2. All citizens of the Borough of Washington interested in having their names considered for appointment, by the Borough Council, at such time as a vacancy occurs, on any committee where appointments are made by the Council or on any special committee created by the Council, should fill out this application and return it to the Borough Manager, 100 Belvidere Ave., Washington, New Jersey 07882 . Please note that all fields below are required.

4. Name*
5. Phone Number*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Confirm Email*
16. How long have you resided in Washington Borough?*
18. Educational Level Obtained (Check One)*
    -- Select One --High School DiplomaSome CollegeAssociate DegreeBachelor's DegreeMaster's DegreeDoctorate Degree
20. Educational Specialty or Field of Employment*
22. Experience: Company Position Held Years of Service*
24. Civic Involvement: Organization Position Held Years of Service*
26. Areas of Particular Interest in Local Government (Check one or more)

    1. Planning & Land Use Control
    2. Finance
    3. Recreation
    4. Education
    5. Fire
    6. Public Works
    7. Solid Waste
    8. Energy Conservation
    9. Public Safety

    1. Emergency Medical Assoc
    2. Community Development
    3. Sewers and Storm Drains
    4. General Government
    5. Parking
    6. Communications
    7. Green Team
    8. Shade Tree
28. Additional Information
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit

* indicates a required field