Town of North Reading
Citizens Activity Record
To the Town Administrator:

I hereby request to be considered for membership to the following board(s) and/or committee(s):
(If selecting more than one, please indicate your order of preference in the last box)

To view a printable copy of the Citizen Activity Record, click here.
* Current Vacancy

Choose from the following:
Board of Registrars
Information Technology Advisory Committee
Cable Advisory Committee
Land Utilization Committee
Commission on Disabilities *
Library Trustees
Conservation Commission
Martins Pond Reclamation Study Committee
Council on Aging *
Mobile Home Rent Control Board
Cultural Council
Parks and Recreation Committee
Finance Committee
Recycling Committee *
Fiscal Advisory Committee
Taxation Aid Committee
Forest Committee
Trustees of the Trust Fund
Hillview Commission
Wastewater Planning Advisory Committee
Historic District Commission
Water Commission
Historical Commission
Youth Services Committee
Housing Partnership
Zoning Board of Appeals
Other (explain below)
 
 
Please provide the following information:
Full Name:
required
E-mail Address:
required
Residence Address:
required
Residence Phone:
required
Business Phone:
 
Cell Phone:
 
Mailing Address:
 
List membership in community organizations, activities performed and dates involved:
Do you have any skills, experience, or education you would like to mention?
What is your reason for wanting to serve on this board / committee / other?
List the top 3 choices that you would like to serve on (1, 2, 3 in desired order)?
Your Citizen Activity Record will be kept on file for three years. If you checked "Other" in the selection list above, please explain in the "reason for wanting to serve" box. Thank you for volunteering to serve your community.