Town of Stoneham, Massachusetts - Volunteer Application

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Volunteer Application

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Board of Appeals		Finance and Advisory Board
	Bike and Greenway Committee		Historical Commission
	Conservation Commission		Open Space and Recreation Advisory Committee
	Council on Aging		Water and Sewer Review Board
	Cultural Council

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required


Address:
Telephone Number:
Occupation:
Length of Residence in Stoneham:

Educational background:

Please note below any background or experience that can contribute to your duties on this committee if appointed.

List of Committees presently serving on, or having serves on in the past.

Field Description	Field Data
Digital Signature is Required	I will 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 my ability agree to abide by the provisions of the statute.

Town of Stoneham, Massachusetts 35 Central Street, Stoneham, MA., 02180