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Citizen Leadership Form (Volunteer Application)

  1. Enter Full Name

  2. Enter Applicant's City/State/Zip

  3. Applicant is applying to perform public service on the following municipal authorities, boards or commissions:

  4. 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 listed above:

  5. ___________________________________________________________________________________________________

  6. Personal Information Not Subject to Public Disclosure:*

  7. *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 (C.47:1A-5 et al.)

  8. Leave This Blank:

  9. This field is not part of the form submission.