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Boards and Councils Application

Note: Internet Protocol (IP) address is also recorded with each nomination to reduce duplicate submissions, and prevent abuse.

Click here for a description of what these Boards and Councils do.

Section 1: Nominee
Name:
Address:
Preferred Telephone Number(s):
Fax:
Email:
Length of Residence in Scarsdale:
Education/Degrees:
Professional Experience:
Civic Activities (Scarsdale and Other):
 
Section 2: Comments
What qualifications and skills would you bring to the Board or Council?
Reasons you wish to serve:
 
Section 3: Board or Council Selection
1st Choice:
2nd Choice:
3rd Choice:

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