Citizen Volunteer Form - Town Of Leicester
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1
2(For Office Use Only)
DATE:
VACANT TERM(S):
TOWN OF LEICESTER
CITIZEN VOLUNTEER FORM
From time to time vacancies/resignations occur on various town boards and committees.
Should you be interested in volunteering to serve the Town in any capacity, please complete
this form and return it, either by mail or in person, to the Selectmen’s Office, Leicester Town
Hall, 3 Washburn Square, Leicester MA 01524. Information received will be made available to
boards, committees, and departments for their reference in filling vacancies.
NAME
HOME TEL.
ADDRESS:
WORK TEL.
EMAIL ADDRESS:
Are you a citizen?
Yes
No
Are you a registered voter?
Yes
No
Advisory/Finance Board
Economic Development Committee
Arts Council
Green Energy Committee
Bandstand Committee
Historical Commission
Burncoat Park Planning Committee
Memorial Day Committee
By-law Committee
Parks and Recreation Committee
Cable Advisory Committee
Personnel Board
Capital Improvement Planning Comm.
Recycling Committee
Commission on Disabilities
Storm Water Committee
Conservation Commission
Town Office Study Committee--Phase III
Council on Aging
Zoning Board of Appeals
Other ___________________________
AVAILABILITY FOR MEETINGS
How many times per month are you available for meetings?
Four
Two
One
Less than one
Are you available for evening meetings?
Monday
Tuesday
Wednesday
Thursday
Are you available throughout the year for committee meetings?
Yes
No
If not, when are you NOT available?
Winter
Spring
Summer
Autumn
EDUCATION:
g:\townadministrator\sue\sue’sword\forms\citizensvolunteerform
3/2009
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