School Board Application
Please complete the attached application and include a copy of your resume. You may upload a copy of your resume to this application or email to

For additional information, please contact Diane Bennett, School Board Clerk at 804.556.5601.

Today's Date:
Full Name (First, Middle, Last)
Home Phone:
Cell Phone:
Email address:
Are you a resident of Goochland County, Virginia?
Are you a resident of District 3?
Current Employment:
Volunteer Experience:
Community Involvement:
Why are you interested in the interim School Board member position?
Do you intend to be a candidate in the special election scheduled for November 6, 2018?
How much time do you have to devote to this interim position?
What is the proper role of a School Board member?
Additional Information:
Upload Resume
Submit Application
By my electronic signature below, I certify that all information contained herein is true and correct. Further, I hereby consent to the dissemination of this document to the Goochland County School Board and the general public.
Signature: (Please type your name below.)
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