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2. Applicant Information
4. Please check a volunteer position

   1. Finance Commission
   2. Inclusion and Belonging Commission
   3. Winooski Memorial Library Committee - Youth Member
   4. Winooski Valley Parks District Trustee
   5. Chittenden Solid Waste District (CSWD) Board of Commissioners
6. If other, please specify
8. Today's Date*
   Today's Date
10. First Name*
11. Middle Name*
12. Last Name*
14. Preferred Name and/or Prounouns
16. Phone Number*
17. Email*
18. Address*
20. City*
21. State*
22. Zip Code*
24. Why are you interested in serving our community? List experience, history, and qualifications pertinent to the position you are applying for.*
26. What is your relationship with Winooski? Are you a resident, business owner, or student? *
28. Agreement
    I understand and agree that submitting this application form does not qualify as automatic registration and that certain qualifications must be met (including the acceptance of established policies and procedures provided by the organization of interest). By submitting this form, I attest that the information I have provided on the form is true and accurate. Signature Date
30. By clicking yes, I hereby attest that all information provided by me is true and correct to the best of my knowledge.*

    1. Yes
32. Full Name*
33. Today's Date*
    Today's Date
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

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