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Town of Colchester Board, Commission and Community Appointments Application

  1. Town of Colchester, Vermont Volunteer Board/Commission Application
    Please fill out a separate application for each board/commission to which you wish to apply.
  2. Board members must be residents of Colchester. Please check to confirm.*
  3. Have you attended any meetings of this board / commission in the six months prior to appointment?*
    (Potential appointees must attend one meeting in the three months prior to being appointed.)
  4. Based on your understanding of the Code of Ethics Policy (link at top of page) would your employment or personal investments create a conflict of interest that might preclude your participation in this board's / commission's business or activities? *
  5. Do you provide goods or services that this Board, Commission, or the Town staff supporting this board currently use? *
  6. Do you provide any goods or services to the public related to this board / commission?*
  7. By checking the box below you confirm that you read the Code of Ethics policy and also understand that you cannot use the name of the Board or Commission in any business or representation before the Town unless it pertains to an issue the Board/Commission has formally taken up and voted on.*
  8. Are you familiar with the governing rules under which this board / commission operates? *
  9. My availability allows me to attend at least 80% of the meetings of the board / commission for which I am applying.*
  10. Thank you for your interest in volunteering at the Town of Colchester!
  11. Below for internal use only.
    Interview by Board / Commission: Date:_________ Intials:__________
  12. Recommendation made to Selectboard by Board or Commission Chair: Date:__________ Intials:__________
  13. Potential conflicts reviewed by supporting staff: Date:___________ Initials:__________
  14. Leave This Blank:

  15. This field is not part of the form submission.