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APPLICATION FOR APPOINTMENT
TO A TOWN BOARD OR COMMITTEE
Woolwich, Maine


DATE: ____________

FULL NAME: _____________________________________________

ADDRESS: _______________________________________________

EMAIL ADDRESS: _________________________________________

TELEPHONE NUMBER: _________________

I WISH TO BE CONSIDERED FOR APPOINTMENT TO THE:

(NAME OF BOARD OR COMMITTEE)

FULL MEMBERSHIP STATUS:__OR ASSOCIATE MEMBERSHIP STATUS: __

OCCUPATION: _____________________

EMPLOYED: _______________________

WORK PHONE NUMBER: ______________

LIST ANY CIVIC ORGANIZATIONS TO WHICH YOU BELONG:



NOTE ANY PRIOR EXPERIENCE, KNOWLEDGE, OR ABILITIES THAT YOU HAVE WHICH WOULD CONTRIBUTE TO THE ACTIVITIES OF THE BOARD OR COMMITTEE:




HAVE YOU EVER SERVED ON A TOWN BOARD OR COMMITTEE? IF SO, PLEASE LIST THE BOARD(S) OR COMMITTEE(S) AND YEARS OF SERVICE:





__________________________
SIGNATURE

ALL APPOINTMENTS ARE MADE BY VOTE OF THE BOARD OF SELECTMEN

Town Office (207) 442-7094 - fax (207) 442-8859
13 Nequasset Road,
Woolwich, Maine 04579

UpDated - 7/11/17