appointment to Whatcom County Boards and Commissions
Public Statement
THIS IS A PUBLIC DOCUMENT: As a candidate for a public board or commission, the information provided will be available to the County Council, County Executive, and the public. All board and commission members are expected to be fair, impartial, and respectful of the public, County staff, and each other. Failure to abide by these expectations may result in revocation of appointment and removal from the appointive position.
Title
First Name*
Last Name*
Today's Date*
Today's Date
Street Address*
City*
Zip*
Do you live in & are you registered to vote in Whatcom County?*
1. Yes
2. No
Do you have a different mailing address?
1. YES
Mailing Address
Please type in your Mailing Address above
Primary Telephone*
Secondary Telephone
Email Address*
Continue

Step Two

1. Name of Board or Committee*
Other*
If the name of the board, commission, or committee to which you are applying is not in the above list, enter here.
Political Party Affiliation*
Per RCW 41.14.030, no two commissioners shall be adherents of the same political party. Please state your political party affiliation, if applicable.
Agricultural Advisory Committee Position:*
Indicate which position you are applying for:
1. Agricultural Processing Industry
2. Agricultural Products Consumer Rep
3. Agricultural Programs Expertise
4. Agricultural Producer
Behavioral Health Advisory Committee Position:*
Indicate which position you are applying for:
1. Mental Health Recovery Advocate
2. Substance Use Disorder Recovery Advocate
3. Behavioral Health Professional
4. Other (please specify)
Position applied for*
Indicate which position you are applying for
1. Housing Advocate
2. Homeless Advocate
3. Housing Industry Representative
4. Tribal Nation Representative
5. Non-Profit Provider Representative
6. Housing Development Representative
Business and Commerce Advisory Committee Position:*
Please indicate the industry or higher education position you represent:
1. Internet technology
2. Manufacturing
3. Food processing
4. Recreation
5. Retail
6. Marine trades
7. Commercial real estate
8. Agriculture
9. Energy industry
10. Health Care Industry
11. Higher Education - Western Washington University
12. Higher Education - Whatcom Community College
13. Higher Education - Northwest Indian College
14. Higher Education- Bellingham Technical College
15. I represent a for-profit business.
Climate Impact Advisory Committee Position:*
Please select one of the following that most applies to you:
1. I have previous work or educational experience in climate change.
2. I have previous work or educational experience in renewable energy development.
3. I have previous work or educational experience in energy conservation.
4. I have previous work or educational experience in the energy sector.
5. I have previous work or educational experience in waste reduction and recycling.
6. I have previous work or educational experience in farming.
7. I have previous work or educational experience in food security.
8. I have previous work or educational experience in land use planning.
9. I have previous work or educational experience in municipal government
10. I have previous work or educational experience in flood mitigation and planning.
11. I do not have previous work or educational experience in the requested fields of expertise.
Child & Family Well-Being Task Force*
Do you represent one of the following? If yes, please explain in Question 10: community members from under-represented communities; community action agency, non-profit housing organization or social service agency; faith community; private school, home school, higher education or child care provider; medical and behavioral health care provider serving young children and families; community members with experience caring for children such as parent, foster parent, grandparent, or guardian; private business, corporation, or philanthropic organization.
1. Yes
2. No
County Appeals Board Position:*
Indicate which position you are applying for:
1. Fire Prevention
2. Construction Trade
3. Lay Member (At Large)
4. Alternate
Development Standards Technical Advisory Committee Position:*
Indicate which position you are applying for:
1. Licensed Land Surveyor
2. Licensed Civil Engineer
3. Certified or Licensed Practicing Professional
Flood Control Zone District Advisory Committee Position:
Indicate which position you are applying for:
1. Geographic Area representative
2. Special Districts representative
3. Impacted Cities representative
4. Alternate
Forestry Advisory Committee Position:
Indicate which position you are applying for:
1. Small forest landowner
2. Commercial forest landowner
3. Forestry harvester
4. Citizen with forestry expertise
5. Forest product manufacturer
Incarceration Prevention and Reduction Task Force Position:
Indicate which position you are applying for:
1. Concerned Citizen
2. Consumer, or family member of a consumer, of behavioral health services
3. Health and Social Service Provider
Jail Stakeholder Workgroup Position:
Indicate which position you are applying for:
1. Citizen living in the city of Bellingham
2. Citizen living outside the city of Bellingham and within Whatcom County
Lummi Island Ferry Advisory Committee Position:
Indicate which position you are applying for:
1. I am a resident or property owner on Lummi Island.
2. I am a County resident who doesn't live or own property on Lummi Island.
Marine Resource Committee Position:*
Indicate which position you are applying for:
1. Relevant Scientific Experience
2. Economic Interest
3. Conservation/Environmental Interest
4. Recreational Interest
5. Citizen At Large
6. Lummi Tribe representative
