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2. First Name*
3. Last Name*
5. Home Address*
7. City*
8. State*
9. Zip Code*
11. Mailing Address
13. City
14. State
15. Zip Code
17. Home Phone Number*
18. Cell Number*
20. Email Address*
22. Party Affiliation*

    1. Democrat

    1. Republican

    1. Unaffiliated

    1. Other
24. If party affiliation is other, please explain below:

28. Please tell us how much time you have available and any education, experience or special skills that may be relevant to the Committee(s) you are interested in. Please tell us why you are interested in these boards. 

    
    

29. Narrative*
31. Please select the name of the Board(s) and/or Committee(s) that you are interested in serving on below: *

    Boards marked with an * indicates that a Board/Committee consists of elected officials. Please contact the Town Clerk for information on these positions.

    (Limit 5 per application.)

    1. Affordable Housing Plan Committee
    2. Agricultural Commission*
    3. Board of Assessment Appeals*
    4. Board of Education*
    5. Board of Finance*
    6. Board of Selectmen*
    7. Capital Program Priorities Advisory Committee

    1. Charter Revision Commission
    2. Commission on Aging
    3. Conservation Commission*
    4. Democratic Town Committee
    5. Development Commission*
    6. Granby America 250 Committee
    7. Granby Center Advisory Committee

    1. Inlands Wetlands & Watercourses Commission*
    2. Intra-Board Advisory Committee
    3. Juvenile Review Board
    4. Library Board*
    5. Park & Recreation Board*
    6. Plan of Conservation & Development Implementation Committee
    7. Planning & Zoning Commission*

    1. Republican Town Committee
    2. School Projects Building Committee
    3. Town Bridges Building Committee
    4. Youth Service Bureau Advisory Board
    5. Water Pollution Control Authority
    6. Zoning Board of Appeals*
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field