Serve Your Community

TOWN OF STURBRIDGE
COMMITTEE APPLICATION

Name: ___________________________________________________________________
Last First Middle

Address: _________________________________________________________________
Number/Street P.O. Box Zip Code

Telephone: ________________________ Email: ________________________________

How did you get interested in serving the Town?

Newspaper Ad Friend Legal Notice Town Website Other _____________

Have you previously served on a Town Committee?______ If so, when_______________

Which Committees have you served on?________________________________________

Work Experience:__________________________________________________________

Educational Background:____________________________________________________

What are your community interests?___________________________________________

Are you available on a year-round basis?_______________________________________

I believe I could contribute ________ hours per month

I would like to serve Sturbridge and might be interested in serving on the following Committee(s)
(if more than one, please indicate preference 1, 2, 3, etc):

___ Agricultural Commission ___ Finance Committee

___ Community Preservation Committee
___ Design Review Committee
___ Cable Advisory Committee
___ Conservation Commission
___ Council on Aging
___ Cultural Council
___ Economic Development Committee
___ Historic Commission
___ Housing Partnership Committee
___ Personnel Committee
___ Planning Board
___ Street Light Committee
___ Tree Warden Advisory Committee
___ Zoning Board of Appeals

I have read, understand and agree to abide by the Code of Conduct in the Committee Handbook
(available at www.town.sturbridge.ma.us – use the search function for Committee Handbook).

_______________________________________________ ______________________
Signed Dated
Updated 3/10/08
4.4 Code of Conduct

All members of Boards, Commissions and Committees are expected to conduct

themselves as follows:

1. Realize that his or her function is to follow the purpose and mission of the Board,
Commission or Committee.
2. Realize that he or she is one of a team and should abide by all decisions of the
Board, Commission or Committee once they are made.
3. Be well informed concerning the duties and responsibilities of the Board,
Commission or Committee.
4. Remember that he or she represents the entire community at all times.
5. Accept the role of a committee member is a means of unselfish service, not to
benefit personally or politically from their Board, Commssion or Committee
activities.
6. Abide by the ethics guidelines established by the State
7. Abide by all policies established by the Board of Selectmen or Town
Administrator, especially the email communications policy.
8. Request assistance from Town staff only through the staff person assigned to the
Board, Commssion or Committee.
9. Not make statements or promises of how he or she will vote on matters that will
come before the Board, Commission or Committee until he or she has had an
opportunity to hear the pros and cons of the issue during a public meeting of the
Board, Commission or Committee.
10. Make decisions only after all facts on a question have been presented and
discussed.
11. Refrain from communicating the position of the Board, Commission or
Committee to reporters or state officials unless the full Board, Commission or
Committee has previously agreed on both the position and the language of the
statement conveying the statement.
12. Treat with respect all members of the Board, Commission or Committee despite
differences of opinion.
13. Never publicly criticize an employee of the Town. Concerns about staff
performance should only be made to the Town Administrator through private
conversation.
14. Insure that any materials or information provided to a Board, Commission or
Committee member from Town staff should be made available to all members.
15. If circumstances change so that meeting attendance on a regular basis becomes
difficult, the Board, Commission or Committee member will offer his or her
resignation to the appointing authority, so that someone who can regularly attend
meetings can be selected by the appointing authority.