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Town of Mashpee <br />Town Hall, 16 Great Neck Road North <br />Mashpee, MA 02649 <br />Citizen Interest Form <br />Town Government needs citizens who are willing to give time in the service of their community. The <br />Citizens Interest Form is a means for the Selectmen's office to compile the names of interested citizens <br />to serve, on a voluntary basis, on Boards and Committees. <br />Please fill out the form below and return this form to the Board of Selectmen's office on the upper level <br />at Town Hall. <br />Name: <br />Address: <br />Town: <br />Occupation: <br />Zip: <br />Telephone: <br />Email: <br />Note: Please number in order of preference. <br />() Affirmative Action Committee <br />( ) Historic District Commission <br />() Affordable Housing Committee <br />() Human Services Committee <br />() Americans with Disabilities Act Committee <br />() Mashpee Cable and Advanced <br />() Appeals, Zoning Board of <br />Technology Advisory Board (MCAT) <br />() Assessors, Board of <br />() Mashpee Wakeby Lake Management <br />() Community Preservation Act Committee <br />() Recycling Committee <br />() Conservation Commission <br />() Sewer Commission <br />() Council on Aging <br />() Shellfish Commission <br />() Cultural Council <br />() South Cape Beach State Park <br />() Design Review Committee <br />Advisory Committee <br />() Economic Development Industrial Corp (EDIC) <br />() Special Events Committee <br />() Environmental Oversight <br />() Streetlight Committee <br />() Health, Board of <br />() Town Clerk Registrars <br />() Historical Commission <br />() Waterways Commission <br />168 <br />