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Jersey
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Kenya
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Laos
Latvia
Lebanon
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Liberia
Libya
Liechtenstein
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Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mexico
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Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nepal
Netherlands
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New Zealand
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Niger
North Korea
Norway
Oman
Pakistan
Palau
Panama
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Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
San Marino
Saudi Arabia
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Senegal
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Sierra Leone
Singapore
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Slovenia
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South Korea
Spain
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Sweden
Switzerland
Syria
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The Bahamas
Togo
Trinidad and Tobago
Tunisia
Turkey
Uganda
Ukraine
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United Kingdom
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Venezuela
Vietnam
Virgin Islands
Wake Island
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Application for Appointment
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Board 1:
Advisory Committee on Acupuncture
Advisory Committee on Anesthesiologist Assistants
Advisory Committee on Naturopathic Medicine
Advisory Committee on Physician Assistants
Advisory Committee on Surgical Assistants
Advisory Committee to the Office of Administrative Hearings
Advisory Committee to the Office of Gay, Lesbian, Bisexual & Transgender Affairs
Airport Advisory Committee
Alcoholic Beverage Control Board
Anacostia Waterfront Corporation Board of Directors
Apprenticeship Council
Armory Board
Bicycle Advisory Council
Board of Accountancy
Board of Architecture & Interior Designers
Board of Audiology & Speech-Language Pathology
Board of Barber & Cosmetology
Board of Chiropractic
Board of Condemnation of Insanitary Buildings
Board of Dentistry
Board of Dietetics & Nutrition
Board of Directors for the Quality Trust Fund for Individuals for with Disabilities
Board of Education
Board of Elections & Ethics
Board of Funeral Directors
Board of Industrial Trades
Board of Library Trustees
Board of Marriage & Family Therapy
Board of Massage Therapy
Board of Medicine
Board of Nursing
Board of Nursing Home Administration
Board of Occupational Therapy
Board of Optometry
Board of Pharmacy
Board of Physical Therapy
Board of Podiatry
Board of Professional Counseling
Board of Professional Engineering
Board of Psychology
Board of Real Estate
Board of Real Estate Appraisers
Board of Real Property Assessments & Appeals
Board of Respiratory Care
Board of Review for Anti-Deficiency Violations
Board of Social Work
Board of Trustees of the University of the District of Columbia
Board of Veterinary Examiners
Board of Zoning Adjustment
Boxing & Wrestling Commission
Building Code Advisory Committee
Cable Television Advisory Committee
Cable Television Public Access Corporation Board of Directors
Chesapeake & Ohio Canal National Historical Park Commission
Chesapeake Bay Citizens Advisory Committee
Chesapeake Bay Program's Local Government Advisory Committee
Chesapeake Bay Scientific & Technical Advisory Committee
Child Fatality Review Committee
Child Support Guideline Commission
Choice in Drug Treatment Advisory Commission
Citizen Advisory Committee to the Soil and Water Conservation District
Citizen Review Panel
College Savings Program Advisory Board
Commemorative Works Committee
Commission for National & Community Service
Commission for Women
Commission on African Affairs
Commission on Aging
Commission on Asian & Pacific Islanders Community Development
Commission on Human Rights
Commission on Judicial Disabilities & Tenure
Commission on Latino Community Development
Commission on Martin Luther King Jr. Holiday
Commission on Poverty
Commission on Re-entry & Ex-offender Affairs
Commission on the Arts & Humanities
Commission on the Selective & Tenure of Administrative Law Judges of the Office of Admin Hearings
Committee on Metabolic Disorders
Comprehensive Homicide Elimination Task Force
Comprehensive Housing Strategy Task Force
Comprehensive Plan Update Task Force
Contract Appeals Board
Corrections Information Council
Developmental Disabilities State Planning Council
District of Columbia State Rehabilitation Council
Domestic Violence Fatality Review Board
Drug Prevention & Children at Risk Fund
Eastern Market Community Advisory Committee
Economic Development Administration Comprehensive Economic Devlmnt Reform Advisory Commission
