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2. Volunteer Application for Boards, Committees, Commissions

   For questions, contact: Administrative Assistant, Kate Larose at klarose@essex.org; 802-878-1341 ext. 1132

   
   

   
   

4. What are you applying for? Please complete a separate application if applying for more than one.

   1. Cemetery Commission
   2. Charter Review Committee
   3. Conservation & Trails Committee
   4. Development Review Board
   5. Economic Development
   6. Energy Committee
   7. Essex Free Library Board of Trustees
   8. Housing Commission
   9. Planning Commission
   10. Police Community Advisory Board
   11. Zoning Board of Adjustment
   12. Chittenden County Communications Union District
   13. Chittenden Solid Waste District Board
   14. Green Mountain Transit Board
   15. Town Meeting TV Board
   16. Tree Farm Management Group
   17. Winooski Valley Park District Board
   18. Other
6. First Name*
7. Last Name*
9. Why are you interested in serving in this capacity?*
11. Do you have any personal aspirations that could be enhanced by your service on this committee?*
13. Do you have any special skills, expertise, connections, or experience that you believe could be beneficial to the work of the committee?*
15. Do you live in the Town of Essex?*

    1. Yes
    2. No
17. If you answered "No" to the question above, what is your town/city of residence?

    Note: You may be a resident of the Town of Essex even if your zip code and mailing address are "Essex Junction." Please do not answer "Essex Junction" if you are physically located within the borders of the Town of Essex.

19. Street Address*
21. Mailing Address (if different from Street Address)
23. Email Address*
24. Phone Number
26. VERMONT PUBLIC RECORDS LAW

    Under Vermont's Public Records Act, 1 V.S.A. §§ 315-320, any person has the right to request inspection or copying of a public record from government agencies, including municipalities. 

    Documents in the possession of public officials for municipal business are classified as public records and are available to the public unless excluded under the Public Records Act. 

    Applicants are discouraged from submitting information considered proprietary unless it is deemed essential for proper evaluation of the application. However, if the application contains information that the applicant considers to be trade secrets or confidential, the pages containing that information should be identified.

    Please note, some information in a public record may be redacted, narrowed, or denied in accordance with State law if it could reasonably be expected to constitute an unwarranted invasion of personal privacy.

28. 3. SIGNATURE: By typing my full name, I understand that this application, with the exception of my address, email address, and phone number, is a public record and will be included in a public meeting packet for board consideration and public interview.*
30. 4. DATE SIGNED:*
    4. DATE SIGNED:
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field