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2. APPLICANT INFORMATION

4. First Name*
5. Middle Initial
6. Last Name*
8. Address*

   Street Address, City, State, Zip Code

10. Are you seeking reappointment?*
    -- Select One --YesNo
11. In which district do you reside?*
    -- Select One --District 1District 2District 3District 4District 5District 6District 7District 8District 9N/A
12. If you need assistance locating your district, please use link below.
    LOCATE YOUR DISTRICT
14. Email Address*
15. Telephone Number*
17. What is your gender identity?
    -- Select One --FemaleMaleTransgenderNon-Binary/Non-ConformingI do not wish to self-identify
19. What is your race/ethnic background?*
    -- Select One --American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteOtherI do not wish to self-identify
21. Are you bilingual?
    -- Select One --YesNo
22. If you selected "Yes" what languages do you speak?
24. Are you a veteran?
    -- Select One --YesNoI do not wish to self-identify
26. Disability Status
    -- Select One --Yes, I have a disabilityNo, I do not have a disabilityI do not wish to self-identify
30. Position Sought*
    -- Select One --20-30 Advisory Council Agricultural Advisory CommitteeBoard of AssessorsBoard of HealthBoard of License CommissionersBylaw Review CommitteeCable Advisory CommitteeCapital Improvement CommitteeCharter Review Committee Community Development CommitteeComplete Count Committee Conservation Commission ConstablesCouncil on AgingCultural CouncilCushing Memorial Chapel Advisory CommitteeDisability CommissionEconomic Development CorporationElderly & Disabled Tax Fund CommitteeFair Housing CommitteeFramingham Housing AuthorityFramingham Union Grants Panel HistorianHistoric CommissionHistoric District CommissionHuman Relations CommissionLoring Arena CommitteeOrdinance Review & Recodification CommitteeParks and Recreation CommissionPlanning BoardPolice Advisory CommitteeRegional Vocational School CommitteeRegistrar of VotersRetirement BoardSouth Middlesex Regional Vocational School Committee Strategic Initiatives and Financial OversightSustainability CommitteeTeam Framingham Steering CommitteeTraffic CommissionVeterans CouncilZoning Board of Appeals Women & Families CommissionBicycle, Pedestrian & Trails CommitteeWelcoming Ordinance Commission
32. If you choose Charter Review Committee please specify the type of appointment you are seeking
    -- Select One --Mayoral Appointment City Council Appointment School Committee Appointment
34. What special skills or knowledge would you bring to this board, committee, commission or appointment?
36. Please provide any additional information you feel to be useful to the Mayor in considering your application.
38. Have you ever served on a City Board, Commission, or Committee? *
    -- Select One --YesNo
39. If yes, please include position and year(s) of service.
41. How did you hear about this Board, Commission, Committee, opportunity?
    -- Select One --City Notification Alert City Newsletter Social Media (Facebook, Twitter, etc.)Media Community Event Other
42. Would you be willing to serve on another Board/Commission if needed?
    -- Select One --YesNo
46. Public Contact Information
    Under Massachusetts law, emails and text messages sent or received on private accounts for public purpose are considered a public record and will need to be produced if a public records request is made that encompasses such documents. The Massachusetts Office of the Inspector General therefore recommends appointees separate their personal contact information from their public official contact information to avoid issues with archiving and responding to Freedom of Information Act Requests.
48. If appointed to serve, please provide the contact information you intend to use as part of your duties as an appointee of the city.
50. Email Address*
51. Phone Number*
55. "Applications for the Board of Health, Board of License Commissioners, Conservation Commission, Planning Board, Strategic Initiatives and Financial Oversight Committee (SIFOC), South Middlesex Regional Vocational School Committee (Keefe Tech), Traffic Commission, and Zoning Board of Appeals require a cover letter and resume."
57. Cover Letter
59. Resume
61. Note: Upon submission, this application becomes public record.
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit Submit and Print

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