Town of Enfield

 

Application for Vacancy on Boards, Agencies & Commissions

 

* Mandatory Item

 
Date:*
Name:*
Address:
Telephone No. (Home): (Work):           
Occupation: E-Mail:            
Registered Voter:* Yes No Party Affiliation:

Board/Commission/Agency Interested in:*  
  New Appointment  Reappointment

 

Please outline your qualifications and how you feel you would contribute to the committee or commission:

  

 

Have you ever served on a Board, Commission or Agency in Enfield or elsewhere? Yes No

 

If so, please state name of Board, Commission or Agency and time server:

  

 

If this is a reappointment, please list the number of meetings attended during the last 12 months:

 

If the committee or commission which you requested has no more vacancies, would you consider appointment to another committee or commission? Yes No

Thank your for your interest in the Town of Enfield and
taking the time to fill out this application.