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2. Get Engaged Application for Colchester Boards and Commissions
   This form is for Colchester High School students applying for a student seat on a Town of Colchester Board or Commission.
4. Before filling out and submitting this application please read:
   The Colchester Code of Ethics Policy
6. Name*
7. Grade*
   -- Select One --101112
8. Today's Date*
   Today's Date
10. Address *
12. Phone *
13. Email*
15. Are you a Colchester resident? *

    1. Yes
    2. No
17. Board/Commission to which you are applying:*
    -- Select One --Planning CommissionDevelopment Review BoardConservation CommissionRecreation Advisory BoardBoard of Library TrusteesCemetery Advisory Committee
19. Are you currently employed? *

    1. Yes
    2. No
20. If yes, approximately how many hours per week do you work?
22. List any extracurricular activities in which you participate. (i.e. Scouts, sports, band)
24. My schedule allows me to attend at least 80% of the meetings of this board or commission.*

    1. Yes
    2. No

    Regular attendance of meetings is required.
26. Are you familiar with the purpose of this board? *

    1. Yes
    2. No
28. Have you attended any meetings of this board within the last 3 months? *

    1. Yes
    2. No

    (You must attend one meeting of the board prior to your interview with the Selectboard.)
30. What interests you about this board / commission? *
32. What qualities, experience and/or skills will you bring to this board/commission? *
34. What would you like to take away from the experience of being a member of this board? *
36. Based on your understanding of the Code of Ethics Policy (link at top of page) would your employment or personal opinions create a conflict of interest that might preclude your participation in this board's / commission' business or activities? *

    1. Yes
    2. No
38. If yes, please briefly explain.
40. By checking the box below you confirm that you have read and understand the The Code of Ethics Policy.*

    1. I so confirm.
42. By entering your name below you affirm that the information you have provided is true to the best of your knowledge.*
44. Thank you for your interest in participating in the Get Engaged Program. You will be contacted via email when your application is received.
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit Submit and Print

* indicates a required field