The Town of Pine Knoll Shores appreciates your interest in serving as a volunteer. This application requests general information based on your interests and experience. Information received will be available to all Town boards and officials, although the completion of this form in no way assures appointments.

This application will be considered public information.

Personal Data

Applicant Name*

Date*

Volunteer Position Desired*

Gender

Male

Female

Home Address*

Home Phone*

Employed By

Business/Other Phone

Email Address

Fax Number

Days Available*

Hours Per Day*

How Long Have You Been a Resident of Pine Knoll Shores?*

In order to assure that a cross section of the community is appointed to our Town's various volunteer organizations, the Town of Pine Knoll Requests that the following information be provided:

Education

Name of School

Dates

Degree/Certification

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Employment Experience

Employer

Location

Title/Responsibility

Dates

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.

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.

.

Volunteer Experience

Organization/Place

Location

Title/Responsibility

Dates

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.

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Short Essay

Why do you wish to serve on the Board, Committee, or Commission Requested.*

Thank you for your interest in serving as a volunteer for the Town of Pine Knoll Shores.
Volunteers like you make our Town what it is.

Revised 03/2006