Interested in joining a Committee, Commission or Board?

1. 
   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. 270 with any questions.

2. 
   Contact Information
   

4. First Name:*

5. Last Name:*

6. Street Address 1:*

7. Street Address 2:

8. City/Town:*

9. State:*

10. ZIP:

11. Phone Number:*

12. Email:

13. Residency:*
    -- Select One --Full-timePart-time

16. I Am Interested In Serving On The Following Board(s)*
    1. Affordable Housing Commitee
    2. Board of Appeals
    3. Board of Assessors
    4. Board of Health
    5. Cable Advisory Committee
    6. Government Oversight Committee
    7. Community and Economic Developement Committee
    8. Conservation Commission
    9. Council on Aging
    10. Cultural Council
    11. Design Review Committee
    12. Disability Commission
    13. Energy Committee
    14. Finance Committee
    15. Golf Enterprise Committee
    16. Historical Commission
    17. Investment Committee
    18. John Simpkins Building Review Committee
    19. Library Board
    20. Media Advisory Committee
    21. Open Space Committee
    22. Old King’s Highway Committee
    23. Parker’s River Marine Park Committee
    24. Personnel Board
    25. Planning Board
    26. Recreation Commission
    27. Recycling and Waste Management Committee
    28. Scholarship Fund Committee
    29. Waterways/Shellfish Advisory Committee
19. Please enter more detailed information about yourself

20. Work Experience/Occupation:*

21. Educational Studies:*

22. Community Service Record:*

23. Personal History: (Optional)

24. State briefly why you are interested in serving the Town in the area(s) of government indicated:*

25. 
    
    
    

Leave This Blank:


26. 1. Receive email copy
27. Email address

28. Submit

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