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Notice of Interest - County of Butler Appointed Boards
This form will be used to identify volunteers interested in serving on a County Appointed Board. Not all boards will need appointees, however if you indicate an interest in multiple boards, you will have a greater chance in being appointed. This information may be shared with other County officials or other currently appointed members of the boards of which you have indicated interest.

If you have questions about a particular board, please call 724-284-5105 for additional information.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number ***-***-**** *
Your answer
Is this a cell phone that can receive text?
Street Address or PO Box *
ex. 124 W. Diamond St.
Your answer
City *
Ex. Slippery Rock
Your answer
Zip *
Your answer
Municipality - TWP or Boro *
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