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2. Use this form to apply to be appointed to the Districting Advisory Board, Finance Committee, Planning Board or Zoning Board of Appeals.
4. Thank you for your interest in serving the Town of Amherst. The Town is dedicated to inclusive government and representing our diverse community through our appointments on Boards, Committees and Commissions. If you are interested in serving on one of our other Town Boards, Committees or Commissions, please visit www.amherstma.gov/caf to apply
   This form is to express interest in the Districting Advisory Board, Finance Committee, Planning Board, and Zoning Board of Appeals only, which are appointed by the Town Council. If you are interested in serving on one of our other Town Boards, Committees or Commissions, which are appointed by the Town Manager, please visit www.amherstma.gov/caf to apply.
6. Community Activity Forms (CAF) for these bodies are kept on file for three (3) years. If you submitted a CAF for this body within the past three years you do not need to submit a new form. After you click ‘submit’ your CAF will automatically be sent to the Town Council and a Councilor will contact you to confirm receipt of your CAF.
8. When the Town Council is ready to make an appointment, a Councilor will reach out to you to confirm your continued interest and schedule an interview. Note that there may be a lag between when you submit your CAF and when you are contacted for an interview depending on when the Council is planning to move forward with appointments. Thank you for your patience.
10. Please select all that are you interested in.

    1. Finance Committee
    2. Planning Board

    1. Zoning Board of Appeals
12. For all other Boards and Committees
    Click Here to Apply
14. Current Service Opportunities
    Click Here
18. Contact Information
20. First Name:*
21. Last Name:*
23. Address (Example: 4 Boltwood Avenue):*
24. Town*
26. Email Address:*
28. Phone*
30. 
    
32. Demographic Information
34. The goal of the Town Council is to appoint Amherst residents that reflect our values of diversity, inclusivity, and representation. Please answer the following questions to provide information to help us meet our goals around diversity. This information on this form is treated as a personnel record and is therefore not subject to disclosure under public records request. Demographic information will not be associated with an individual, only reported in the aggregate.
36. Age:
    -- Select One --choose oneUnder 1818-2930-3940-4950-5960-6970-7980 Plus
37. Gender:
38. Racial/Ethnic Background:
40. Languages Spoken:
42. How did you hear about this opportunity (do not list names of any individuals)?*
44. More Information:
46. Required: Please read the following and state that you understand and agree: The filing of this form does not guarantee my appointment. A form is kept on file for three (3) years; after that I must file a new Community Activity Form. Being appointed to a Town committee, board, or commission means that I am considered a Municipal Employee under MGL Chapter 268A and thereby subject to Conflict of Interest Law MGL Chapter 268A, Financial Disclosure Law MGL Chapter 268B, as well as Open Meeting Law MGL Chapter 39: Section 23B. I understand that I will take the conflict of interest test AFTER being appointed but BEFORE being sworn in by the Town Clerk. I will contact the appointing authority with any questions about my service.
48. I have read, understand and agree to the above terms:*

    1. Yes
50. 
    
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field