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Boards & Commissions Application

Applicants from under-represented groups in the City are encouraged to apply.

Please be advised that you may submit an application any time and be notified by mail of the ongoing vacancies that occur on the City Boards & Commissions.

*Last Name
*First Name
Middle Initial
*Zip Code
Home Phone
Cell/Office Phone
How long have you lived at your current address?
In which district do you reside?
*Are you a registered voter?

Are you currently a City of Worcester employee?

How did you hear about Boards & Commissions?

If "Other," Please Specify
*Have you ever served on a Board/Commission in the past?

If yes, which Board/Commission?

BOARD(S)/COMMISSION(S) YOU WISH TO BE CONSIDERED FOR: Please be specific. Eligibility requirements: 1) be a registered voter; AND 2) be a resident in the district for one year for advisory and regulatory boards. List choices in order of priority:
*First Board/Commission Choice
Second Board/Commission Choice
*Would you be willing to serve on another Board/Commission if needed?

The following answers are strictly voluntary. Check all that apply:


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