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Boards and Committees

2. Boards and Committees

4. Your Name

6. Your Address

8. Your Email Address

10. Your Phone Number

12. Political Affiliation

14. Qualifications

16. Years of Residence

18. Present Employer

20. Job Title

22. Age

24. Current Civic or Community Participation

26. Education

28. If appointed when could you meet? Morning. afternoon, evening

30. If any what Committees are you presently on?

32. Do you anticipate any conflicts of interest

34. Which Committees

    1. Agriculture Committee
    2. Arts Advisory Committee
    3. Board of Ethics
    4. Cemetery Committee
    5. Commission On Aging
    6. Design Review Panel
    7. Economic Development Commission
    8. Emergency Management Advisory Council
    9. Historic District Commission
    10. Housing Authority Board of Directors
    11. Human Rights Commission
    12. Human Services Advisory Committee
    13. Library Advisory Board
    14. Mansfield Advocates for Children
    15. Mansfield Downtown Partnership Board of Directors
    16. Parking Steering Committee
    17. Parks and Natural Resources Committee
    18. Recreation Advisory Committee
    19. School Building Committee
    20. Solid Waste Management/Recycling Committee
    21. Sustainability Committee
    22. Town/University Relations Committee
    23. Transportation Advisory Committee
    24. Youth Services Advisory Board

36. Other

    Please use box to fill in your committee name

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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