Associate Supervisor

ASSOCIATE SUPERVISOR APPLICATION

To apply for the associate supervisor role, please fill out this form.

(All Fields are Required)

    Name (Last, first, middle):

    Address:

    City:

    State:

    Zip:

    Phone:
    (day)
    (evening)
    (other)

    Availability:
    Weekend (days)Weekend (evenings)Weekday (days)Weekday (evenings)

    Dates of days that you are not available:

    How many hours are you available per month?

    Are you a Mahoning County resident?
    YesNo

    Do you own land in Mahoning County?
    YesNo

    Current or most recent employer:

    Address:

    Position:

    Nature of business:

    Dates of employment?

    Why are you interested in serving/volunteering for the Mahoning Soil and Water Conservation District?

    List any particular Mahoning SWCD activities you would like to participate in:

    List any special skills, job experiences, qualifications or accomplishments you could offer to Mahoning SWCD:

    List any professional memberships, current licenses or certificates you hold:

    Code of Ethics

    If appointed Associate Supervisor, I will not authorize the use of my position to benefit myself in circumstances that create a conflict of interest where objectivity could be impaired, as required by Ohio Ethics Law.

    Terms, Duties and Descriptions

    • Appointed by the Board of Supervisors to assist in carrying out the District program.

    • Expand the scope of District activities and programs.

    • Provide additional input based on skills and specialties of Associate Supervisor.

    • Selected on the basis of those areas not already represented by the Board of Supervisors.

    • Cannot participate in a Board meeting as a voting member.

    • Appointed for a one-year term of office and serve without pay.

    • Shall attend a minimum of four Board meetings, preferably one each calendar quarter and/or participate in committees or assist with special activities.

    My signature below certifies the above information is true and accurate and that I will abide by the Code of Ethics and Terms, Duties and Descriptions provided.

    Signature: (Type Name)

    Date:


    Associate Supervisor Policy

    Associate Supervisors may be appointed by the Board of Supervisors to assist in carrying out the District program.  The purpose of Associate Supervisors will be to expand the scope of the District activities and program, and provide additional input on their individual specialties.

    Associate Supervisors may be selected on the basis of those areas not represented by the Board of Supervisors.

    Associate Supervisors cannot participate in a Board meeting as a voting member.

    Associate Supervisors will be asked to serve for a one-year term of office.  This one year term is renewable on an annual basis.  Associate Supervisors will serve without pay.

    Associate Supervisors are encouraged to attend Board meetings and/or participate in committees and/or assist with special activities and events.

    Individuals interested in becoming Associate Supervisors must fill out an application form and submit to the Board of Supervisors for their consideration of an appointment.  Applications can be obtained on the District website and from the District Administrator.

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