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HomeMy WebLinkAboutApplicationsTown of Mansfield RECEIVED TOWN CLERKS OFFICE Application to Serve on a Board, CongisdgT$ A II; 21 Committee or Study Group MANSFIELO Name: j \,1P?61 r /b Date MASSACHUSETTS i� I�111) I_,l' Address: )4(%b <�1.4 I � 4Ni "e- Telephone No. (Home) !T & . j J - )JWl�r (Cell) E-Mail Address: 1. Are you a registered voter in Mansfield? Yes FRI No ❑ Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Historical Commission Board of Assessors Industrial Development Commission Cable Access Board of Directors Library Trustees Conservation Commission Municipal Building Committee Council on Aging Planning Board' Cultural Council Recreation Commission Finance Committee WWII Scholarship Fund Committee Board of Health Zoning Board of Appeals Other: Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A. B. Why do you want to serve on this particular Board, Committee, or Commission? 4. Please state three attributes you can bring to this Board, Committee, or Commission. ,.I ,Jider44" 13. Education Background: 9 High School: Name and Location Graduated (Yes or No) College: ia�)141t111� Ci LS Other Secondary: 14. Please list any professional affiliations (Optional): 15. Please list any other specialized interests and hobbies (Optional): Degree(s) too 101 p )o me" �5 16. Please provide any additional information you feel may be helpful while reviewing your application. ]l(" 0»° ),e-,t,ln l,, c1', rf'I CVa4,(,tok ill )�r)I he-rc �rc > a), )kD (engc I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest" provided by the Town Clerk, if appointed, and to the best of ray ability agree to abide by the provisions of the statute. Revised 3/21/13 per BSO Vole of3/20/13 AO�U\NCI'�d. 0 A��AA.15AC\6� Name: Lori DeTrolio Town of Mansfield RECEIVED TOApplication to Serve on a Board, Commission WN CLERKS OFFICE Committee or Study Group 2021 OCl 28 A Ill 21 Address: 496 Elm St, Mansfield, MA Telephone No. (Home) E-Mail Address: loridetrolio@hotmail.com MANSFIELD DateOctober25,2022 MASSACHUSETTS (Cell)) 508-339-4795 1. Are you a registered voter in Mansfield? Yes R1 No ❑ Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Board of Assessors Cable Access Board of Directors Conservation Commission Council on Aging Cultural Council Finance Committee Board of Health Other: Historical Commission Industrial Development Commission Library Trustees Municipal Building Committee Planning Board Recreation Commission WWII Scholarship Fund Committee Zoning Board of Appeals Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A WW II Scholarship Committee B. 3. Why do you want to serve on this particular Board, Committee, or Commission? I would like to serve on the WW 11 Scholarship Committe to help the committee work together to award scholarships to deserving students. I understand the time and effort it takes to complete scholarship applications and how beneficial scholarships are to high school students so that they may continue their education. 4. Please state three attributes you can bring to this Board, Committee, or Commission. I am organized, I am flexible and work well on committees, and I am trustworthy. 5. Have you attended any meetings of this Board, Committee, or Commission? (Optional) 6. Are there any changes you would like to make if you are appointed to this Board, I would like to help the board work together in a positive produtive manner and award scholarshipe to deserving students. 8. Do you regularly attend Town Meeting? Yes No 9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? Yes RNo x 10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served on: i 1. Please list your present employer: Town of Wrentham- School Department 12: Please list any skills or specialized knowledge you can bring to this Board, Committee or Commission. 13. Education Background: Name and Location Graduated Degree(s) (Yes or No) High school: Bishop Feehan, Attleboro, MA Y diploma College: Purdue University, W. Lafayette, IN Y BS Other secondary: Bridgewater State University, Bridgewater, MA Y MS 14. Please list any professional affiliations (Optional): 15. Please list any other specialized interests and hobbies (Optional): 16. Please provide any additional information you feel may be helpful while reviewing your application. Both of my daughters have recently graduated from high school and have filled out scholarship applications. I am very familiar with the scholarship application process and have seen many different applications. I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by the provisions of the statute. --�Z 1-0; )�� Signa Revised 3/21/13 per BSO Vote of 3/20/13 RECEIVED Town of Manst"ifQWN CLERKS OFFICE EtliJpllCatlOri t0 Serve on a ]30arJPrE:6tilASI Committee or Study Grou?JANSFIELD MASSACHUSETTS Name: Linda McCabe Date 10/25/22 Address: 134 Branch Street Mansfield Telephone No. (Home) N/A (Cell) 774-266-6951 E-Mail Address: lindamccabeaymail.com Are you a registered voter in Mansfield? Yes X No Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Board of Assessors . Cable Access Board of Directors Conservation Commission Council on Aging Cultural Council Finance Committee Board of Health Other: Historical Commission Industrial Development Commission Library Trustees Municipal Building Committee Planning Board Recreation Commission WWII Scholarship Fund Committee Zoning Board of Appeals Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A. Recreation Commission B. 3. Why do you want to serve on this particular Board, Committee, or Commission? 