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2. Advisory Board and Commission Vacancies
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4. Disclaimer:
   If you have any questions or concerns regarding this application, feel free to contact the City Manager's Office by Phone (978-674-4400) to assist.
6. Select the Board, Commission, or Committee applying for*
   -- Select One --Select OneAnimal Advisory CommiteeBoard of AssessorsBoard of HealthBoard of ParksCemetery CommissionCivic Stadium CommissionCommission on DisabilityConservation CommissionCouncil on Aging BoardCultural Council BoardElection CommissionHistoric BoardHousing Authority BoardHunger & Homeless CommissionLicense CommissionLowell Veterans CommissionLowell Water BoardMemorial Auditorium Board of TrusteesPlanning BoardPollard Memorial Library Board of TrusteesRetirement BoardSustainability CouncilTaxicab & Livery CommissionZoning Board of Appeals
8. Personal Information
10. First Name*
11. Last Name*
13. Address1*
15. Address2
17. City*
18. State*
19. Zip*
21. Home Phone Number*
23. Business Address
25. Business Phone Number
27. Current Occupation
29. Relevant Experience
31. Email Address
33. Residency Information
35. Length of Residency in Lowell*
37. Are you a registered voter*

    1. Yes
    2. No
39. Education and Hobbies
41. High School
43. College
45. Trade or Business School
47. Hobbies
49. Organization Membership Information
51. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
53. If yes, which
55. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
57. If yes, which
59. Please list Organization Memberships and Positions held
61. Please list Areas of Special Interest
63. Please Attach Resume
64. Please Attach Cover Letter
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66. 1. Receive an email copy of this form.
67. Email address

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68. Submit Submit and Print

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