E-Mail Address: ... to City of Kingston Mayor's Office, Attn: Lynsey Timbrouck, 420 Broadway,. Kingston, NY 12401 or ema
CITY OF KINGSTON
Office of the Mayor
[email protected] Steven T. Noble Mayor __________________________________________________________________________________________
General Application for City of Kingston Commission/Board Name of Commission/Board/Advisory Committee:_____________________________________ Applicant name: _________________________________ Date of application:______________ Address: ______________________________________________________________________________ Telephone (home)_______________ (work) _______________ Emergency Contact: Name________________________ Phone__________________________ Length of residence in City (if resident)_______________ E-Mail Address: ______________________________________________________________________________ Occupation(s)/place of business ___________________________________________________ Education: (schools/degrees/specialties) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Why are you interested in this position? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What particular strengths would you bring to this position? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ City Hall· 420 Broadway · Kingston, New York 12401 · (845)334-3902 · Fax (845) 334-3904 · www.kingston-ny.gov
Experience and community affiliations: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Please attach any other information you believe would be relevant: __________________________________________________________________________________________ __________________________________________________________________________________________
Forms should be returned to City of Kingston Mayor’s Office, Attn: Lynsey Timbrouck, 420 Broadway, Kingston, NY 12401 or email to
[email protected].
