GREENE COUNTY Application for Board Appointment Name Employer Preferred mailing address: Home Business Position Home Address Business Address Home Phone Business Phone Do you live outside the Springfield city limits? How long have you lived in Greene County? Previous employers and positions Board(s) you are interested in serving Special qualifications (include past board service) Educational background Community activities References (optional) A resume may be attached. Return form to: Greene County Commission 940 Boonville, Springfield, MO 65802 American LegalNet, Inc. www.FormsWorkflow.com