Apply for a Board Application Form

Submitted by dlfaison on Wed, 11/05/2025 - 08:57

Please fill out the following form to apply for a board.

If you are experiencing problems submitting this form, please email boardsandcommissions@nc.gov

Indicates required field

Choose one or more Board/Commission and Position combinations

Select the Board/Commission

Select the Position

Boards for my application

Board and Commission	Position	Are you already a member of this board?
Board and Commission	Position	Are you already a member of this board?

Contact Information

Prefix

First Name

Middle Name

Last Name

Suffix

Preferred Name

Email Address

Work Phone Number

Mobile Phone Number

Home Phone Number

Preferred Number

Address Line 1

Address Line 2

City

State

Zip code

County