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Step One

Committees
Before the Selectboard or other appointing authority makes appointments, they would like to know a little about you and why you feel you could contribute to the board or committee. Please take a few minutes and complete the brief expression of interest information below and click submit to send your application for consideration.

Please Note: When submitting online, when you click the "submit" button you are agreeing to read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest" provided by the Town Clerk, if appointed, and to the best of your abilities agree to abide by the provisions of the statute. You may receive a phone call to confirm your interest in the appointment.
Choose up to TWO From the Following
Select up to TWO boards, commissions, and committees your are interested in.
1. Age & Dementia Friendly Community Committee
2. Appropriations Committee
3. Bike/Walk Committee
4. Bylaw Review Committee
5. Commission on Disabilities
6. Council on Aging
7. Cultural Council
8. Golf Commission
9. Historical Commission
1. Historic District Study Committee
2. Human Rights Commission
3. Master Plan Implementation Committee
4. Trustees of the Old Firehouse Museum
5. Tree Committee
6. Town Meeting Review Committee
7. Zoning Board of Appeals
8. Other
List your board or committee choices here in the order of preference. If you selected "Other" above, please indicate which board or committee to which you wish to apply.
Please give any details regarding your interest in this appointment.
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Please Provide the Following Information

Name*
Email*
Address1
Address2
City
State
Zip
Primary Phone*
Alternate Phone
Cell Phone:
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General Questions

Are you a registered voter in the Town of South Hadley?
Are you a Town Meeting Member?
Is any of your immediate family employed by the Town of South Hadley?
Massachusetts General Law defines immediate family as "His or her spouse, and their parents, children, brothers, and sisters"
Do you now or have you previously served in town government?
If yes, please list the board(s), commission(s), or committee(s) on which you serve(d), and the dates of service for each.
What skills and experience do you have? (Knowledge, other volunteer experience, employment experience, etc.)
Please list any additional information you think may be helpful in reviewing your application.
How did you learn of the vacancy you are applying for?
Check all that apply
1. Newspaper
2. Town Website
3. Email from Town of South Hadley
1. Channel 15
2. Another Resident
3. Other
If you indicated another resident or other above, please provide the resident's name or provide additional details.
Upload a Letter of Interest

Leave This Blank:

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

This field is not part of the form submission.
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Application for Appointment to Board, Commission, or Committee

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