Educational Licensure Commission
Emancipation Commemoration Commission
Emergency Medical Services Advisory Committee
Emerging Technology Opportunity Task Force
Environmental Planning Commission
Gas Station Advisory Board
Green Building Advisory Council
Historic Preservation Review Board
Historical Records Advisory Board
Homeland Security Commission
Housing Authority Board of Commissioners
Housing Authority Board of Commissioners
Housing Finance Agency Board of Directors
Housing Production Trust Fund Board
Humanities Council of Washington DC
Incentive Awards Committee
Interagency Coordinating Council
Interagency Council on Homelessness
Interagency Task Force on Substance Abuse Prevention, Treatment & Control
Interstate Commission on the Potomac River Basin
Judicial Nomination Commission
Juvenile Justice Advisory Group
Juvenile Justice Reform Task Force
Library Enhancement Task Force
Make a Difference Selection Committee
Mayor's Advisory Commission on Caribbean Community Affairs
Mayor's Advisory Committee on Child Abuse & Neglect
Mayor's Advisory Committee on Early Childhood Development
Mayor's Advisory Committee on HIV-AIDS
Mayor's Bioterrorism Preparedness & Response Program Advisory Committee
Mayor's Commission on Food & Nutrition
Mayor's Commission on Violence against Women
Mayor's Committee on Persons with Disabilities
Mayor's Health Policy Council
Mayor's Interfaith Council
Mayor's Task Force on HIV & AIDS
Mayor's Youth Substance Abuse Prevention Advisory Committee
Mental Retardation & Developmental Fatality Review Committee
Mental Retardation and Developmental Disabilities Fatality Review Committee
Metropolitan Washington Airports Authority Board of Directors
Metropolitan Washington Regional Health Services Planning Council
National Capital Planning Commission
National Capital Revitalization Corporation Board of Directors
National Conference of Commissioners on Uniform State Laws
Notaries Public Board of Review
Occupational Safety & Health Board
Office of Employee Appeals
People's Counsel
Police & Firemen's Retirement & Relief Board
Police Complaints Board
Police Officers Standards & Training Board
Pretrial Services Agency Executive Committee
Project Labor Agreement Task Force
Public Charter School Board
Public Charter Schools Credit Enhancement Fund Committee
Public Defenders Service Board of Trustees
Public Employee Relations Board
Public School Modernization Advisory Committee
Public Service Commission of the District of Columbia
Public Space Committee
Recreation Assistance Board
Recreational Trails Advisory Committee
Rental Housing Commission
Rental Housing Conversion & Sale Task Force
Retirement Board
Securities Advisory Committee
Selective Service Systems
Sentencing Commission
Small & Local Business Opportunity Commission
Smoking Ban Review Board
Soil & Water Conservation District Board of Directors
Sports & Entertainment Commission Board of Directors
State Advisory Panel on Special Education for the District of Columbia
State Mental Health Planning Council
Statehood Delegation Fund Commission
Statewide Health Coordinating Council
Statewide Independent Living Council
Taxicab Commission
Tenant Advisory Council
Tobacco Settlement Financing Corporation Board of Directors
Unemployment Compensation Board
United Planning Organization Board of Directors
Vehicle Theft Prevention Council
Washington Convention Center Advisory Committee
Washington Convention Center Board of Directors
Washington DC Convention & Tourism Corporation
Washington Metropolitan Area Transit Authority
Water & Sewer Authority Board of Directors
Workforce Investment Council
Youth Investment Collaborative
Zoning Commission
Board 2:
Advisory Committee on Acupuncture
Advisory Committee on Anesthesiologist Assistants
Advisory Committee on Naturopathic Medicine
Advisory Committee on Physician Assistants
Advisory Committee on Surgical Assistants
Advisory Committee to the Office of Administrative Hearings
Advisory Committee to the Office of Gay, Lesbian, Bisexual & Transgender Affairs
Airport Advisory Committee
Alcoholic Beverage Control Board
Anacostia Waterfront Corporation Board of Directors
Apprenticeship Council
Armory Board
Bicycle Advisory Council
Board of Accountancy
Board of Architecture & Interior Designers
Board of Audiology & Speech-Language Pathology
Board of Barber & Cosmetology
Board of Chiropractic
Board of Condemnation of Insanitary Buildings
Board of Dentistry
Board of Dietetics & Nutrition
Board of Directors for the Quality Trust Fund for Individuals for with Disabilities
Board of Education
Board of Elections & Ethics
Board of Funeral Directors
Board of Industrial Trades
Board of Library Trustees
Board of Marriage & Family Therapy
Board of Massage Therapy
Board of Medicine
Board of Nursing
Board of Nursing Home Administration
Board of Occupational Therapy
Board of Optometry
Board of Pharmacy
