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2. Applicant's Name*
4. Address
6. City
7. State
8. Zip
10. Home Phone
11. Work Phone
13. Email
14. Preferred Method of Contact
    -- Select One --EmailMailPhoneAny
16. Are you a legal resident of Maine?*

    1. Yes

    1. No
17. Are you a resident of Windham?*

    1. Yes

    1. No
19. Education
21. Employment
23. Town Offices Held
25. Other Civic Involvement
27. Committee of Interest
29. Statement of Interest*
    Type or copy and paste your statement here or upload a document below. If you attach a document, please type "Attached" into the box.
31. Upload Statement of Interest
32. Signature*
    By typing your name into the box you are verifying that the information submitted here is accurate and true to the best of your knowledge.
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field