2. First and Last Name*
3. Email Address*
5. Address*
7. City
8. State
9. Zip Code
11. Telephone (home)*
12. Telephone (work)
14. Telephone (cell)
16. Only for non-resident Applicants:
18. Do you own a business in South Orange?

    1. Yes

    1. No
20. Business Name:
22. Street Address
24. Do you own property in South Orange?

    1. Yes

    1. No
26. Property Ownership
28. Name
30. Street Address
32. Boards/committees/commissions / Authorities With Open Positions:
    I hereby apply to perform volunteer, public service on the following municipal boards, committees, commissions, and authorities:
34. Board / Committee*
    -- Select One --Arts & Cultural Events Committee Board of AdjustmentBoard of HealthPublic Safety CommitteeCommunity Police Collaborative Community Relations Committee (CRC)Design Review BoardDevelopment CommitteeEnvironment CommissionHistoric Preservation CommissionLibrary Board Parking AuthorityPlanning BoardRecreation Advisory CommitteeRent Leveling BoardSenior Citizens Advisory CommitteeWalk, Bike, Ride (WBRSO)
36. Board / Committee 2
    -- Select One --Arts & Cultural Events Board of AdjustmentBoard of HealthPublic Safety CommitteeCommunity Relations Committee (CRC)Design Review BoardDevelopment CommitteeEnvironment CommissionHistoric Preservation CommissionLibrary Board Parking AuthorityPlanning BoardRecreation Advisory CommitteeRent Leveling BoardSenior Citizens Advisory CommitteeWalk, Bike, Ride (WBRSO)
38. Board / Committee 3
    -- Select One --Arts & Cultural Events Board of AdjustmentBoard of HealthPublic Safety CommitteeCommunity Relations Committee (CRC)Design Review BoardDevelopment CommitteeEnvironmental CommissionHistoric Preservation CommissionLibrary Board Parking AuthorityPlanning BoardRecreation Advisory CommitteeRent Leveling BoardSenior Citizens Advisory CommitteeWalk, Bike, Ride (WBRSO)
40. Why are you interested in serving? (1000-character maximum)
42. Please describe any relevant volunteer or work experience (1000-character maximum):
44. Please upload your resume, biography, or c.v.:
    If you prefer to e-mail or mail it, please use the addresses, below.
46. If you would like to mail your application with your resume, biography, or c.v., please use this address:
    Village Clerk 76 South Orange Avenue Suite 302 South Orange, NJ 07079 clerk@southorange.org
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

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