Los Alamos County, NM: Board Application

General Information

All County Board and Commission members must be residents of Los Alamos County. Lodgers’ Tax Advisory Board members, except the at-large community member, do not need to be residents if they are employed/represent an attraction or hotel.

Once a resident fills out and submits this application, an interview is scheduled with the B&C's County Council liaison, the relevant staff liaison, and the B&C Chair. After the interviews, the applicants' names are presented to the full Council during a regularly scheduled Council meeting, where a vote is taken regarding the appointment of each applicant. Each applicant will be notified if they are appointed or not.

Only on-line applications will be considered.

If you are interested in applying for Labor Relations Board, please contact Mary Tapia at 505-662-8040.

Profile

Board and Commision Application

Note: Please be aware that as a public entity, the County of Los Alamos, is obligated to furnish this information to the public if requested. Note also that current LANL employees, if appointed to a Board or Commission, may be required by LANL to complete a 701 form.

Which Boards would you like to apply for? *

Please select a Board

First Name *
Middle Initial
Last Name *

Street Address *
Suite or Apt
City *
State *
Postal Code *

Email Address *

Primary Phone * Primary Phone
Alternate Phone Alternate Phone

Registered to vote in Los Alamos? * Yes No

Party affiliation as registered: (Select one of the following) *

How long have you lived in Los Alamos County? *

How did you learn of this Board/Commission vacancy? *

Do you currently serve on any County Board or Commission? * Yes No

If yes, which one? (Los Alamos County law prohibits residents from serving concurrently on more than one County board except as expressly approved in writing by the County Council before the appointment is made.)

Community Service

List boards, commissions, committees, and organizations on which you are currently serving or have served. Include any offices held.

Employment and Education

List your current and past employment experience.

List your current and past education including any professional or vocational licenses or certificates.

Interests & Experiences

Why would you like to serve on this particular Board or Commission? *

What would you like to accomplish during your tenure on this Board or Commission? (Please identify any special interests you have that led you to become interested in serving on this Board or Commission.) *

Have you had any direct or indirect involvement with this Board or Commission or with the County staff supporting this Board or Commission or County Councilors? If so, please explain. *

What volunteer or professional activities have you participated in that could apply to this appointment? *

The time involved may be 10-15 hours per month or more. Are you able to serve the volunteer hours and attend training needed to perform your duties as an appointee? *

Are there any issue or matters, financial or otherwise, that you are now or might become involved in that may come before the Board or Commission for which you seek appointment? *

General

Have you ever worked for Los Alamos County? Yes No

If yes, please list dates and department.

Are you related to any employee of Los Alamos County? Yes No

If yes, please indicate name and relationship.

Are you aware of any potential conflicts of interest in connection to your occupation or financial holdings in relation to your responsibilities as a member of the advisory body to which you seek appointment? Yes No

If yes, please indicate any potential conflicts.

Are you aware of the time commitment necessary to fulfill the obligations of the Board or Commission to which you seek appointment? Yes No

Can you commit to approximately 10-15 hours per month to this Board or Commission to prepare for and attend monthly meetings and training as needed? Yes No

Are you willing to participate in Board and Commission meetings that are recorded and may be live-streamed? Yes No

Are you willing to have your name listed on the County Boards and Commissions public webpage? Yes No

If you have any questions, please contact Adrienne Lovato at 505-662-8293