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2. Personal Information
4. Name:*
6. Street Address:*
7. Home Phone Number:*
9. City:*
10. Work Phone Number:
12. State:*
13. Email:
15. Education & Professional Experience
17. Highest Degree:
18. Major:
20. Present Employer:
21. Position:
23. Prior Volunteer Experience
25. Have you ever served as a volunteer in Newton?*

    1. Yes
    2. No
27. 
    If yes, please list below
29. 
    Please list any Board, Committee, or Commission you have served on, as well as, the years / terms in which you served.
31. 
    Please describe other volunteer experience you have had:
33. Board, Committee and Commission Interests
35. Please select areas of interest:*

    1. Advisory Board of Health
    2. Advisory Shade Tree Commission
    3. Property Maintenance Board of Appeals
    4. Historic Preservation Advisory Commission
    5. Newton Housing Authority
    6. Newton Parking Authority
    7. Planning Board
    8. Recreation Advisory Commission
    9. Utility Advisory Board
37. Additional Information
39. Please add any information you feel would be helpful:
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field