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   This is the Havelock  Volunteer application. We are honored that you would like to be a part of this amazing organization. We can't wait to see you in action! Please, fill out all of the fields before submitting. Required fields are noted by a RED asterisk. 

   If you have questions, look at the descriptions and/or contact our City Hall staff at 252-444-6400. 

6. First Name*
7. Last Name*
9. Street Address*

   Use your physical residential street address in this section

10. Address Line 2
12. City*
13. State*
14. Zip Code*
16. Home Phone
17. Mobile Phone*
19. Email*

    Enter a valid email address for you

23. Areas of Interest*

    Please, check the box of each board, committee or commission that you would like to volunteer.

    1. Eastern Carolina Aviation Heritage Foundation (ECAHF)
    2. Planning Board
    3. Board of Adjustment
    4. Community Appearance Commission

    1. Cultural Arts Committee
    2. Recreation Advisory Board
    3. Library Board
    4. Miscellaneous Ad-Hoc Committees
27. Havelock Resident*

    Do you live within the corporate limits of Havelock?

    1. Yes
    2. No
28. Residency Length*

    How long have you been a resident of Havelock?

30. Employment*

    Are you currently employed?

    1. Yes
    2. No
31. Employer

    Where are you currently employed and what is your occupation?

33. Why do you want to serve as a volunteer?*

    Tell us a little bit about why you want to serve as a volunteer on the selected board, commission or committee.

35. Have you, previously, served on any city board, commission or committee?*

    1. Yes
    2. No
36. Which board, commission or committee did you serve?*
37. When did you serve?

    Thank you for your prior service! Please, tell us the estimated date/years that you served.

39. Why do you think that you would be an asset to this board, commission or committee?*

    We would like to know your strengths! What are your skills and passions that would make you a great candidate to serve?

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41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field