Town of Glocester, RI: Boards and Commissions Application

• Tax Assessor's News & Info	• Chepachet Wastewater/Stormwater Project
• 2009 Tax Notice	• Comprehensive Annual Financial Report
• NEW! Senior Newsletter	• 2010 Town Recreation Schedule

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.

Affordable Housing Advisory Board
Budget Board (3 yr. term)
Charter Review Commission
Chepachet Village Planning Committee
Community Resource Commission
Conservation Commission (3 yr. term)
Economic Dev. Commission (3 yr. term)
Fos./Gloc. Juvenile Hearing Board
Historic District Commission (3 yr. term)
Housing Authority (5 yr. term)
Land Trust Trustees (5 yr. term)
Local Board of Appeals for Building Code (5 yr. term)
Parade Committee
Pascoag Reservoir/Echo Lake Dam Management District/Board of Directors
Personnel Board
Planning Board (5 yr. term)
Recreation Commission
Road Committee
Safety Commission
Senior Center Board of Directors
Wastewater Mgt. District Board
Western RI Home Repair Exec. Board (2 yr. term)
Tax Assessor's Board of Assessment Review (6 yr. term)
Zoning Board (5 yr. term)

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