SOUTH BRUNSWICK TOWNSHIP
APPLICATION FOR APPOINTMENT
TO BOARDS AND COMMISSIONS, POSITIONS
Mail or deliver to the Township Clerks Office
PO Box 190, Monmouth Junction, NJ 08852
(Please Print or Type)
NAME:_____________________________________ DATE:_______________________________________
HOME ADDRESS: ___________________________ BUSINESS ADDRESS:__________________________
___________________________________________ _____________________________________________
HOME PHONE: _____________________________ BUSINESS PHONE:____________________________
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BOARD &
COMMISSION OR OTHER POSITION If Applicable, List Person(s) who contacted
APPLYING FOR: you about this appointment:
1
st
Choice__________________________________ ____________________________________________
2
nd
Choice__________________________________ ____________________________________________
FOR THE FOLLOWING ATTACH SEPARATE SHEET FOR ANY QUESTIONS REQUIRING MORE SPACE.
IF A RESUME IS PROVIDED DO NOT ANSWER ITEMS 1 & 2
1. Education Background:___________________________________________________________________
__________________________________________________________________________________________
2. Relevant Work/Professional Experience:_____________________________________________________
3. Involvement in Professional & Community organization: _______________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
4. Previous Service on Any Board & Commission or Position: (Dates & Positions)____________________
__________________________________________________________________________________________
5. Financial Interests in Township: (Should include land owned in the Township other than single family
owner occupied house, any business conducted in or with the Township and investments in business
located in the Township) ____________________________________________________________________
_________________________________________________________________________________________
6. Set forth briefly why you want the appointment applied for and what you feel you have to offer in the
position applied for:
_______________________________________________________________________________________
_________________________________________________________________________________________
7. I DO/DO NOT(circle one) WANT MY APPLICATION KEPT ON FILE FOR FUTURE APPOINTMENTS. (This
application will be retained for a maximum period of one year from date of filing.)
_____________________________________
Signature of Applicant
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signature
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