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2. Thank you for your interest in serving as a volunteer on a Town of Bloomfield Board or Commission.

   See a summary of the Boards and Commissions in Bloomfield.

   Please note - this form is for first-time applicants to a Board or Commission. If you are applying for reappointment to a Board or Commission, please fill out the Reappointment Request Form.

   You may also print out the application form (PDF) and mail or drop it off at the Town Clerk's office at Town Hall (800 Bloomfield Avenue). All online forms are automatically routed to the Town Clerk's office for processing. The Town Clerk then passes the forms on to the Town Council sub-committee, Committee on Committees, and they will be in touch with you regarding next steps.

4. First Name*
5. Last Name*
7. Email Address*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Political Affiliation*
    -- Select One --DemocratRepublicanUnaffiliatedIndependentGreen PartyI'm not sure
18. Board or Commission for which you would like to be considered*
20. Each Board and Commission has its own meeting schedule and time commitments. Are you able to commit at least 2 hours per month to attend regular meetings? Do you have any current conflicts that would prevent you from attending monthly meetings, approximately one evening per month?*
22. Many Boards and Commissions do not require any specific experience and are primarily looking for dedicated volunteers. If you have any experience, education, interest or other background information that may be relevant to the particular Board/Commission you are interested in please share it here:*
24. Please share why you are interested in serving on this Board or Commission:*
26. Have you contacted any current members or attended any meetings on the Board/Commission that interests you?*
28. Please list any other Boards/Commissions you would like to learn more about during your interview.
30. Is there anything else that you would like to share with us?
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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