May 2017
Town of East Longmeadow
Board & Commission Application Form
Name: __________________________________
Home address: __________________________________ East Longmeadow, MA
Preferred phone #: __________________________________
E-mail address: __________________________________
Occupation: __________________________________
Board/Commission of Interest: _________________________
Briefly explain your reasons for being interested in serving your town in this capacity
and note the qualifications you have which you think will be an asset to this Board or
Please include three (3) References with your application.
Date: _______________ Signature: ___________________________________
Thank you for taking the time to fill out this application. Volunteers play a vital role in
the East Longmeadow government and we appreciate your interest. Upon completing
your application please forward to the Town Manager’s office either at:
Town Hall, 60 Center Square, East Longmeadow, MA 01028
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