Committee Membership Application

Interested in serving your community by volunteering on a board, committee or commission?  Please complete the following form, and the webmaster will refer it to the appropriate department for further action.  Be sure to fill out the form completely or we may be unable to properly respond.  All applications expire 24 months from submittal date, unless renewed by the applicant.

Name:

Address:

Address Line 2:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:


Board, Committee or Commission:


Reason for seeking appointment:


Education, training or experience relevant to appointment sought and any prior service on community boards:

Special skills, knowledge, talents, insights, or point of view that you might offer to the Board or Committee and any objectives you may have for the position:


  

The City of Augusta, ME does not discriminate on the basis of age, race, sex, religion, creed, national origin, color, physical or mental handicap. The Mayor and City Council, or the appropriate appointing body, will seek to make balanced and representative appointments to all citizen boards and committee.