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Application to Serve on a Pitt County Farm and Food Council Action Circle

  1. Current Action Circles
    1. Farming and Economic Development 2. Food Security
  2. Any / All Boards / Committees
  3. Note:
    By applying to be a part of an Action Circle, I have no known apparent or potential conflict of interest.
  4. (If different)
  5. Do you agree to make the time commitment to be an active member?
  6. Will you recuse yourself from discussion topics if you have a conflict of interests?
  7. In which Action Circle will you participate?
  8. How did you become aware of Action Circle opportunities?
    (Please check the appropriate response)
    When applying for an Action Circle, your application is considered a public record.
  10. Leave This Blank:

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