Coeburn, VA · Wise County
Board Application
Coeburn residents and business owners use this application to express interest in serving on town boards and list their board preferences.
What this form is
The Board Application lets people express interest in serving on a Town of Coeburn board and rank up to three board preferences. It asks for contact details, residency or business-owner status, education, work and civic experience, voter registration, and any current or past town board service. Applicants also indicate whether a family member serves on Town Council or is employed by the town.
Who needs it
People interested in serving on a Coeburn board can use this application to provide their background and list up to three preferences.
How to submit it
Email the application to [email protected], deliver it to Town Hall at 403 2nd Street NE, or mail it to the Town Manager at P.O. Box 370, Coeburn, Virginia 24230.
About notarization
This application is completed and signed without a notary; it lists no notarized or sworn attachment, so the applicant completes the requested fields.
How to submit this form
- 1
Download The Application
Download the Town of Coeburn Board Application PDF.
- 2
Complete The Fields
Provide your contact information, background, board service history, and up to three board preferences.
- 3
Check For Attachments
The application lists no required attachments.
- 4
Submit To The Town
Email the application, deliver it to Town Hall, or mail it to the Town Manager at the address on the form.
Frequently asked questions
- Do I need a notary for the Board Application?
- No. This application is completed and signed without a notary. The form lists no notarized or sworn attachment.
- How do I submit the Board Application?
- Email it to [email protected], deliver it to Town Hall at 403 2nd Street NE, or mail it to the Town Manager at P.O. Box 370, Coeburn, Virginia 24230.
- Which boards can I list on the application?
- The form lists the Board of Zoning Appeals, Planning Commission, C-N-W Regional Wastewater Treatment Authority Board, Economic Development Authority Board, and Cumberland’s Airport Commission. List no more than three in order of preference.
- What information does the application ask for?
- It asks for contact information, residency or business-owner status, profession, education, work and civic experience, board service history, voter registration, and board preferences.