Advisory Committee Application

Required fields are marked with .

Contact Information

First Name

Last Name

Phone Number

Enter a 10-digit phone number.

Address

City

State

Zip

Enter a 5-digit ZIP code.

Additional Notes

Interests & Experiences

Please tell us about yourself and why you want to serve.

Are you an employee of Dakota County?

Dakota County employees are not eligible for appointment to any advisory committee, unless otherwise provided by law.

Yes

Are you currently under contract with or employed by a contractor of Dakota County?

Individuals affiliated with Dakota County are eligible for appointment but do not receive preference in the appointment process. Affiliated means (1) has a contract with Dakota County, or (2) is employed by a Dakota County contractor.

Yes

If yes, which contractor?

Current Work Responsibilities

Previous Work Experience

Vocational/Educational Background

Community Service

Describe your interest in serving on an advisory committee

Select Committees

Select one or more committees you are interested in. Optionally rank your preferences (1 = top choice):

Select	Preference	Committee
		Community Development Agency Board
		Dakota-Scott Workforce Development Board
		Disability Advisory Council
		Extension Committee
		Library Advisory Committee
		Personnel Board of Appeals
		Planning Commission
		Public Art Advisory Committee
		Special Board of Appeal and Equalization
		Zoning Board of Adjustment

Security Verification

Please verify that you are not a robot by entering the security code displayed below.

Security Code

Upload Documents

Upload any supporting documents (PDF, DOC, DOCX, JPG, PNG, TXT). Max 10 MB each.

Upload Documents