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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. Affordable Housing Committee
    3. Arts Advisory Committee
    4. Board of Ethics
    5. Cemetery Advisory Board
    6. Commission On Aging
    7. Conservation Commission
    8. Design Review Panel
    9. Eastern Highland Health District Board of Directors
    10. Eastern Regional Tourism District
    11. Economic Development Commission
    12. Emergency Management Advisory Council
    13. Fair Rent Commission
    14. Historic District Commission
    15. Housing Authority Board of Directors
    16. Housing Code Board of Appeals
    17. Human Rights Commission
    18. Human Services Advisory Committee
    19. Library Advisory Board
    20. Mansfield Advocates for Children
    21. Mansfield Downtown Partnership Board of Directors
    22. Parking Steering Committee
    23. Parks and Natural Resources Committee
    24. Recreation Advisory Committee
    25. School Building Committee
    26. Solid Waste Management/Recycling Committee
    27. Sustainability Committee
    28. Town/University Relations Committee
    29. Transportation Advisory Committee
    30. Water System Advisory Committee
    31. Windham Regional Transit District Board of Directors
    32. Youth Services Advisory Board
36. Other
    Please use box to fill in your committee name
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40. 1. Receive an email copy of this form.
41. Email address

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42. Submit

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