Welcome to Burrillville, RI - Burrillville Volunteer Application

Burrillville Volunteer Application

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Board or Committee Appointment Sought: (Check all that apply)

Please fill out the following form, and click on submit at the bottom of the page to deliver it electronically to the Office of the Town Clerk. Be sure to fill out the form completely, or we will be unable to properly respond.

Click here if you would like to print out the Volunteer Application

Choose from the following:

Please provide the following information:

Name:		required
Email:		required
Address:		required
City:		required
State:		required
Zip:		required
Phone:		required
Alt Phone:
Fax:
Organization:

Please indicate your reason(s) for seeking appointment to the above board(s) or committee(s):

Education, training or experience relevant to appointment sought, prior service on a town board, if any, and special skills, knowledge, talents, insights or point of view that you might offer to the board, commission or committee and any objectives you may have for the position:

Are you are registered voter in the Town of Burrillville?

All applications expire 24 months from submittal date, unless renewed by the applicant.


	Burrillville Town Hall: 105 Harrisville Main St. Harrisville, RI 02830
	Phone: (401) 568-4300

Virtual Town Hall Website