Dexter Board & Committee Appoinment Application

Town of Dexter
Board / Committee Appointment Application Printout and send OR FAX to the Town of Dexter at the address below.

1. Application for Appointment to:

______ Planning Board ______ Parks & Recreation

______ Board of Appeals ______ Conservation Commission

______ Human Resources Committee ______ Airport Committee

______ Personnel Advisory Board ______ Library Trustees

______ Recreation Project Committee ______ Cemetary Committee

______ Other _____________________________________

2. NAME:_____________________________________________________________________________

3. ADDRESS___________________________________________________________________________

4. PHONE: # (HOME)_________________________(WORK)____________________________________

5. WHERE EMPLOYED:__________________________________________________________________

6. EDUCATION:________________________________________________________________________

7. ACTIVITIES OF INTEREST:____________________________________________________________

_____________________________________________________________________________________

8. WHY DO YOU WISH TO SERVE ON A MUNICIPAL BOARD OR COMMITTEE ?

____________________________________________________________________________________

Please return to:
Town Clerk
23 Main Street
Dexter, Maine 04930
TEL: (207) 924-7351 - FAX: (207) 924-7352