Get Executive Appointments Interest Form - The Oregon Board Of Optometry - Oregon

This guide provides a clear and comprehensive approach to filling out the Executive Appointments Interest Form, designed to assist applicants in applying for appointments to boards or commissions in Oregon. By following these instructions, users can effectively navigate the form and submit their applications online with confidence.

Follow the steps to complete the form accurately and efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by identifying the boards or commissions you are interested in. Fill in the desired board name and any specific position requirements in the designated fields.
3. Provide your personal data. Select your preferred mailing address (home or business). Enter your full name, title, and complete mailing address, including city, state, zip code, and county.
4. Optionally, include your spouse or domestic partner’s name and your business information, such as the name and address. List your occupation and provide your home, business, and cell phone numbers, as well as your email address.
5. Identify your state senator, state representative, and US representative, along with their respective districts. If known, include this information or consult the provided resources for assistance.
6. Complete the optional demographic information which includes gender and race/ethnicity. This section aims to assist with affirmative action objectives and is confidential.
7. Outline your educational background by listing the schools you attended, along with the associated city, state, attendance dates, and degrees/majors. You may also attach a current resume.
8. Provide your employment and volunteer experience. List major paid employment and significant volunteer activities, with dates, employer/organization names, city & state, and title/position. A current resume may substitute for this section.
9. In the section for interest in appointment, describe in detail why you wish to serve on the specific board or commission. Include relevant background information and qualifications. You may use a separate sheet if necessary.
10. Review the commitment statement regarding potential conflicts of interest and confirm your acceptance of appointment if selected. Sign and date this section.
11. Fill out the background information section voluntarily, providing details for potential inquiries. Sign to authorize the Governor's Office to conduct background investigations.
12. Optionally, provide your Social Security number for identity verification. Include your driver’s license number, date of birth, and residence status in Oregon.
13. Once all sections are completed, review your information for accuracy. Save your changes and utilize the options to download, print, or share the form as needed.

Take the necessary steps to complete your Executive Appointments Interest Form online today.