Board & Committee Reappointment Form

If you are a current member of one of the City of Waterville's Boards/Committees you can complete this form when your term is up for reappointment.

Your Name

Are you seeking reappointment?

YES, I wish to reappointed as a member to the following board/committee

No, I no longer wish to serve on the following board/committee

Board/Committee Name:

Board of Assessment Review

Haines Charity (Relief Committee)

Fair Hearing Authority (f/k/a Health

Kennebec Regional Development Authority (KRDA)/FirstPark

Kennebec Sanitary Treatment District (KSTD) Trustees

Kennebec Water District Board of Trustees

Planning Board

Public Library Trustees

Public Cemetery Trustees

Waterville Housing Authority Commissioners

Waterville Safety Council Board of Directors

Waterville Sewerage District Commissioners

Zoning Board of Appeals

Has your contact information changed?

Yes (if yes, please complete section below)

Name Change:(optional)

Mailing Address:(optional)

Street Address (if different from mailing address):(optional)

Phone Number:(optional)

Alternate Phone Number:(optional)

Would you like email confirmation that this form has been received?

Yes (if yes enter email address below)

Email address:(optional)

Do you wish to receive board renewal notices using this email address in the future?

Yes

No, thank you.

By typing your full name below you are signing this document and verifying all information entered is true:

Date Signed:

Please enter the security code below: