Form Center

2. Please complete the online form below.

   If you choose to print the form and mail, please type or print clearly using black ink. Mail the application to Altresia Orr, Clerk to Council, 200 Jackson Avenue East, Hampton, SC 29924.

   For those fields that do not apply to you, please type or print "NA". Once you hit the "submit/print" button a new page will open then you can proceed to "File" and "Print".
4. 
   Personal Information
6. Select the Board or Commission applying for:*
   -- Select One --Select OneAirport CommissionAll Wars Memorial BoardArts CouncilBoard of Adjustments and AppealsBoard of Elections and Voter RegistrationCouncil on Aging Advisory BoardDisability and Special Needs BoardEconomic Development CommissionFire BoardLibrary BoardLowcountry Resort and Tourism BoardMarketing and Tourism BoardParks and Recreation BoardPlanning CommissionTax Appeals BoardTransportation Commission BoardNew Life Center BoardLowcountry Council of Governments Board RepresentativeSCORF
8. Name:*
10. Maiden Name:
12. Home Address:*
14. City, State, and Zip*
16. Home Phone Number:
18. Cell Phone:
20. Email Address:
22. Business Address:
24. City, State, and Zip
26. Business Phone Number:
28. Occupation:*
30. If Retired, please list the name of last employer and occupation.
32. 
    Residency Information
34. Length of Residency in Hampton County:*
36. Are you a registered voter:*

    1. Yes
    2. No
38. What is your Voter's Registration No.?*
40. 
    Education and Hobbies
42. High School:
44. College:
46. Trade or Business School:
48. Hobbies:
50. 
    Organization Membership Information
52. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
54. If yes, which:*
56. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
58. If yes, which:*
60. Please list organization memberships and positions held:
62. 
    Please List Areas of Special Interest
64. 
    Reason(s) for wanting to become a member of this board/commission/council/committee:
66. Are you related to anyone in the organization in which you are requesting appointment?*

    1. Yes
    2. No
68. If yes, who and what relationship are you?*
70. Signature:
    If submitting online, please just enter your name as it appears on this application.*
72. Date:*
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit Submit and Print

* indicates a required field