董事会 & 佣金 Interest Form

(* Denotes Required Fields)

你的信息
第一个名字: *
姓名: *
地址: *
Is your address located in 足彩app?: *	是的 No
Please note that non-city residents may not serve on committees.
城市: *
状态: *
邮编: *
电话号码:
电子邮件地址: *
性别:
Voter Party Affiliation: *
If you selected "other" please advise your party affiliation:
In what year did you move to 足彩app?:
经验
Current Employer Name: *
Highest Level of Education Received:
Do you own any interest in a business located in 足彩app, CT?: *	是的 No
业务名称: *
Have you served or are currently serving on any board or commission in 足彩app or any other community?: *	是的 No
If so, please list the names and locations of these boards and committees:
董事会及委员会
Please check any or all of the boards or commissions you are interested in serving: *	航空委员会 Board of 评估 Appeals 道德委员会 Building Code Board of Appeals Cable TV Advisory Board Civilian 警察 Review Board** Commission on Aging and Disabilities Conservation Commission 设计评审委员会公平租金委员会高尔夫球场 Commission Human Rights, Racial Equity and Social Justice Advisory Board Inland, Wetland and Watercourse Commission 库板 Maloney Scholarship Committee 足彩app Linear Trails Advisory Committee Neighborhood Rehabilitation Advisory Board 计划委员会 Public Lands and 公园奉献委员会公用事业 Commission 足彩app and 健康 & 人类服务 Building Committee School Building Committee 过境及停车 Zoning Board of Appeals 其他
If you selected "other" please name the board or commission in which you wish to serve:
Why do you wish to serve on a particular board or commission? : *
How do you wish to contribute to the work of the board or commission (be specific):
电子签名
Please type your name and date to signify that you can serve on a board or commission and the information in this application is accurate to the best of your knowledge. *
全名: *
日期: *
As part of the vetting process the Mayor’s office will confirm that you are a registered voter in 足彩app and that your party affiliation is correct. The office will also confirm that your personal property, motor vehicle and water/sewer taxes are current, and will do the same for any business in which you have an ownership interest that is located in 足彩app. * All persons being considered for the Civilian 警察 Review Board shall be subject to a criminal background check. The background check results shall be kept confidential. No person shall be appointed to the Civilian 警察 Review Board who has a Class A or B felony conviction, a Class C or D felony conviction in the last 5 years, or a pending criminal case.