Volunteer Board Application
TOWN OF DRYDEN
93 EAST MAIN STREET
DRYDEN, NY 130353
VOLUNTEER BOARD/COMMISSION APPLICATION
Please type or print in black ink
Name_________________________________________________ Telephone Home_______________________
Email Address ______________________________________ Length of residence in Town of Dryden __________
Relevant experience and community affiliations:
Please feel free to attach a resume or other documentation you believe may be pertinent.
Do you have a preference for which or commission you would like to serve on? (if more than one, rank your preferences 1, 2, 3, 4, 5)
______ Planning Board ______ Conservation Board _____ Recreation & Youth Commission
______ Zoning Board of Appeals ______ Agricultural Advisory Committee ______ Other
OFFICE USE ONLY
Name of Board ______________________________________ Date Approved _________________________
Term to expire _________________________________ Notification mailed/emailed _____________________
S:\Shared\Advisory Boards\Volunteer Board App 2013.docx
Volunteer Board Application Name: _____________________________________________
Please answer the following question.
1. Are you available to meet once monthly?_____
Do you have time to do some additional work in between meetings (a couple of hours a month)?
2. If a situation came before the Board in which you found that your personal views and values differed from the views and values of other involved town residents, elected officials or staff, how would you respond?
3. Do you have a specific, specialized knowledge, skill or professional experience that is especially relevant to the board or commission to which you are applying? Yes _____ No_____
If “Yes”, please elaborate below. (You may cite any of your relevant published reports or other written materials.)
4. Which local issues are of greatest interest to you in the Town of Dryden?
5. Most of our communications are via email. Are you able to receive and open email and/or PDF
attachments? Yes _____ No ______
6. Are you able to use web-based, file-sharing utilities (e.g. Dropbox) Yes _____ No _____
7. Are you familiar with the use and applications of geographic information systems (GIS)? Yes_____ No _____
Feel free to attach a resume or other information you believe we should be aware of.
PLEASE NOTE: This application will be reviewed by several individuals and may become available for public inspection upon proper request.
Last Updated on Wednesday, 18 December 2013 Created Tuesday, 5 November 2013
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