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21.268 Reappointments to Various Committees MAYOR DAVID J. NARKEWICZ City of Northampton Office of the Mayor 210 Main Street Room 12 Northampton, MA 01060-3199 (413) 587-1249 Fax: (413) 587-1275 mayor@northamptonma.gov DATE: May 6, 2021 TO: City Council FROM: Mayor David J. Narkewicz SUBJECT: Reppointments to Boards, Committees, and Commissions Please find the attached reappointments to City Boards, Committees, and Commissions: Agricultural Commission John J. Bobala, 25 Old Ferry Road, Northampton Term: July 2021-June 2024 Reappointment Richard E. Jaescke, 774 Bridge Road, Northampton Term: July 2021-June 2024 Reappointment Robert Vollinger, 460 North Farms Road, Florence Term: July 2021-June 2023 Reappointment Earle “Chip” Parsons, 137 Mill Valley Road, Hadley Term: July 2021-June 2023 Reappointment Central Business Architecture Committee Joseph Blumenthal, 39 Chapel St., Northampton Term: July 2021-June 2024 Reappointment Urban Forestry Commission Susan Lofthouse, 15 Stoddard Street, Northampton Term: July 2021-June 2024 Reappointment Council on Aging Robert Dionne, 87 Vernon Street, Northampton Term: July 2021-June 2024 Reappointment Jeanne Hoose, 36 South Park Terrace, Northampton Term: July 2021-June 2024 Reappointment Historical Commission Dylan Gafney, 23 Marshall Street, Northampton Term: July 2019-June 2022 Reappointment Barbara Blumenthal, 39 Chapel Street, Northampton Term: July 2021-June 2024 Reappointment Housing Partnership Julio Alves, 35 Fort Hill Terrace, Northampton Term: July 2021- June 2024 Reappointment James Reis, 108 Coles Meadow Road, Northampton Term: July 2021-June 2024 Reappointment Parks and Recreation Commission Julia Chevan, 8 Cosmian Avenue, Florence Term: July 2020-June 2023 Reappointment Planning Board George Kohout, Full Member, 234 State Street, Northampton Term: July 2021-June 2024 Reappointment Zoning Board of Appeals Maureen Scanlon, 197 Nonotuck Street, Florence Term: July 2021-June 2024 Reappointment Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 10:24 AM 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 Joseph Last Name Blumenthal Title, if applicable Field not completed. Address1 39 Chapel St. Address2 Field not completed. City Northampton State MA Zip 01060 Home Phone 413-586-0492 Work Phone Field not completed. Cell Phone 413-210-1654 Occupation & Place of Employment retired Email Field not completed. Are you a Northampton resident? Yes Years Lived in Northampton 47 Age 70 plus Sex Field not completed. Racial / Ethnic Background Field not completed. Boards and Committees Central Business Architecture Committee Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? long experience on the board and as owner of commercial real estate Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on CBAC 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 Joseph Blumenthal Date 5/3/2021 Email not displaying correctly? View it in your browser. Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 4:27 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 Susan Last Name Lofthouse Title, if applicable Field not completed. Address1 15 Stoddard St. Address2 Field not completed. City Northampton State MA Zip 01060 Home Phone Field not completed. Work Phone 413-258-8645 Cell Phone 413-588-4083 Occupation & Place of Employment New England Public Media Mid-Level Giving Manager Email slofthouse1@verizon.net Are you a Northampton resident? Yes Years Lived in Northampton 32 Age 50 - 59 Sex Field not completed. Racial / Ethnic Background white Boards and Committees Public Shade Tree Commission Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Background in organizing, education, committee work, administration and communications. Founding member Tree Northampton. Experience attending meetings of UFC before and during service. Extensive volunteer participation in tree program. Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Northampton 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 Susan Lofthouse Date 5/3/2021 [Quoted text hidden] Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Sun, Apr 25, 2021 at 6:36 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 Robert Last Name Dionne Title, if applicable Field not completed. Address1 87 Vernon Street Address2 Field not completed. City NORTHAMPTON State MA Zip 01060 Home Phone 14135844115 Work Phone Field not completed. Cell Phone 4133363404 Occupation & Place of Employment Retired Email Parda@comcast.net Are you a Northampton resident? Yes Years Lived in Northampton 50+ Age 70 plus Sex Male Racial / Ethnic Background Caucasian Boards and Committees Council on Aging Please list "other" board or committee