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2. 
3. Town of New Castle
   200 South Greeley Avenue, Chappaqua, NY 10514
5. Town of New Castle
   Experience Summary for Volunteer Boards & Commissions Appointments
7. Select the Board, Commission, or Committee applying for*
   -- Select One --Advisory Committee on Cable TVArchitectural Review BoardArts and Culture CommitteeBeautification BoardBoard of Assessment ReviewBusiness Development Advisory CommitteeCivic Engagement Advisory Board (CEAB)Climate Smart Communities Task ForceCommittee on Race and Equity (CRE)Community Preparedness CommitteeConservation BoardDiscover Chappaqua CommitteeEthics BoardEvery Person is Connected (EPIC)Environmental Review BoardHealth & Wellness Task ForceHolocaust and Human Rights CommitteeLandmark Advisory CommitteeLBGTQIA+ CommitteeMandate Relief CommitteeMillwood-West End Advisory BoardNew Castle Airport Advisory BoardPlanning BoardRecreation and Parks CommissionSustainability Advisory BoardYouth Civic Actions CommitteeZoning Board of Appeals
9. Personal Information
11. First Name*
12. Last Name*
13. Preferred Pronouns
15. Address1*
17. Address2
19. City*
20. State*
21. Zip*
23. Email Address*
24. Home Phone Number*
25. Cell Phone Number
27. Business Address
29. Business Phone Number
31. Occupation*
33. Residency Information
35. Years of Residency in New Castle*
37. Are you a registered voter*

    1. Yes
    2. No
39. Education and Experience
41. High School
43. College
45. Trade or Business School
47. Work Experience*
49. Organization Membership Information
51. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
53. If yes, which
55. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
57. If yes, which
59. Please explain your interest in this board / committee:*
61. Instructions
    You may submit this form online, or print and send it to: Supervisor, Town of New Castle 200 South Greeley Avenue Chappaqua, NY 10514
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63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit Submit and Print

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