Town of Glocester, RI: Boards and Commissions Application

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VOLUNTEERS NEEDED!!!

If you would like to get involved with your community
and can spare at least one night a month, please consider
joining a Board or Commission for the Town of Glocester.

Requirements
You must be a Glocester resident, with an interest
in your community, who is registered to vote.

Instructions

Complete the form below.

Click on the "Submit" button

If you prefer, you may print this page,
complete the form, and mail to:
Glocester Town Hall
PO Box B
Chepachet, RI 02814-0702

Or stop by the Glocester Town Clerk's Office for an application.
Monday-Friday 8:00 AM-4:30 PM

Your participation is appreciated!

Name:

Address:

Telephone:

Click in the box next to any boards or commissions on which you might be interested in serving.

Budget Board (3 yr. term)
Charter Review Commission
Housing Authority (5 yr. term)
Land Trust Trustees (5 yr. term)
Personnel Board
Planning Board (5 yr. term)
Road Committee
Wastewater Mgt. District Board
Zoning Board (5 yr. term)
Fos./Gloc. Juvenile Hearing Board

Conservation Commission (3 yr. term)
Economic Dev. Commission (3 yr. term)
Historic District Commission (3 yr. term)
Local Board of Appeals for Building Code (5 yr. term)
Safety Commission
Recreation Commission
Western RI Home Repair Exec. Board (2 yr. term)
Tax Assessor's Board of Assessment Review (6 yr. term)
Chepachet Village Planning Committee

BACKGROUND INFORMATION

Occupation:

Education:

Prior community service:

Length of residency in Glocester:

Experience relative to position requested:

Comments:

Are you a Registered Voter?
Yes
No

Please Note: This application will be kept on file in the Town Clerk's Office.
Because of limited openings each year, we will not be able to honor all requests.

THANK YOU FOR YOUR INTEREST IN THE TOWN!

Glocester Town Hall • 1145 Putnam Pike - PO Box B • Chepachet, RI 02814-0702
Tel: 401.568.6206 • Fax: 401.568.5850 • Hours 8:00 AM - 4:30 PM