of interest non at present What skills and experience will you bring to this committee assignment? Currently vice chair council on aging Are you currently serving or have you served on any city committee? No, Yes Please list other city committees you have served on Non at present 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 Robert R. Dionne Date 4/24/2021 [Quoted text hidden] Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 1 message noreply@civicplus.com <noreply@civicplus.com>Fri, Apr 23, 2021 at 4:50 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 Jeanne Henry Last Name Hoose Title, if applicable Field not completed. Address1 36 South Park Terrace Address2 Field not completed. City Northampton State MA Zip 01060 Home Phone 4136956438 Work Phone Field not completed. Cell Phone Field not completed. Occupation & Place of Employment Field not completed. Email jeannehoose@gmail.com Are you a Northampton resident? Yes Years Lived in Northampton 28 Age 60 - 69 Sex Female Racial / Ethnic Background Field not completed. Boards and Committees Council on Aging Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Past experience on council, serving as volunteer for senior center Are you currently serving or have you served on any city committee? No Please list other city committees you have served on Police building and skatepark 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 Jeanne Henry Hoose Date 4/23/2021 Email not displaying correctly? View it in your browser. Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 1 message noreply@civicplus.com <noreply@civicplus.com>Fri, Apr 16, 2021 at 9:08 AM 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 Dylan Last Name Gaffney Title, if applicable Field not completed. Address1 23 Marshall St. Address2 Field not completed. City Northampton State MA Zip 01060 Home Phone Field not completed. Work Phone Field not completed. Cell Phone 4133205823 Occupation & Place of Employment Forbes Library Email Dgaffney@forbeslibrary.org Are you a Northampton resident? Yes Years Lived in Northampton 51 Age 50 - 59 Sex Male Racial / Ethnic Background Field not completed. Boards and Committees Historical Commission Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Years of experience on this board and historical knowledge about the city and its houses. Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Historical Commission, Charter Review Committee 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 Dylan Gaffney Date 4/16/2021 Email not displaying correctly? View it in your browser. Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 2 messages noreply@civicplus.com <noreply@civicplus.com>Sun, Apr 25, 2021 at 6:03 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 Barbara Last Name Blumenthal Title, if applicable Field not completed. Address1 39 chapel street Address2 Field not completed. City Northampton State Massachusetts Zip 01060 Home Phone 4135860492 Work Phone Field not completed. Cell Phone 4132705464 Occupation & Place of Employment Field not completed. Email bblument@smith.edu Are you a Northampton resident? Yes Years Lived in Northampton 50 Age 60 - 69 Sex Female Racial / Ethnic Background Field not completed. Boards and Committees Historical Commission Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Knowledge of local history and experience while serving on NHC and as volunteer and docent at Historic Northampton. I'm requesting reappointment to NHC. Are you currently serving or have you served on any city committee? Yes 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 Barbara Blumenthal Date 4/25/2021 Email not displaying correctly? View it in your browser. noreply@civicplus.com <noreply@civicplus.com>Sun, Apr 25, 2021 at 6:36 PM To: mayor@northamptonma.gov Application for Appointment to Boards, Committees and Commissions City of Northampton Application for Appointment to Boards, Committees, and Commissions Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions 1 message noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 12:28 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 Julio Last Name Alves Title, if applicable Field not completed. Address1 35 Fort Hill Terrace Address2 Field not completed. City Northampton State MA Zip 01060 Home Phone Field not completed. Work Phone 413-585-3033 Cell Phone 413-824-8559 Occupation & Place of Employment Director, Smith College Email jalves750@gmail.com Are you a Northampton resident? Yes Years Lived in Northampton 11 Age Field not completed. Sex Field not completed. Racial / Ethnic Background Field not completed. Boards and Committees Housing Partnership Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? I have been on the Housing Partnership for three years. Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Housing Partnership 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 Julio Alves Date 5/3/2021 Email not displaying correctly? View it in your browser. Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 12:39 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 James Last Name Reis Title, if applicable Field not completed. Address1 108 Coles Meadow Rd. Address2 Field not completed. City Northampton State Massachusetts Zip 01060 Home Phone 413-586-0567 Work Phone Field not completed. Cell Phone 413-588-2535 Occupation & Place of Employment Retired from Way Finders Email reis13@comcast.net Are you a Northampton resident? Yes Years Lived in Northampton 42 yrs. Age 70 plus Sex Male Racial / Ethnic Background White Boards and Committees Housing Partnership Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? I retired from Way Finders after 15 yrs as the Associate Ex. Dir., and before that worked at the Franklin/Hampshire Community Mental Health Center in Northampton for 20 yrs. So I have housing development, homelessness, mental health, and community agency experience in Northampton. Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Housing Partnership 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 James Reis Date 5/3/2021 [Quoted text hidden] Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 1:44 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 Julia Last Name Chevan Title, if applicable Field not completed. Address1 8 Cosmian Avenue Address2 Field not completed. City Florence State MA Zip 01062 Home Phone 4136877141 Work Phone 4137483590 Cell Phone 4136877141 Occupation & Place of Employment Professor and Chair, Department of Physical Therapy, Springﬁeld College, Springﬁeld MA Email jchevan@comcast.net Are you a Northampton resident? Yes Years Lived in Northampton 31 Age 50 - 59 Sex Female Racial / Ethnic Background Field not completed. Boards and Committees Parks and Recreation Commission Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Careful and critical thinking. Knowledge of budgeting process and principles Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Parks and Recreation, Community Preservation Committee 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 Julia Chevan Date 5/3/2021 [Quoted text hidden] Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Mon, May 3, 2021 at 2:44 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 George Last Name Kohout Title, if applicable Field not completed. Address1 234 State St Address2 Field not completed. City N'ton State MA Zip 01060 Home Phone Field not completed. Work Phone Field not completed. Cell Phone 413 320 2226 Occupation & Place of Employment retired Email geokohout@gmail.com Are you a Northampton resident? Yes Years Lived in Northampton 35 Age 60 - 69 Sex Male Racial / Ethnic Background White Boards and Committees Planning Board Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? I Served on the Planning Board from 2000 - 2009, took a few years off and was reappointed to the Board in July 2018. This application is for a reappointment to the Board Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on Community Preservation Committee, Capital Improvements Program 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 George Kohout Date 5/3/2021 [Quoted text hidden] Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com>Tue, May 4, 2021 at 9:24 AM 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 Maureen Last Name Scanlon Title, if applicable Field not completed. Address1 197 NONOTUCK ST Address2 Field not completed. City FLORENCE State MA Zip 01062-1907 Home Phone 4135888071 Work Phone Field not completed. Cell Phone Field not completed. Occupation & Place of Employment Self employed graphic designer: Sole proprietor, Murre Creative, 221 Pine Street, Florence Email maureen@maureenscanlon.com Are you a Northampton resident? Yes Years Lived in Northampton 40 Age 60 - 69 Sex Female Racial / Ethnic Background White Boards and Committees Zoning Board of Appeals Please list "other" board or committee of interest Field not completed. What skills and experience will you bring to this committee assignment? Served one term on ZBA to date. Previous relevant experience: Served on the Design Review Committee for the city of Winooski, VT before moving to Northampton in 1981 Are you currently serving or have you served on any city committee? Yes Please list other city committees you have served on ZBA as noted above 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 Maureen Scanlon Date 5/4/2021 Email not displaying correctly? View it in your browser.