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2. Name*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number
13. ​Qualifications: Tell us something about yourself and your interests. Leadership abilities, specifics about your background, etc.
15. Education: High School, Trade School, College or University
17. Extracurricular Activities/Interests:*

    hobbies, organizations, special skills

19. Awards or Honors*

    heroism, academics, volunteer work, etc.

21. Departments you wish to volunteer for:*

    1. Alliance
    2. Arts & Cultural Center
    3. Cable Commission
    4. Events
    5. Environmental Commission / Green Team
    6. Fire & History Museum
    7. Green Team
    8. Planning Board
    9. Recreation Referee
    10. Senior Center
    11. Zoning Board
    12. Other
23. If you checked the box "other" to answer the last question, please type the department here you wish to volunteer for.*
25. Days Available*

    1. Saturday
    2. Sunday
    3. Monday
    4. Tuesday
    5. Wednesday
    6. Thursday
    7. Friday
27. Upload Resume*
29. **Note- Any volunteer will be subject to the Local Government Ethics Law and will be required to file a Financial Disclosure Form.

    1. By checking this box, you hereby apply to perform services on the following municipal authority, board and/or commission.
31. Thank you for your interest in volunteering with The City of Long Branch.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field