Town of Devon Board Application Form

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* 1. What Town of Devon Board / Committee are interested in serving on?

First Choice -

Alternate One -

Alternate Two -

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* 2. Contact information

Name

Address

Town / City

Postal Code

Phone Number: Home

Phone Number: Alternate

Email Address

Resided in Devon (Years)

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* 3. Employment Information

Employer

Occupation

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* 4. Academic and Professional Qualifications

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* 5. Volunteer Activities and Community Contributions

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* 6. Are you currently serving on a Town of Devon board(s)?

Yes

Which board are you serving on?

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* 7. Have you served on a Town of Devon Board(s) in the past?

Yes

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* 8. What Town of Devon Board or Committee have you served on?

One

Two

Three

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* 9. Type of experience (business or volunteer) in the past five years:

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* 10. What skills will you bring to the board?

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* 11. What do you wish to accomplish as a board member?

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* 12. Additional information:

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* 13. Please provide three personal reference with daytime contact phone numbers.

Reference One

Reference Two

Reference Three