Citizen Leadership Form

I, hereby apply to perform public service on the following municipal authorities, boards or commissions
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Please list any education, prior volunteer experience, work related experience or other civic involvement which could be of use to the authorities, boards or commissions which you have listed above
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Personal Information Not Subject to Public Disclosure*
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* The information in this section is considered personal information and is therefore deemed confidential for the purpose of P.L. 1963, c. 73 (C.47:1A-1 et. seq.) and P.L. 2001, c. 404
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