ORlEANS ANNUAl TOwN REPORt FOR YEAR ... - Town Of Orleans

TOWN OF ORLEANSSelectmen’s Office, 19 School RoadOrleans, MA 02653-3699Today's DateCITIZEN INTEREST FORMNameStreet AddressMailing Address (including Zip Code)Home Phone Bus. Phone Fax E-MailThank you for your interest in serving the Town. Please prioritize your interest in committees onthe back of this form.____________________________________________________________________________________________________________________________________________EXPERIENCE which might be helpful to the Town:______________________________________________________________________EDUCATIONAL BACKGROUND which might be useful to the Town:____________________________________________________________________________________________________________________________________________Are you available to serve on a Town committee/commission on a year-round basis? yes noIf not, what is your availability? __________________________________________How did you become interested in serving the Town? newspaper friend personal _______________________We suggest that you be aware of the time commitment you will need to make to thecommittee/board of your choice. For more information, please contact the Selectmen’s Office at508-240-3700, ext. 415.PLEASE RETURN TO:The Selectmen’s Office2 nd FloorOrleans Town Hall19 School RoadOrleans, MA 02653202