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P.L. 2009 Chapter 141Citizens may use this form to apply for consideration to serve on a municipal authority, board, commission or committee.
Upon submission, the form will be sent to Mary Lynch, Municipal Clerk. You may contact the office by calling 732-217-8686 or email MLynch@HazletNJ.org.
Please be advised that appointees to boards, commissions and committees are subject to the regulations of the New Jersey Local Government Ethics Law, which may require the annual filing of a financial disclosure statement.
I hereby apply to be considered to perform public service on the following municipal entity. (See descriptions on the Boards & Committees page. )
Please list any education, prior volunteer experience, work-related experience or other civic involvement which could be of use to authorities, board or commissions.
*The information in this section is considered personal information, and is therefore deemed confidential for the purpose of P.L. 1963, c. 73 (C.47:1A 1 et seq.) and P.L. 2001, c. 404 (C.47:1A-5 et al.). All provisions of N.J.S.A. 40A:922.1 et. seq will apply (Local Government Ethics Law
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