Board of Physical Therapy
Board of Podiatry
Board of Professional Counseling
Board of Professional Engineering
Board of Psychology
Board of Real Estate
Board of Real Estate Appraisers
Board of Real Property Assessments & Appeals
Board of Respiratory Care
Board of Review for Anti-Deficiency Violations
Board of Social Work
Board of Trustees of the University of the District of Columbia
Board of Veterinary Examiners
Board of Zoning Adjustment
Boxing & Wrestling Commission
Building Code Advisory Committee
Cable Television Advisory Committee
Cable Television Public Access Corporation Board of Directors
Chesapeake & Ohio Canal National Historical Park Commission
Chesapeake Bay Citizens Advisory Committee
Chesapeake Bay Program's Local Government Advisory Committee
Chesapeake Bay Scientific & Technical Advisory Committee
Child Fatality Review Committee
Child Support Guideline Commission
Choice in Drug Treatment Advisory Commission
Citizen Advisory Committee to the Soil and Water Conservation District
Citizen Review Panel
College Savings Program Advisory Board
Commemorative Works Committee
Commission for National & Community Service
Commission for Women
Commission on African Affairs
Commission on Aging
Commission on Asian & Pacific Islanders Community Development
Commission on Human Rights
Commission on Judicial Disabilities & Tenure
Commission on Latino Community Development
Commission on Martin Luther King Jr. Holiday
Commission on Poverty
Commission on Re-entry & Ex-offender Affairs
Commission on the Arts & Humanities
Commission on the Selective & Tenure of Administrative Law Judges of the Office of Admin Hearings
Committee on Metabolic Disorders
Comprehensive Homicide Elimination Task Force
Comprehensive Housing Strategy Task Force
Comprehensive Plan Update Task Force
Contract Appeals Board
Corrections Information Council
Developmental Disabilities State Planning Council
District of Columbia State Rehabilitation Council
Domestic Violence Fatality Review Board
Drug Prevention & Children at Risk Fund
Eastern Market Community Advisory Committee
Economic Development Administration Comprehensive Economic Devlmnt Reform Advisory Commission
Educational Licensure Commission
Emancipation Commemoration Commission
Emergency Medical Services Advisory Committee
Emerging Technology Opportunity Task Force
Environmental Planning Commission
Gas Station Advisory Board
Green Building Advisory Council
Historic Preservation Review Board
Historical Records Advisory Board
Homeland Security Commission
Housing Authority Board of Commissioners
Housing Authority Board of Commissioners
Housing Finance Agency Board of Directors
Housing Production Trust Fund Board
Humanities Council of Washington DC
Incentive Awards Committee
Interagency Coordinating Council
Interagency Council on Homelessness
Interagency Task Force on Substance Abuse Prevention, Treatment & Control
Interstate Commission on the Potomac River Basin
Judicial Nomination Commission
Juvenile Justice Advisory Group
Juvenile Justice Reform Task Force
Library Enhancement Task Force
Make a Difference Selection Committee
Mayor's Advisory Commission on Caribbean Community Affairs
Mayor's Advisory Committee on Child Abuse & Neglect
Mayor's Advisory Committee on Early Childhood Development
Mayor's Advisory Committee on HIV-AIDS
Mayor's Bioterrorism Preparedness & Response Program Advisory Committee
Mayor's Commission on Food & Nutrition
Mayor's Commission on Violence against Women
Mayor's Committee on Persons with Disabilities
Mayor's Health Policy Council
Mayor's Interfaith Council
Mayor's Task Force on HIV & AIDS
Mayor's Youth Substance Abuse Prevention Advisory Committee
Mental Retardation & Developmental Fatality Review Committee
Mental Retardation and Developmental Disabilities Fatality Review Committee
Metropolitan Washington Airports Authority Board of Directors
Metropolitan Washington Regional Health Services Planning Council
National Capital Planning Commission
National Capital Revitalization Corporation Board of Directors
National Conference of Commissioners on Uniform State Laws
Notaries Public Board of Review
Occupational Safety & Health Board
Office of Employee Appeals
People's Counsel
Police & Firemen's Retirement & Relief Board
Police Complaints Board
Police Officers Standards & Training Board
Pretrial Services Agency Executive Committee
Project Labor Agreement Task Force
Public Charter School Board
Public Charter Schools Credit Enhancement Fund Committee
Public Defenders Service Board of Trustees
Public Employee Relations Board
Public School Modernization Advisory Committee
Public Service Commission of the District of Columbia
Public Space Committee
Recreation Assistance Board
Recreational Trails Advisory Committee
Rental Housing Commission
Rental Housing Conversion & Sale Task Force
Retirement Board
Securities Advisory Committee
Selective Service Systems
Sentencing Commission
Small & Local Business Opportunity Commission
