City of Chelsea - Chelsea Volunteer Application

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Chelsea Volunteer Application

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	Please fill out the following form, and click on submit at the bottom of the page to deliver it electronically to the Office of the City Manager. Be sure to fill out the form completely, or we will be unable to properly respond.

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Economic Development Board		Council on Elder Affairs
	Traffic and Parking Commission		Community Schools Advisory Board
	Board of Registrars of Voters		Cable Television Advisory Committee
	Board of Library Trustees		Board of Health
	Zoning Board of Appeals		Housing Authority Board of Commissioners
	Cultural Council		Human Rights Commission
	Historical Commission		Licensing Commission
	Planning Board		Conservation Commission
	Board of Assessors		Other (Indicate Below)
	Youth Commission

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Address:		required
City:		required
State:		required
Zip:		required
Phone:		required
Alt Phone:
Fax:
Organization:

Please indicate your reason(s) for seeking appointment to the above board(s) or committee(s):

Education, training or experience relevant to appointment sought, prior service on a town board, if any, and special skills, knowledge, talents, insights or point of view that you might offer to the board, commission or committee and any objectives you may have for the position:

Field Description	Field Data
All applications expire 24 months from submittal date, unless renewed by the applicant.

Chelsea City Hall 500 Broadway, Chelsea, MA 02150 Phone: (617) 466-4000 Website Disclaimer

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