TALENT BANK APPLICATION
please return to:
BOARD OF SELECTMEN
Pursuant to Town bylaw
§4-209 (Eligibility for service), you must be a registered voter in order to
serve.
Date:
Name
P. O. Box
Home Address Tel.
Business
Address Tel.
Current Occupation/Title
Education
Governmental, Civic & Community Activities
Charitable & Educational Activities
Town Committees or Offices
I am interested in the following Committees:
Please indicate whether the applicant and/or any family
members are employed by the
Town of
NAME: PRECINCT# Town of
COMMITTEE INTEREST
Indicate Committee preference
ADDRESS:
1.
Telephone Home: Office: 2.
3.
______________________________________________________ 4. Short term projects
Present
Interest or business affiliation (dates, places)
5. Interest in serving where needed
________________________________________
Date
App't COMMITTEE
Term
Expired
_____________________________________________________
Experience-volunteer,
social service, business (dates, places)
_____________________________________________________
Special
skills and education (be specific)
_____________________________________________________
How
experience relates to particular committee interest
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Please
check the Annual Town Report for a complete listing of Committees and Committee
reports, their appointive
authorities, and terms of office.
ADDITIONAL
COMMENTS:
Mail
completed card to:
Office
of the Town Manager