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TOWN OF MASHPEE <br /> Town Hall, 16 Great Neck Road North <br /> Mashpee, MA 02649 <br /> CITIZEN INTEREST FORM <br /> Today's Date Name: <br /> 'I <br /> Street Address: <br /> i <br /> Mailing Address: <br /> Home Phone: Business Phone: <br /> I <br /> Thank you for your interest in serving the Town. Please prioritize your interest in committees on the <br /> back of this form (i.e. preference 1, 2, 3, etc.) <br /> EXPERIENCE which might be helpful to the Town: <br /> EDUCATIONAL BACKGROUND which might be useful to the Town: <br /> II <br /> Are you available to serve on a Town committee/commission on a year-round basis? <br /> ❑ Yes ❑ No - <br /> If no,what is your availability? <br /> How did you become interested in serving the Town? <br /> 0 newspaper ❑ friend ❑ self interest ❑ <br /> The Search Committee suggests that you be aware of the time commitment you will need to make to <br /> the Committee/Board of your choice. If you need details on time commitments, please contact the <br /> Selectmen's Office at (508) 539-1400 Ext. 510. <br /> I <br /> Please Return To: <br /> Board of Selectmen <br /> Town of Mashpee <br /> 16 Great Neck Road North <br /> Mashpee, MA 02649 <br /> bos@ci.rnashpee.rna.us <br /> f. <br /> f <br /> 165 <br />