Form: application-for-appointment-to-committee-or-commission

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Application for Appointment to Committee or Commission

Name

First

Middle

Last

Address

Street Address

Address

City

State/Province

Zip/Postal

Phone

What appointments are you seeking? You may check more than one box below.

Park Commission

Planning Commission

Police & Fire Commission

Sustainability Committee

Zoning Board of Appeals

Housing Appeals Board

OtherOther

Do you currently serve on any other Boards, Commissions, Committees, or hold an elected office?

Yes

If Yes, please list and describe regular meeting obligations.

Please provide a brief statement outlining your interests and qualifications for the desired appointment(s):

Signature

Date

If you are human, leave this field blank.