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2. Thank you for expressing your interest in serving on a Council-appointed authority, board, commission or committee. All appointments shall be at the discretion of the Borough of Paramus, Mayor and Council.
4. Authority, Board, Commission or Committee*
5. Applicant Name*
7. Home Address*
9. Home Phone Number*
10. Email*
12. Are you a City resident?*

    1. Yes
    2. No
13. Are you over the age of 18?*

    1. Yes
    2. No
14. Are you a registered voter?*

    1. Yes
    2. No
16. Occupation/Employer*
17. Date of Employment*
    Date of Employment
19. Business Address*
20. Business Phone Number*
22. Education
24. Are you currently a member of a Council appointed authority, board, commission or committee?

    1. Yes
    2. No
26. If yes, please specify
28. Volunteer / Community Involvement
30. Why are you interested in serving as a member of this authority, board, commission or committee?
32. List any additional information that may qualify you for this appointment.
34. Do you or any member of your immediate family residing in your household, hold a position (paid or unpaid) with any person or entity, or have a contract with or any obligation to any person or entity, which might constitute a conflict or a conflict-of-interest with the position for which you are applying? For purposes of this question, "entity" specifically includes, but is not limited to, the Borough of Paramus and any entity that receives funds from the Borough.
36. Have you ever been convicted of a law violation, including moving traffic violations, since your 18th birthday?
38. Have you ever been convicted of a felony?
40. Have you ever been convicted of a misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating) since your 18th birthday?
42. Are there any criminal charges or proceedings pending against you?

    1. Yes
    2. No
44. If yes, please list.
46. Applicant Signature*

    By signing, you acknowledge that the information provided is correct to the best of your ability.

    1. I agree.
48. Borough Council requires a minimum of 75% attendance at all authority, board, commission or committee meetings. Absences may be excused per circumstance. Three consecutive unexcused absences will result in loss of membership. You will be notified upon appointment to an authority, board, commission or committee. If not selected, your application will remain on file in the Borough Clerk's Office for one year for consideration of future vacancies.
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50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field