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Citizen Board Application Form

  1. 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.
  2. Personal Information
  3. Residency Information
  4. Education and Hobbies
  5. Organization Membership Information
  6. Are you currently serving on other Boards, Commissions, or Committees?*
  7. Have you served on a Board, Commission, or Committee before?*
  8. Leave This Blank:

  9. This field is not part of the form submission.