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Tara Brewster,} �N� Mayor of Northampton Mass. <mayor@northamptonma.gov> Online Form Submittal: Application for Appointment to Boards, Committees and Commissions noreply@civicplus.com <noreply@civicplus.com> Thu, Sep 22, 2022 at 1:01 PM 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 First Name Last Name Title/ Preferred Pronouns Addressl Address2 City State Zip Home Phone Work Phone Cell Phone Occupation & Place of Fmnlovment cmau Are you a Northampton resident? Years Lived in Northampton Age Field not completed. Tara Brewster Field not completed. 67 Chestnut Street Field not completed. Florence MA 01062 L�i[t�:T:?rLl�tL! Field not completed. Field not completed. Field not completed. Taratetreault@hotmail.com Yes 40 40 - 49 Sex Female Racial / Ethnic Background Mixed Please list "other" board or Elected official compensation advisory board committee of interest What skills and experience As a community pollinator I sit on many boards and will you bring to this organizations. As a banker I am privy to a lot of information that committee assignment? I do not discuss. As a mother I try to teach with a global perspective instead of an individual centric focus. As a long time resident of the area my fondness for the success of its members is at a high vibration. My duty to serve is steadfast. I am honored to be considered for this position. Are you currently serving or Yes have you served on any city committee? Please list other city Field not completed. 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. I understand that I will take the conflict of interest test after being appointed and that / also must be sworn in by the City Clerk. I 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 Tara T Brewster Date 9/22/2022 Email not displaying correctly? View it in your browser.