Appointment Application FY2027

Position Applying for:
Date of Application:

APPLICANT INFORMATION

Full Name:
Home Street Address:
Phone Number:
Email Address:
Length of Residency in Town:
 

EDUCATION AND EXPERIENCE

Please provide a copy of your resume with this application in PDF format. The absence of a resume may impact on the consideration of your application.
 

COMMUNITY INVOLVEMENT

Please list any current or previous service on town boards, committees, commissions, civic organizations, or volunteer groups:
 

Organization/Board (1):
Position Held (1):
Dates of Service (1):

Organization/Board (2):
Position Held (2):
Dates of Service (2):

Organization/Board (3):
Position Held (3):
Dates of Service (3):
 

STATEMENT OF INTEREST

Why are you interested in serving in this position and what skills or perspectives would you bring?

AVAILABILITY

Please indicate your availability for meetings and related duties:
Weekday MorningsWeekday AfternoonsWeekday EveningsWeekends
 

ADDITIONAL COMMENTS

CONFLICT OF INTEREST DISCLOSURE

Do you have any actual or potential conflicts of interest that may affect your service in this position?

NoYes
If Yes, please explain:

 

CERTIFICATION

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that appointments to a town board, committee, commission, or other appointed position is subject to review and approval by the appropriate appointing authority.
 

APPLICANT SIGNATURE

Please type your name to indicate your signature.

 

Please be advised that upon appointment/reappointment you must be sworn in by the Town Clerk before you take office.