TOWN OF NEW BOSTON NEW HAMPSHIRE
APPLICATION FOR APPOINTMENT
Name:
(Last) (First)
(MI)
Residence Address:
(Town)
(State) (Zip)
Home Phone:
Work Phone:
E-mail address:
Are you a US Citizen?
How long have you lived in New Boston?
Is New Boston your exclusive domicile?
Explain if answer is no.
Board/Committee for which you want to be considered:
How did you learn of this opening?
Are you regularly able to attend this Board's/Committee's meetings?
Which night(s) of the week is/are best for you to attend meetings?
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(Street)
Cell Phone:
What interest motivated you to apply for appointment to this Board/Committee? Please
explain below;
Text
Print Form
Are there any specialized courses or seminars you have taken which should be
considered with this application. Please explain below;
EXPERIENCE - WORK HISTORY
In the section below, please describe your experience/work history, with emphasis on experience pertaining to the
appointment for which you are applying. Please address any potential conflicts of interest (example: you are a contractor
and wish to be on the Planning Board). You are encouraged to submit a resume with this application.
This affirmation MUST BE COMPLETED
I certify that there are no willful misrepresentations of the above statements and answers
to the questions. I understand that should an investigation disclose such misrepresentations,
my application may be rejected.
SIGNATURE:
DATE:
Please print, sign and return this application to:
Town of New Boston
Office of the Selectmen
7 Meetinghouse Hill Road
P O Box 250
New Boston, NH 03070-0250
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