Board & Committee Application
Please complete and submit the application below. 

Looking for a print version of this application? Visit the Town Manager's Office at the Municipal Center, or print out this form and mail with any supplemental materials to: Town Manager's Office, Suite 208, Municipal Building, 230 Main Street, Brattleboro, VT 05301

For more information on Brattleboro's various boards and committees, visit our website

For further assistance, call 802-251-8151.
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Date *
MM
/
DD
/
YYYY
Name *
Email address *
Street address, state, ZIP
If your street address is not listed, enter here
Phone *
Select the Board or Committee to which you are applying
Town appointed committee member for which you are applying
Appointed position for which you are applying
Other position not listed
Employer
Position
Other relevant employment
Education background
Number of years as a resident of Brattleboro
How much time are you able to give?
List your involvement on other municipal committees, commissions or boards, civic organizations, school or neighborhood groups whether in Brattleboro or another community. Please include any offices held on any of the groups listed.
Why are you interested in this position and what particular skills would you bring to the organization?
Have you ever attended a meeting of this committee?
Clear selection
What is your vision for the Town of Brattleboro?
Do you or any member of your family have any business dealings with the Town?
Clear selection
If yes, please explain. (Note that rules of law or ethics may prohibit members from participating in or voting on matters in which they have a direct or indirect financial interest.)
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