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2. Name*
4. Address*
6. Phone Number*
8. Alternate Phone Number
10. Email*
12. Committee you are interested in*

    1. Planning Board
    2. Zoning Board of Appeals
    3. Climate Smart Task Force (CTSF)
    4. Comprehensive Plan Review Committee
    5. Conservation Advisory Committee
    6. Historic Preservation Committee
    7. Fire Advisory Committee
    8. Citizens Committee on Housing Affordability
    9. Ethics Committee
    10. Citizens Financial Advisory Committee
    11. Brownfields Opportunity Grant Committee
14. Available Hours per week for Committee work*
16. Occupation*
18. Employer*
20. Work Address*
22. Work Phone Number*
24. Education*

    1. Some High School
    2. High School Diploma
    3. Some College
    4. Associate's Degree
    5. Bachelor's Degree
    6. Master's Degree
    7. Doctorate Degree
26. Interests & Skills*
28. Areas of Expertise*
Leave This Blank:


29. Submit

* indicates a required field