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2. Contact Information
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone Number
16. Email Address*
18. I Am Interested In Serving On The Following Board(s)*

    1. Board of Adjustment
    2. Board of Health
    3. Community Farm & Garden Committee
    4. Cultural Arts Committee
    5. Economic Development Advisory Committee
    6. Environmental Commission

    1. Green Team
    2. Landmark Commission
    3. Open Space Advisory Committee
    4. Planning Board
    5. Recreation Commission
    6. Substance Awareness Council
20. Cover Letter*
    Please upload a cover letter declaring your interest and explaining why you believe you should be considered for the position.
21. Citizen Leadership Form*
    Please upload a completed Citizen Leadership Form which can be found on the "Become A Board Member" page.
22. Resume*
    Please upload a copy of your resume.
24. 
    If I Am Selected To Serve On The Board(s), I Will Participate.
    
    
26. Signature*
27. Date*
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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