Application Form

Thank you for your interest in serving in one of our positions! Simply submit the form below and we will contact you soon.

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Boards and Seats

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Which boards or seats are you interested in?

Selected Boards and seats

Selected Boards or seats will appear here

Profile

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Title

First name

Middle name

Last name

Suffix

Contact

Address

Address (cont.)

City

State

Zip Code

Residency

Yes, I am a resident

Phone

Work/Profession

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There are no Work/Profession questions.

Questions

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Do you have basic computer skills and access to a computer?

Yes

Are you a resident and qualified to vote in the Town of Westerly? (Board of Assessment Review requires a minimum five-year residency; Sec. 5-27)

Are you presently serving on a Town of Westerly Board, Committee, or Commission? If yes, please specify name of Board, Committee or Commission.

Please list any relevant qualifications, expertise, experience, and education background you would bring to this position.

Provide a brief explanation of your interest in this board.

Do you anticipate having to refrain from participating in discussion or voting on any particular matter(s) that may come before said Board, etc. because of a possible conflict of interest? If yes, please explain.

Signature

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Acknowledgements

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There are no boards requiring your acknowledgement.