Form

Conservation District Supervisor List

There have been many changes to district officers and supervisors during the year. Maintaining accurate official records filed with the CSCB state office as well as well as using this information to publish the contact district directory online is very important to the districts and partners.
District*
NOTE: Board Supervisor Fields

Please note that District Contact Information and 5 Board Supervisor Positions are required fields (use the "Save & Go to Next Page" button to fill out each), even if some of those are vacant. For Districts that have more than 5 Supervisors, continue through the list for each one. At the end, there will be a RED SUBMIT button (along with a print button, also you will receive a confirmation email with ALL the information from this form and you can print that for your records if needed) to submit the complete Supervisor List.
NOTE: Election Information

All elections are held in May of even-numbered years and the supervisor is considered elected even if the election was cancelled because the supervisor was the only candidate. All terms are 4 year terms that expire in May of even-numbered years. Also, the Soil Conservation Act specifies “terms of NO more than a simple majority of supervisors expire at any one time”.
DISTRICT CONTACT INFORMATION
Contact/District Manager*
First Name Last Name
Position*
Phone Number*
- Area Code Phone Number
Fax Number
- Area Code Phone Number
E-mail*

Mailing Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Physical Address, if different

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

District Website (if applicable)
Monthly Meeting Dates (i.e. every 2nd Monday)*

SUPERVISOR #1 INFORMATION
Position #1*
Name*
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires*
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #2 INFORMATION
Position #2*
Full Name*
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires*
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #3 INFORMATION
Position #3*
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #4 INFORMATION
Position*
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #5 INFORMATION
Position*
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #6 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #7 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #8 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #9 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #10 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SUPERVISOR #11 INFORMATION
Position
Full Name
First Name Last Name
Phone Number
- Area Code Phone Number
E-mail
Month/Year Appointed
Month/Year Elected
Year Term Expires
# Terms Served Consecutively

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Conservation District Supervisor List

NOTE: Board Supervisor Fields

NOTE: Election Information

DISTRICT CONTACT INFORMATION

SUPERVISOR #1 INFORMATION

SUPERVISOR #2 INFORMATION

SUPERVISOR #3 INFORMATION

SUPERVISOR #4 INFORMATION

SUPERVISOR #5 INFORMATION

SUPERVISOR #6 INFORMATION

SUPERVISOR #7 INFORMATION

SUPERVISOR #8 INFORMATION

SUPERVISOR #9 INFORMATION

SUPERVISOR #10 INFORMATION

SUPERVISOR #11 INFORMATION