Noreen Mickiewicz HayesCity Of
A Nn Mayor of Northampton Mass. <mayor@northamptonma.gov>
Online Form Submittal: Application for Appointment to Boards, Committees and
Commissions
noreply@civicplus.com <noreply@civicplus.com> Tue, Nov 1, 2022 at 7:19 AM
To: mayor@northamptonma.gov
Application for Appointment to Boards, Committees and
Commissions
City of Northampton Application for Appointment to Boards, Committees, and
Commissions
Please return the completed form to: mayor@northamptonma.gov or Gina -Louise
Sciarra, Mayor 210 Main Street, Northampton, MA 01060
Boards and Committees Other
First Name Noreen
Last Name Mickiewicz Hayes
Title/ Preferred Pronouns
Address1
Address2
City
State
Zip
Home Phone
Work Phone
Cell Phone
Occupation & Place of
Employment
Email
Are you a Northampton
resident?
Years Lived in Northampton
Age
Assistant Director of Human Resources
12 Marshall Street
Field not completed.
Northampton
Ma
01060
413-535-9325
413-387-1102
413-535-9325
Servicenet - HR
Nhayes@servicenet.org
Yes
56
50 - 59
Sex Female
Racial / Ethnic Background White
Please list 'other" board or Field not completed.
committee of interest
What skills and experience Participated on many Boards. Was on chamber Board for over
will you bring to this 10 years. 20 years in HR
committee assignment?
Are you currently serving or No
have you served on any city
committee?
Please list other city Northampton Chamber of Commerce, Look Park, Snow Farm
committees you have served
on
Required: Please read the following, by signing below you state that you understand
and agree.
The filing of this form does not guarantee my appointment. An application is kept on
file for two (2) years; after that I must file a new application. Being appointed to a
committee, board, or commission means that I am considered a Municipal
Employee under MGL Chapter 268A and thereby subject to Conflict of Interest Law
MGL Chapter 268A, Financial Disclosure Law MGL Chapter 268B, as well as Open
Meeting Law MGL Chapter 39: Section 23B. 1 understand that 1 will take the conflict
of interest test after being appointed and that I also must be sworn in by the City
Clerk. 1 will contact the appointing authority with any questions about my service.
Important: Once this form is submitted it becomes a public document, if there is
information you do not want open to the public please do not include it on this form.
Signature
Noreen M Mickiewicz Hayes
Date 10/31 /2022
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