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2. 
   The Board of Selectmen would like your experience and expertise to serve on a committee, board or special study group.

   Please complete this form to enter your information into our database. You may also call 508-398-2231, Ext. 1270, with any questions.
4. 
   Contact Information
   
8. First Name:*
10. Last Name:*
12. Street Address 1:*
14. Street Address 2:
16. City/Town:*
18. State:*
20. ZIP:
22. Phone Number:*
24. Email:
26. Residency:*
    -- Select One --Full-timePart-time
32. I Am Interested In Serving On The Following Board(s)*

    1. Age Friendly Community Team
    2. Board of Assessors
    3. Board of Health
    4. Capital Budget Committee
    5. Community and Economic Developement Committee
    6. Community Housing Committee
    7. Conservation Commission
    8. Design Review Committee
    9. Disability Commission
    10. Energy Committee
    11. Finance Committee
    12. Golf Enterprise Committee
    13. Historical Commission
    14. Investment Committee
    15. Land Use Disposition Committee
    16. Library Board
    17. Library Planning Committee
    18. Library Study ad hoc Committee
    19. Mid-Cape Cultural Council
    20. Open Space Committee
    21. Old King’s Highway Committee
    22. Parker’s River Marine Park Committee
    23. Personnel Board
    24. Planning Board
    25. Recreation Commission
    26. Recycling and Solid Waste Advisory Committee
    27. Representative to the Cape Cod Commission
    28. Representative to the Cape & Vineyard Electric Cooperative
    29. Scholarship Fund Committee
    30. Waterways/Shellfish Advisory Committee
    31. Water Resources Advisory Committee
    32. Zoning Board of Appeals
    33. Other
38. Please enter more detailed information about yourself
40. Work Experience/Occupation:*
42. Educational Studies:*
44. Community Service Record:*
46. Personal History: (Optional)
48. State briefly why you are interested in serving the Town in the area(s) of government indicated:*
50. 
    
    
    
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field