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20.117 Michael Abbatiello ApplicationMayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Thu, Aug 13, 2020 at 8:11 PM To: mayor@northamptonma.gov Application for Appointment to Boards, Committees and Commissions City of Northampton Application for Appointment to Boards, Committees, and Commissions Please return the completed form to: Mayor@northamptonma.gov or David J. Narkewicz, Mayor 210 Main Street, Northampton, MA 01060 First Name Michael Last Name Abbatiello Title, if applicable Field not completed. Address1 161 Main Street Address2 Field not completed. City Leeds State MA Zip 01053 Home Phone Field not completed. Work Phone 4132684322 Cell Phone 2035217387 Occupation & Place of Employment Technical Director - Academy of Music Theatre Email abbatiellomichael@gmail.com Are you a Northampton resident? Yes Years Lived in Northampton 3 Age Under 29 Sex Male Racial / Ethnic Background White Boards and Committees Arts Council Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Over a decade of experience in the arts in multiple capacities and a BFA in dance. Are you currently serving or have you served on any city committee? No Please list other city committees you have served on Field not completed. Required: Please read the following, by signing below you state that you understand and agree. The filing of this form does not guarantee my appointment. An application is kept on file for two (2) years; after that I must file a new application. Being appointed to a committee, board, or commission means that I am considered a Municipal Employee under MGL Chapter 268A and thereby subject to Conflict of Interest Law MGL Chapter 268A, Financial Disclosure Law MGL Chapter 268B, as well as Open Meeting Law MGL Chapter 39: Section 23B. I understand that I will take the conflict of interest test after being appointed and that I also must be sworn in by the City Clerk. I will contact the appointing authority with any questions about my service. Important: Once this form is submitted it becomes a public document, if there is information you do not want open to the public please do not include it on this form. Signature Michael Abbatiello Date 8/13/2020 Email not displaying correctly? View it in your browser.