7. Nooksack Tribe representative
Noxious Weed Control Board Position:
Indicate which position you are applying for:
1. Noxious Weed District 1
2. Noxious Weed District 2
3. Noxious Weed District 3
4. Noxious Weed District 4
5. Noxious Weed District 5
Public Health Advisory Board Position:*
Indicate which sector you would like to represent:
1. Business and Philanthropy
2. Physical (Built) Environment
3. Health Care Access
4. Social and Economic
5. Tribal Community representative
6. Communities Experiencing Health Inequities
7. Local Government - City/Rural
8. Community Member with Lived Experience in Social Service or Health Care System challenges
Conservation Easement Program Oversight Committee Position:*
Indicate which position you are applying for:
1. County Farmer
2. Non-farmer in incorporated city
3. Non-farmer in unincorporated county
4. Farm supporting business representative
5. Real Estate experience
Food System Committee position:
Indicate which position you are applying for:
1. Local sales farming
2. Export Sales Farming
3. Fishing Industry
4. Food processing/distribution
5. Food access
6. Nutrition/public health
7. Labor issues
8. Natural resources
9. Whatcom Food Network
Solid Waste Advisory Committee (SWAC) Position:
Indicate which position you are applying for:
1. Citizen
2. Agriculture
3. Public interest group representative (and the name of the group you represent)
4. Solid Waste Business/Industry representative
1. Waste Collection Industry representative
2. Waste Recycling Industry representative
3. Solid Waste Disposal Facility representative
Surface Mining Advisory Committee (SMAC) Position:
Indicate which position you are applying for:
1. Civil or geo-technical engineer with no direct or indirect financial business ties to the industry
2. Citizen who lives in close proximity to active mining or mineral overlay areas
3. Forestry
4. Ecologist
5. Environmental consultant
6. Member of surface mining industry
7. Potable domestic groundwater supply (preferably a public water system representative or private well owner)
8. Surface mining material user
Justice Project Stakeholder Advisory Committee*
Indicate which position you are applying for
1. Behavioral Health/Social Service Provider
2. Citizen: Behavioral Health Advocate
3. Citizen: Criminal Justice Advocate
4. Individual with experience in criminal justice system
5. Jail Resources/Services Providers
Homeless Strategies Workgroup Positions:*
1. Special populations representing domestic violence, behavioral health, and/or elder care and medically fragile
2. Homeless children and families representative
3. Schools representative
4. Homeless advocate
Wildlife Advisory Committee (WAC) Position:
Please select one of the following that most applies to you. If you indicate that you have relevant professional experience in a field not listed, please explain in question 9:
1. I have technical expertise in wildlife and habitat management.
2. I have professional experience as a wetlands manager.
3. I have professional experience as a wildlife biologist.
4. I have professional experience as a population biologist.
5. I have professional experience as a natural resources manager.
6. I have professional experience as a watershed scientist.
1. I have professional experience as a conservation specialist.
2. I have professional experience in forestry protection.
3. I am a representative of agriculture.
4. I am a representative of land development.
5. I am a tribal representative.
6. I have relevant professional experience in a field not listed. See question 9.
2. Do you meet the residency, employment, and/or affiliation requirements of the position for which you’re applying?*
If applicable, please refer to vacancy list.
1. Yes
2. No
3. Which Council district do you live in?*
1. District 1
2. District 2
1. District 3
2. District 4
1. District 5
4. Are you a US citizen?*
1. Yes
1. No
5. Are you registered to vote in Whatcom County? *
1. Yes
1. No
6. Have you declared candidacy (as defined by RCW 42.17A.055) for a paid elected office in any jurisdiction within the county?*
1. Yes
2. No
RCW 42.17A.005 (7) "Candidate" means any individual who seeks nomination for election or election to public office. An individual seeks nomination or election when he or she first: (a) Receives contributions or makes expenditures or reserves space or facilities with intent to promote his or her candidacy for office; (b) Announces publicly or files for office; (c) Purchases commercial advertising space or broadcast time to promote his or her candidacy; or (d) Gives his or her consent to another person to take on behalf of the individual any of the actions in (a) or (c) of this subsection.
7. Have you ever been a member of this Board/Commission?*
1. Yes
1. No
If yes, please list dates:
List most recent dates first
8. Do you or your spouse have a financial interest in or are you an employee or officer of any business or agency that does business with Whatcom County?*
1. Yes
1. No
If yes, please explain
You may attach a resume or detailed summary of experience, qualifications, & interest in response to the following questions
Please only attach PDF files.
9. Please describe your occupation (or former occupation if retired), qualifications, professional and/or community activities, and education
10. Please describe why you’re interested in serving on this board or commission
References (please include daytime telephone number):
Signature of applicant: *
Please type in your name.
Place Signed / Submitted*
Physical location of where you are when submitting this form.

Leave This Blank:

1. Receive an email copy of this form.
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