Butner, NC · Granville County

No notary required

Application for Board Appointment

Butner residents use this application to provide information and express interest in serving on a town board, committee, or council.

What this form is

Use this application to apply for an appointment to a Town of Butner board, committee, or council. It asks for your contact details, occupation, educational background, county residency, and whether you live within town limits. You can indicate the board or committee you are applying to, list prior or current service, and explain why you wish to serve.

Who needs it

People applying to serve on a Town of Butner board, committee, or council should complete and return this application.

How to submit it

Return the completed form to Event Coordinator/PIO Mallory Richard at [email protected] or 415 Central Ave., Suite A Street, P.O. Box 270, Butner, NC 27509.

About notarization

This application is signed without a notary; the form asks the applicant to provide a signature and date.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Butner Application for Board Appointment.

  2. 2

    Complete The Application

    Provide your contact and background information, select a board or committee, and explain why you wish to serve.

  3. 3

    Add Any Extra Sheets

    Attach additional sheets or use the reverse side if needed for your statement or service history.

  4. 4

    Return The Application

    Send the completed form to Event Coordinator/PIO Mallory Richard by email or to the mailing address shown on the form.

Frequently asked questions

Who can use the Application for Board Appointment?
People applying to serve on a Town of Butner board, committee, or council can use the application to provide their background and interest.
What information does the application ask for?
It asks for contact information, occupation, educational background, county residency, town-limit residency, board selection, service history, and a brief statement about why you wish to serve.
Do I need a notary for the Application for Board Appointment?
No. This application is signed and dated without a notary.
How do I submit the Application for Board Appointment?
Return the completed form to Event Coordinator/PIO Mallory Richard by email at [email protected] or at the mailing address listed on the form.

Need something notarized?

This Application for Board Appointment doesn’t need a notary — but if you have another Butner form that does, a commissioned online notary can help.