Board/Committee Appointment Application

Applications & Permits · 1 pages · 167 words · all documents · the town's PDF →

This is machine-extracted text, not the document. It was extracted from the town's PDF; layout, tables and figures may not survive intact. The town's copy is authoritative; open it before relying on anything here.

Town Of Durham
   630 Hallowell Road                                Tel: 207-353-2561
  Durham, Maine 04222                                Fax: 207-353-5367

Incorporated 1789

Application For Appointment by Municipal Officers

Name: _________________________________________________ Date: __________________________ Mailing Address: __________________________________________________________________________ Telephone: (Cell) ________________________________ (Home) __________________________________ Email Address:____________________________________________________________________________ Committee I wish to be appointed to: __________________________________________________________ My Current Employment: ___________________________________________________________________ Why I wish to be appointed to this committee or what I might offer or what experience I have that would be of value to this committee? ____________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

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To: (Name of Appointee) ____________________________________________________________________ Pursuant to: (Reference to statute or ordinance authorizing the appointment)____________________________ The undersigned municipal officers of the Town/City of ______________________ do hereby vote to appoint and confirm you as (name of town and name of position) __________________________________________. Your term of office is to expire on (date of term expiration) _________________________. Given under our hands ______________________________ on this ______ day of _________________, 20_____.

________________________________________ Select Board (Chairman)

________________________________________ Select Board (Vice Chairman)

________________________________________ Select Board Member

_______________________________________ Select Board Member

Source: application_for_appointment_by_municipal_officers_1_0.pdf on durhammaine.gov. Text extracted with pdftotext; no wording has been corrected.