TOWN COMMITTEE CANDIDATE INFORMATION SHEET
A. NAME:______________________________________________ DATE: ______________
STREET ADDRESS: ___________________________________________________________
MAILING ADDRESS (if different):_______________________________________________
Phone: ______________________________Work Phone: _____________________________
B. LIST COMMITTEE(S) IN WHICH YOU ARE INTERESTED: __________________________________________________________________________________________________
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C. PLEASE DESCRIBE CURRENT EMPLOYMENT AND PAST EMPLOYMENT WHICH MAY BE RELEVANT TO THE ROLE OF THE COMMITTEE OR BOARD:
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D. PLEASE TELL US OF ANY PRIOR EXPERIENCE OR COMMUNITY SERVICE WHICH WOULD BE HELPFUL:
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E. PLEASE EXPLAIN WHY YOU WISH TO SERVE: _______________________________
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F. DO YOU KNOW OF ANY REASON YOU WOULD HAVE A PROBLEM WITH THE TIME REQUIREMENTS OF SERVING OR A POSSIBLE CONFLICT OF INTEREST IN SERVING: ____________________________________________________________________
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G. DO YOU HAVE ANY IMMEDIATE RELATIVES CURRENTLY SERVING ON ANY TOWN COMMITTEES OR BOARDS? IF SO, PLEASE EXPLAIN:
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H. PLEASE TELL US WHAT, IF ANY, ORGANIZATIONS YOU CURRENTLY ARE A MEMBER OF: __________________________________________________________________________________________________________________________________________
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I. IF ANY OF THE ABOVE QUESTIONS REQUIRE MORE SPACE TO ANSWER OR IF THERE IS ANY ADDITIONAL INFORMATION YOU BELIEVE WOULD BE HELPFUL TO THE MUNICIPAL OFFICIALS SEARCH COMMITTEE, PLEASE DESCRIBE BELOW OR ON AN ADDITIONAL SHEET OF PAPER. THANK YOU IN ADVANCE FOR YOUR INTEREST IN SERVING THE TOWN OF TURNER:_________________________
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