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TOWN OF GREENE |
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COMMITTEE APPLICATION |
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Name |
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Date |
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Address |
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Phone |
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Mailing Address |
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e-mail
Address |
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Employer |
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Work
Phone |
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Please
indicate any special qualifications or any experience that you may think many
be hepful |
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in your choice of Board or
Committee: |
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How long a resident |
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Please check area of interest |
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Appeals
Board |
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Greene Community Scholarship
Committee |
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Budget
Committee |
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Capital Improvement Committee |
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Cable TV Committee (WGLT TV7) |
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Conservation
Commission |
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Ella
A Thompson Committee |
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Economic & Community
Development Group |
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Julia
Adams Morse Library |
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Fire Department Benevolent Fund |
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Greene Volunteer Fire Dept
Auxilary |
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Land Use Ordinance Review
Committee |
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Planning
Board |
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Sabattus
Lake Dam Commission |
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Solid
Waste Committee |
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Parks
& Recreation Committee |
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Any
Comments or suggestions: |
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Any known
conflict of interest: _____
Yes _____ No |
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Reason for
application to this Board/Committee: |
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I
have _____/have not ____ attended at least two meetings of the Board for
which application is being made. |
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I
agree to attend all meetings, except for sickness or emergency, and will
advice the chairperson when |
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I am unable to attend, if
appointed. |
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Signature
of Applicant |
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Date |
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Please return this form to Town
Office, Town of Greene, 220 Main St, P O Box 510, Greene, Me 04236-0510 |
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Phone (207) 946-5146, fax (207)
946-2102 |
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For further information, please
check Town of Greene website www.townofgreene.net |
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10/07 |
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