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Town of Mashpee Select Board's Office 16 Great Neck Road North Mashpee, MA 02649 Boards, Committees, Commissions Citizen Interest Form Town Government needs citizens who are willing to give time in the service of their community. The Citizen Interest Form is a means for the Select Board's office to compile the names of interested citizens to serve,on a voluntary basis,on Boards,Committees and Commissions. Please fill out the form below and return this form to the Office of the Town Manager and Select Board via: US Mail: Mashpee Town Hall 16 Great Neck Road North,Mashpee,MA 02649 Hand Delivery: Mashpee Town Hall Select Board Office on the upper level. Email: bos@mashpeema.gov Include a letter of interest and resume with this form. For an updated list of Board, Committee and Commission vacancies please contact the Town Manager's Office at(508) 539-1401 or visit the Select Board page on the Town's website. Name: Address: Town: Zip Occupation: Telephone: Email: ( )Affordable Housing Committee ( ) Human Services Committee ( )Americans with Disabilities Act Committee ( ) Inclusion and Diversity Committee ( )Assessors,Board of ( ) Mashpee Cable and Advanced ( ) Bylaw Review Committee Technology Advisory Board(MCAT) ( ) Community Preservation Act Committee ( ) Mashpee Wakeby Lake Management ( ) Conservation Commission ( ) Planning and Construction Committee ( ) Council on Aging ( ) Sewer Commission ( ) Cultural Council O Shellfish Commission ( ) Design Review Committee O Special Events Committee ( ) Economic Development Industrial Corp O Subdivision Board of Appeals (EDIC) O Town Clerk Registrars ( ) Environmental Oversight Committee O Waterways Commission ( ) Health,Board of O Zoning Board of Appeals ( ) Historical Commission ( ) Historic District Commission 186