Town of Kennebunkport, ME - Application for Boards, Committees & Commissions

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Application for Boards, Committees & Commissions

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	To the Town Manager: I hereby request to be considered for membership to the following board(s) and/or committee(s): (If more than one, please indicate your preference in last box in desired order Click here to print and return the completed application to: Town Manager, 6 Elm St., P.O. Box 566, Kennebunkport, ME 04046. You will be contacted upon receipt.

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Administrative Code Committee		Parsons Way Committee
	Board of Assessment Review		Planning Board
	Budget Board		Recreation Committee
	Cape Porpoise Pier Advisory Committee		Road Book Committee
	Cemetery Committee		Sewer Advisory Committee
	Conservation Commission		Shade Tree Committee
	Government Wharf Committee		Shellfish Conservation Committee
	Growth Planning Committee		Sidewalk Committee
	Kennebunk River Committee		Solid Waste Committee
	Lighting Committee		Zoning Board of Appeals

Please provide the following information:

Field Description	Field Data	Required Field
Full Name:		required
Email:		required
Residential Address:		required
Residential Phone:		required


Business Address:
Business Phone:
Mailing Address (if different):

Are you registered to vote in Kennebunkport?

Field Data
Yes No

Please list Membership in community organizations, dates involved, and activities performed:

Do you have any skills, experience, or training you would like to mention?

What is your reason for wanting to serve on this board or committee?

List the top 3 choices that you would like to serve on( 1. 2. 3. in desired order)?

Field Description	Field Data

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Town Offices Mailing Address: P.O. Box 566, Kennebunkport, ME 04046
Town Offices Physical Address: 6 Elm Street, Kennebunkport, ME 04046
TEL: 207.967.4243