Form Center

2. Name*
4. Street Address*
6. City*
7. State*
8. Zip Code*
10. Email*
11. Phone*
13. How many years have you been a Pelham resident?*
14. Board or Commission you are applying for
    -- Select One --Board of Adjustments and AppealsBoard of EducationPersonnel BoardCommercial Development AuthorityLibrary BoardParks & Recreation Advisory BoardStorm Water BoardPlanning CommissionZoning Board of Adjustments
16. Have you previously served on a Board or Commission in Pelham?*

    1. Yes

    1. No
17. If yes, which one?*
19. List all current appointments and/or experience serving on a board*
21. List all accomplishments during your appointment*
23. List your experience as it relates to the Board or Commission you are applying for*
25. Briefly describe why you are applying for this appointment*

    (400 words max)

27. Upload your resume*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field