Smoking Ban Review Board
Soil & Water Conservation District Board of Directors
Sports & Entertainment Commission Board of Directors
State Advisory Panel on Special Education for the District of Columbia
State Mental Health Planning Council
Statehood Delegation Fund Commission
Statewide Health Coordinating Council
Statewide Independent Living Council
Taxicab Commission
Tenant Advisory Council
Tobacco Settlement Financing Corporation Board of Directors
Unemployment Compensation Board
United Planning Organization Board of Directors
Vehicle Theft Prevention Council
Washington Convention Center Advisory Committee
Washington Convention Center Board of Directors
Washington DC Convention & Tourism Corporation
Washington Metropolitan Area Transit Authority
Water & Sewer Authority Board of Directors
Workforce Investment Council
Youth Investment Collaborative
Zoning Commission
Board 3:
Advisory Committee on Acupuncture
Advisory Committee on Anesthesiologist Assistants
Advisory Committee on Naturopathic Medicine
Advisory Committee on Physician Assistants
Advisory Committee on Surgical Assistants
Advisory Committee to the Office of Administrative Hearings
Advisory Committee to the Office of Gay, Lesbian, Bisexual & Transgender Affairs
Airport Advisory Committee
Alcoholic Beverage Control Board
Anacostia Waterfront Corporation Board of Directors
Apprenticeship Council
Armory Board
Bicycle Advisory Council
Board of Accountancy
Board of Architecture & Interior Designers
Board of Audiology & Speech-Language Pathology
Board of Barber & Cosmetology
Board of Chiropractic
Board of Condemnation of Insanitary Buildings
Board of Dentistry
Board of Dietetics & Nutrition
Board of Directors for the Quality Trust Fund for Individuals for with Disabilities
Board of Education
Board of Elections & Ethics
Board of Funeral Directors
Board of Industrial Trades
Board of Library Trustees
Board of Marriage & Family Therapy
Board of Massage Therapy
Board of Medicine
Board of Nursing
Board of Nursing Home Administration
Board of Occupational Therapy
Board of Optometry
Board of Pharmacy
Board of Physical Therapy
Board of Podiatry
Board of Professional Counseling
Board of Professional Engineering
Board of Psychology
Board of Real Estate
Board of Real Estate Appraisers
Board of Real Property Assessments & Appeals
Board of Respiratory Care
Board of Review for Anti-Deficiency Violations
Board of Social Work
Board of Trustees of the University of the District of Columbia
Board of Veterinary Examiners
Board of Zoning Adjustment
Boxing & Wrestling Commission
Building Code Advisory Committee
Cable Television Advisory Committee
Cable Television Public Access Corporation Board of Directors
Chesapeake & Ohio Canal National Historical Park Commission
Chesapeake Bay Citizens Advisory Committee
Chesapeake Bay Program's Local Government Advisory Committee
Chesapeake Bay Scientific & Technical Advisory Committee
Child Fatality Review Committee
Child Support Guideline Commission
Choice in Drug Treatment Advisory Commission
Citizen Advisory Committee to the Soil and Water Conservation District
Citizen Review Panel
College Savings Program Advisory Board
Commemorative Works Committee
Commission for National & Community Service
Commission for Women
Commission on African Affairs
Commission on Aging
Commission on Asian & Pacific Islanders Community Development
Commission on Human Rights
Commission on Judicial Disabilities & Tenure
Commission on Latino Community Development
Commission on Martin Luther King Jr. Holiday
Commission on Poverty
Commission on Re-entry & Ex-offender Affairs
Commission on the Arts & Humanities
Commission on the Selective & Tenure of Administrative Law Judges of the Office of Admin Hearings
Committee on Metabolic Disorders
Comprehensive Homicide Elimination Task Force
Comprehensive Housing Strategy Task Force
Comprehensive Plan Update Task Force
Contract Appeals Board
Corrections Information Council
Developmental Disabilities State Planning Council
District of Columbia State Rehabilitation Council
Domestic Violence Fatality Review Board
Drug Prevention & Children at Risk Fund
Eastern Market Community Advisory Committee
Economic Development Administration Comprehensive Economic Devlmnt Reform Advisory Commission
Educational Licensure Commission
Emancipation Commemoration Commission
Emergency Medical Services Advisory Committee
Emerging Technology Opportunity Task Force
Environmental Planning Commission
Gas Station Advisory Board
Green Building Advisory Council
Historic Preservation Review Board
Historical Records Advisory Board
Homeland Security Commission
Housing Authority Board of Commissioners
Housing Authority Board of Commissioners
Housing Finance Agency Board of Directors
Housing Production Trust Fund Board
Humanities Council of Washington DC
Incentive Awards Committee
Interagency Coordinating Council
Interagency Council on Homelessness
