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Community Activity Form

  1. Use this form to apply to be appointed to a board, committee or commission.

  2. Thank you for your interest in serving for the Town of Amherst. The Town is dedicated to inclusive government and representing our diverse community through our appointments on Boards, Committees and Commissions.

  3. I am applying to be appointed to:

  4. Contact Information

  5. Tell Us About Yourself


  6. Optional Information

  7. The following four questions are optional. The goal of the appointing authorities is to appoint qualified and interested Amherst residents who are broadly representative of the Town. Any information you provide in this section would aid us in that goal.

  8. Required: Please read the following and state that you understand and agree: The filing of this form does not guarantee my appointment. An application is kept on file for two (2) years; after that I must file a new Citizen 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.

  9. I have read, understand and agree to the above terms:*


  10. Leave This Blank:

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