Please take a moment to review each committee's meeting schedule to ensure you would be able to attend. The meeting times may be reviewed using this link. If you prefer to download and print a PDF form, you may find one here.

Applicant Name*

Address*

Telephone*

E-Mail Address*

Employer

Occupation

Check the box next to the Boards, Commissions, or Committees of interest to you. *

Bondsville Mill Park Committee Historical Commission Municipal Authority Open Space Committee Ordinance Task Force East Brandywine Foundation Agricultural Security Area Advisory Committee

Parks & Recreation Board Planning Commission Trails Committee Youth Aid Panel Zoning Hearing Board Traffic Impact Committee Budget Committee

Please check the box next to any Boards, Commissions, or Committees you currently serve on. Please select "None" if you are not currently on a Board, Commission, or Committee.*

Bondsville Mill Park Committee Historical Commission Municipal Authority Open Space Committee Ordinance Task Force East Brandywine Foundation Agricultural Security Area Advisory Committee Parks & Recreation Board

Planning Commission Trails Committee Youth Aid Panel Zoning Hearing Board Traffic Impact Committee Budget Committee None

Briefly describe why you wish to serve on these Boards, Commissions, or Committees.*

Describe your qualifications and/or skills which would benefit these Boards, Commissions, or Committees *

Do you reside in East Brandywine Township?*

Yes

No

Attach Resume Here (Optional ).

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