TOWN OF FOXBOROUGH
Request for Committee Appointment
Foxborough residents interested in serving on a Town Board, Committee,
Commission or Gr
oup should complete this form in its entirety and submit to:
Board of Selectmen, 40 South Street, Foxborough, MA 02035
The information received will be given to the specified officials.
Notification will be made when any appointments will be made.
Name: ________________________________________________________________
(First) (M.I.) (Last) (Suffix)
Address: _____________________________________________________________
Telephone: (H) ________________ (W) ________________ (Cell) _______________
E-Mail Address: _______________________________________________________
D.O.B. ____/____/__ __ __ __ (year optional)
Are you a Foxborough Registered Voter?: YES NO
1. Please list the Boards, Committees, Commissions, or Groups you are
interested in:
_____________________________________________________________________
2.
Please describe your interest in serving for the above group(s):
______________________________________________________________________
______________________________________________________________________
3.
Do you presently serve on any
Town Boards or Committees, etc.? YES NO
4.
Please list positions you previously held in Town Government (with committee name
and dates served). This may be applicable to both Foxborough or other towns:
___________________________________________________________________
___________________________________________________________________
6. Please list your past/present education and/or special training:
___________________________________________________________________
___________________________________________________________________
7. Please list the amount of time available for a Town Board or Committee, etc.:
___________________________________________________________________
8. Please state any other comments you would like to add:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
______________________________________
Signature
2017.01.25
_______________________
Date
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signature
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