NAME DATE Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 ADDRESS EMAIL PHONE Committee of Board on which you wish to serve: - None -Agricultural CommissionARPA CommitteeBoard of AssessorsBoard of RegistrarsCable Advisory CommitteeCapital Improvement Planning CommitteeCemetery CommissionCommunity Preservation CommitteeConservation CommissionCouncil On AgingCultural CouncilEconomic Development CommitteeFinance CommitteeHistorical CommissionHuman Resources Advisory BoardLibrary TrusteesOpen Space CommitteeParks CommissionPublic Safety Building CommitteeTown Center CommitteeVietnam Veterans Memorial CommitteeWare Watershed AdvisoryZoning Board of AppealsQuabbin Regional School CommitteeMonty Tech School CommitteeGeneral Bylaw Review Committee APPOINTMENT STATUS NEW APPOINTMENT REAPPOINTMENT If a new appointment, please tell why you want to be appointed and any background information you feel is relevant. (PLEASE ATTACH ADDITIONAL DOCUMENTS IF NECESSARY) ADDITIONAL ATTACHMENTS? YES NO UPLOAD Files must be less than 5 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Leave this field blank
