Fillable Boardscommissionapp2015 0 Board & Commission Application (Town of Colchester)

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Boardscommissionapp2015 0 Board & Commission Application (Town of Colchester)

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The Boardscommissionapp2015 0 Board & Commission Application (Town of Colchester) form is 2 pages long and contains:

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  • 3 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Colchester

BROWSE TOWN OF COLCHESTER (CT) FORMS
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DATE:__________________
BOARDS & COMMISSIONS
APPLICATION
Name: ____________________________________________________________________________________________
Address:________________________________________________________________________Colchester, CT. 06415
Home Phone:______________________Email___________________________________FAX:____________________
Cell Phone:________________________ Town Residency________________Years
P
ar
ty Affiliation:
Democrat Republican Unaffiliated (check one)
C
om
mi
ssion or Board you are interested in serving on:_____________________________________________________
Educational Background: List name and location of school, # of years attended, Subjects/Major, Did you graduate?
High School:_________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
College: _____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Trade,Bussiness ______________________________________________________________________________________
Or Correspondence
School ______________________________________________________________________________________
CONTINUED ON REVERSE SIDE
Town of Colchester, Connecticut
127 Norwich Avenue, Colchester, Connecticut 06415
Work Experience: List length of employment, name and address of employer, position & reason for leaving:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Are you capable of making the commitment of time necessary to serve on this Board or Commission? _____________
Why are you interested in serving? ______________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Do you have any experience or familiarity with this area?____________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
If you are not appointed to this board or commission, would you be interested in other forms of public service?
Which ones? __________________________________________________________________________________________
______________________________________________________________________________________________________
Date: __________________ Signature: ___________________________________________
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Boardscommissionapp2015 0 Board & Commission Application (Town of Colchester)

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Completed 14 July 2020

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