2. 
3. CITIZEN BOARD RENEWAL APPLICATION
   The Pitkin County Board of County Commissioners would like to thank you for your service over the past Citizen Board term. We appreciate your time and effort and want to hear about your experience as a board member. Please take a moment to update your information and answer a few questions about your experience.
5. 530 E. Main, Suite 302 Aspen, Colorado 81611 Phone: 970-920-5200 Fax: 970-920-5198 pitkincounty.com
7. Date
   Date
11. Pitkin County seeks to create an inclusive and accessible process for individuals who wish to serve on citizen boards. We strive to ensure that board members are committed to our values around health and the environment, inclusion and equity, quality data and lived experiences, and are representative of the communities we serve.
13. First Name*
14. Last Name*
16. Physical Address*
18. Mailing Address*
20. City*
21. State*
22. Zip*
24. Email Address*
25. Phone Number*
26. Alt Phone Number
28. Reapplying for:*
    -- Select One --Animal Shelter BoardBoard of AdjustmentBoard of AppealsBoard of HealthCitizen Grant Review CommitteeConflict Committee PoolElection CommissionFinancial Advisory BoardHealthy Rivers & StreamsHousing AuthorityLibrary BoardOpen Space & Trails Planning & ZoningRedstone Historic PreservationRetirement BoardSenior Services CouncilTelecommunications Advisory BoardWeed Advisory Board
32. What are the greatest contributions you made to the board during your first term?
34. What have you learned / gained through the experiences of your first term that you plan to apply to your second term, if you are reappointed?
36. What can Pitkin County do to make your contribution as a Citizen Board member more meaningful?
38. Do you anticipate having conflicts that might prohibit regular meeting attendance? Please explain.
40. What are the top three issues currently facing your board?
42. What have been the three biggest challenges for the board while serving this term?
44. Do you have any suggestions that would make this board more effective?
46. Thank you for taking time to complete this application. Please submit this electronically or print and deliver to the address at the top of the form. We will contact you if the Board of County Commissioners wish to interview you again. If you have questions, please contact Charlotte Anderson at 920-5210.
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48. 1. Receive an email copy of this form.
49. Email address

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50. Submit Submit and Print

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