TERM EXPIRATION DATE:________________________________________

APPLICATION FOR APPOINTMENT TO A BOARD, COMMISSION, OR COMMITTEE POSITION WITHIN THE TOWN OF NEWMARKET

Applicant's Name:________________________________________________________

Address:____________________________________________

Phone/Cell:___________________________

Email Address:______________________________________________

Newmarket Registered Voter: ___Yes ___ No

Number of Years as Resident:________

I am applying for full membership (month & year) for:___________________

I am applying for the alternate position (month & year) for:______________

I feel the following experience and background qualifies me for this position:_______________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

__________________________________      ____________________________
Signature                                                          Date

You are welcome to submit a letter or resume with this form. Applicants are requested to attend the Council meeting to address the town Council prior to the decision making process.  Applicants will e notified of the time and date of this meeting in advance. Thank you for your application and interest in the Town of Newmarket.