Application | Serve Nassau County

First Name

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Please describe why you hope to be a part of the County Executive Elect's administration:

Cover Letter:

Please describe any additional qualifications:

Please upload your resume. Do NOT include your Social Security Number.

Upload File

Upload supported file (Max 15MB)

I confirm that the information given in this form is true

We have received your submission. Thank you for applying.