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Application for Appointment to the Pierce County Agriculture Advisory Committee

  1. Preferred Mailing Address

  2. I am applying as:*

    Please select one of the following

  3. *Nursery production, agricultural processing industry, animal based food production, aquaculture, or agricultural sales and service.

  4. Education

    (Name of high school, college/university, year graduated, degree)

  5. Upload Additional Information

    Resume, Cover Letter, etc.

  6. Optional Information

    The Council seeks diverse representation.
    Information in this section will assist in achieving this goal, and is voluntary on your part.

  7. Racial Category

  8. Sex

  9. Handicap

  10. Are you a spouse and/or member of immediate family employee of Pierce County?

  11. References

  12. Please type your first and last name.

  13. Terms of Acceptance*

    I, the submitter of this application, warrant the truthfulness of the information provided in this application.

  14. Leave This Blank:

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