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Personal Information

Name:*

Street Address:*

Home Phone Number:*

City:*

Work Phone Number:

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Email:

Education & Professional Experience

Highest Degree:

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Present Employer:

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Prior Volunteer Experience

Have you ever served as a volunteer in Newton?*

Yes

If yes, please list below

Please list any Board, Committee, or Commission you have served on, as well as, the years / terms in which you served.

Please describe other volunteer experience you have had:

Board, Committee and Commission Interests

Please select areas of interest:*

	Advisory Board of Health
	Advisory Shade Tree Commission
	Construction Board of Appeals
	Economic Development Advisory Commission
	Historic Preservation Advisory Commission
	Newton Housing Authority

	Newton Parking Authority
	Planning Board
	Recreation Advisory Commission
	Utility Advisory Board
	Zoning Board of Adjustment

Additional Information

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Town of Newton • 39 Trinity Street • Newton, NJ 07860
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