VILLAGE OF HASTINGS-ON-HUDSON COMMITTEE/BOARD APPLICATION FORM

The Board of Trustees of the Village of Hastings-on-Hudson has embraced the concept of creating committees of Village residents to address issues of relevance to village life. In an effort to assist the Board of Trustees in the selection of individuals, please complete this application.

Name(s) of Committee(s)/Board(s) you are interested in

Cell Phone Number

Home Phone Number

Current Occupation/Job Description

Education: High School Name

Education: Bachelor's Degree Major and School

Education: Advanced Degree Major and School

Other special training or expertise related to the position

Public Service/Civic Club Participation (list most pertinent)

Offices Held (if any)

Previous Civic, Municipal, and/or Related Experience (if any)

Reasons you wish to serve

Other Comments

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