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20.127 Jen Smith ApplicationMayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 16 messages noreply@civicplus.com <noreply@civicplus.com>Mon, Oct 7, 2019 at 1:03 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 Jennifer (Jen) Last Name Smith Title, if applicable Field not completed. Address1 24 Audubon Road Address2 Field not completed. City Leeds State MA Zip 01053 Home Phone 413-835-5347 Work Phone 413-542-2315 Cell Phone 413-835-5347 Occupation & Place of Employment Biology Greenhouse Manager, Amherst College Email nifaclifa@gmail.com Are you a Northampton resident? Yes Years Lived in Northampton 8 Age 30 - 39 Sex Female Racial / Ethnic Background caucasian Boards and Committees Conservation Commission Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? I worked for four and a half years as the conservation intake associate and then Farm Program Manager for Mount Grace Land Conservation Trust. I made many GIS maps and learned about natural resource assessments as well as all of the various conservation options for land. I worked cooperatively with towns, DCR, DFW, and federal programs to secure funding for conservation projects. I also co-founded Crimson & Clover Farm in Florence, which I co-ran with my former partner Nate through 2015. I remain a co-owner of Crimson & Clover. I am an avid hiker and am actively working on my naturalist knowledge. I am also currently working towards a certiﬁcate in Field Botany through the Native Plant Trust. 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 Jennifer Smith Date 10/7/2019 Email not displaying correctly? View it in your browser.