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County of Cole Boards & Committees Application Form

  1. Select the Board(s) or Committee(s) applying for

  2. Please check if this is a*

  3. Resident of Cole County?*

  4. 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.

  5. Thank you!

    Thank you for your interest. Applications will be kept for a period of two years after submission.

  6. Leave This Blank:

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