Yorkwood District Board Application

Thank you for your interest in serving on the Yorkwood District Board. Please complete the following application in full. All information will remain confidential and will be used solely for the purpose of evaluating applicants for board membership.

Full Name (First and Last)

Address

City, State, Zip Code

Email Address

Phone Number

Date of Birth (MM/DD/YYYY)

Do you rent or own your place of residence?

Rent
Own

Have you ever been convicted of a felony? (A prior conviction does not automatically disqualify you from consideration.)

Yes
No

If yes, please explain.

Why do you want to serve on the Yorkwood District Board?

Today's Date

Google Authentication