Interagency Task Force on Substance Abuse Prevention, Treatment & Control
Interstate Commission on the Potomac River Basin
Judicial Nomination Commission
Juvenile Justice Advisory Group
Juvenile Justice Reform Task Force
Library Enhancement Task Force
Make a Difference Selection Committee
Mayor's Advisory Commission on Caribbean Community Affairs
Mayor's Advisory Committee on Child Abuse & Neglect
Mayor's Advisory Committee on Early Childhood Development
Mayor's Advisory Committee on HIV-AIDS
Mayor's Bioterrorism Preparedness & Response Program Advisory Committee
Mayor's Commission on Food & Nutrition
Mayor's Commission on Violence against Women
Mayor's Committee on Persons with Disabilities
Mayor's Health Policy Council
Mayor's Interfaith Council
Mayor's Task Force on HIV & AIDS
Mayor's Youth Substance Abuse Prevention Advisory Committee
Mental Retardation & Developmental Fatality Review Committee
Mental Retardation and Developmental Disabilities Fatality Review Committee
Metropolitan Washington Airports Authority Board of Directors
Metropolitan Washington Regional Health Services Planning Council
National Capital Planning Commission
National Capital Revitalization Corporation Board of Directors
National Conference of Commissioners on Uniform State Laws
Notaries Public Board of Review
Occupational Safety & Health Board
Office of Employee Appeals
People's Counsel
Police & Firemen's Retirement & Relief Board
Police Complaints Board
Police Officers Standards & Training Board
Pretrial Services Agency Executive Committee
Project Labor Agreement Task Force
Public Charter School Board
Public Charter Schools Credit Enhancement Fund Committee
Public Defenders Service Board of Trustees
Public Employee Relations Board
Public School Modernization Advisory Committee
Public Service Commission of the District of Columbia
Public Space Committee
Recreation Assistance Board
Recreational Trails Advisory Committee
Rental Housing Commission
Rental Housing Conversion & Sale Task Force
Retirement Board
Securities Advisory Committee
Selective Service Systems
Sentencing Commission
Small & Local Business Opportunity Commission
Smoking Ban Review Board
Soil & Water Conservation District Board of Directors
Sports & Entertainment Commission Board of Directors
State Advisory Panel on Special Education for the District of Columbia
State Mental Health Planning Council
Statehood Delegation Fund Commission
Statewide Health Coordinating Council
Statewide Independent Living Council
Taxicab Commission
Tenant Advisory Council
Tobacco Settlement Financing Corporation Board of Directors
Unemployment Compensation Board
United Planning Organization Board of Directors
Vehicle Theft Prevention Council
Washington Convention Center Advisory Committee
Washington Convention Center Board of Directors
Washington DC Convention & Tourism Corporation
Washington Metropolitan Area Transit Authority
Water & Sewer Authority Board of Directors
Workforce Investment Council
Youth Investment Collaborative
Zoning Commission
Other:
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Date of Birth:
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Ethnicity:
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Young Adult(16 years to 24 years)
Person with Disabilities
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Major of Course:
Year:
Last Year Attended:
Licenses Held (if applicable):
Special Skills and Qualifications:
Community Activities/Organizational Affiliations(current):
Declarations
*
Are you a citizen of the United States?
Yes
No
*
Are you a Permanent Resident of the United States?
Yes
No
*
Are you registered to vote in the District of Columbia?
Yes
No
*
Are you a current employee of the U.S. government?
Yes
No
If yes, provide list agency, board or commission:
*
Are you a current employee of the District government?
Yes
No
*
Are you, or a family member, currently serving on board?
Yes
No
If yes, please list the board or comission:
*
Have you ever had a professional/occupational license revoked, or suspended, as a result of desciplinary action?
Yes
No
If yes, please privde written details:
*
Have you ever been convicted of, or pleaded guilty to, a crime?
Yes
No
If yes, provide written details:
*
Is there anything in you background that might become an embarrassment to you if it were to become public?
Yes
No
If yes, provide written details:
Application Details
Comments:
Reference:
Resume:
(Optional)
I certify that the facts and declarations contained in this application are true and correct to the best of my knowledge. I further authorize investigation of all statements contained herein and any personal references that I may include, or later provide, to obtain any and all pertinent information. I understand that providing false response may be cause to remove me from service on a board or comission, if appointed.
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