4. Please state three attributes you can bring to this Board, Committee, or Commission. Leadership skills & Education Volunteerism Mansfield resident since 1987. 5. Have you attended any meetings of this Board, Committee, or Commission? (Optional) once a month. 6. Are there any changes you would like to make if you are appointed to this Board, Committee, or Commission? No 7. What is your availability? Nights? Weekends? Nights and Weekends, No days S. Do you regularly attend Town Meeting? Yes No X 9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? Yes X No 10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served on: A Parks and Recreation Commission Dates: 2019-2022 3 Dates: it. Please list your present employer: (Optional) Employer: Position: Quest Diagnostics Patient Services Supervisor 12: Please list any skills or specialized knowledge you can bring to this Board, Committee or Commission. Computer Literate Leadership skills 13. Education Background: Name and Location Graduated Degree(s) (Yes or No) High School: Independence High School Yes Diploma College: Northeastern Other Secondary: Capella University - presently attending for Masters in Public Health 14. Please list any professional affiliations (Optional): Quest Women in Leadership 15. Please list any other specialized interests and hobbies (Optional): Soccer - Suburban Womens Soccer Association Golf, Skiing Dance 16. Please provide any additional information you feel may be helpful while reviewing your application. I have truly enjoyed being on the Parks and Recreation board over these many years. I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of hiterest" provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by the provisions of the statute. Signature I Revised 3121/13 per BSO Vote of 3/20113 NAME ADDRESS Town of Morn f eld TOWNRECCLFF7IVV OFFICE 6 Park Ron), Alarrsfield,, Masrnchasells 02048 TD�'N Select Board loll OCi 2b A 18 Licensing Aathorio �p FIELD rT�T _ FIELD CONSTABLE +c 60L AwFatf Date ZoZZ. 10-2/, TELEPHONE 508, 261 • -r33S REASONS FOR APPLYING: -To P-mfictn (LA50 o.41., L/.d Yus,t fUwW ma4yo ql o_. Cpnglr.We �t�dr.i_1��-%—nF WA%At ;•Itt E•�c. STATEMENT OF MORAL CIIARACTER OF APPLICANT (TO BE SIGNED BY FIVE REPUTABLE CITIZENS [OF TOWN RESIDENCE] INCLUDING ONE ATTORNEY) Name Name Address Address Name Address Name Address Name Address REMARKS: (Approved) (Disapproved) Chief of Police Date PGorre (508)261-7372 Pax (508)261-7d98 L;ninil selac/Gonr iiaufsfielliun.com Town of Mansfield RECEIVED 6Park Row, Mansfield, Massachusetts 02048 TOWN CLERKS OFFICE Select Board 2022 OCt 2b A 0 18 Licensing Authority AP,,#,QR CONSTABLE UU 55 Date NAME ADDRESS {� TELEPHONE REASONS FOR APPLYING: l MI A I p 1 1 STATEMENT OF MORAL CHARACTER OF APPLICANT (TO BE SIGNED BY FIVE REPUTAPLE CITIZENS [OF TOWN RESIDENCE] INCLUDING ONE ATTORNEY) Na , Address Namb Address l J)kce r,23 Name Address Name / n Address �cr�84 Gl , [)adlu l�xSr._ � n c ly /l( (� s ® 1h4 O Z3ya Name Address (Approved) (Disapproved) Chief of Police Date Phone (508)261-7372 Fax (508)261-7498 • Emailselecthoard@mansfieldma.com Town of Mansfield RECEIVED 6 Park Row, Mansfield, Massachusetts 02048 TOWN CLERKS OFFICE Select Board 2012 NOV - I P 3, 03 Licensing Authority MARSFIELD BICA330WFOR CONSTABLE / Date NAME �-461/irz ADDRESS A) IP1i'✓,' Ile ��dm"lo r� M% 0202/ TELEPHONE /2 REASONS FOR APPLYING: )�� 1 /fO W1�J d' /6 N /l /✓//✓ lti 'T! i� 41, STATEMENT OF MORAL CHARACTER OF APPLICANT (TO BE SIGNED BY FIVE REPUTABLE CITIZENS [OF TOWN RESIDENCE] INCLUDING ONE ATTORNEY) Na Address 1944 011 Name Address 3CQoZ ce��l Sa . Nen� Address Address (Approved) (Disapproved) Chief of Police Date Phone (508)261-7372 - Fax (508)261-7498 - Emailselecihoard@mansfieldma.com F� ,xCI � Town of Mansfield RECEIVED $," o,s.oz° T�lt'�d CLERKS OFFICE Application to Serve on a Boar , ommission , ,Committee or Study G411#401 -U A) 1: 42 MANSFIELD Name: Date PAnn/_P AUSETTS Address: /So ku.ygc' ,a Ayp '*jz M914S IP-Lb, f-"" 4'/Z0 1� Telephone No. (Home) (Cell) ScSts i3f3 4ii3�tA E-Mail Address: Ltleaa AtAV t. ca sv Are you a registered voter in Mansfield? Yes / No Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Board of Assessors Cable Access Board of Directors Conservation Commission Council on Aging Cultural Council Finance Committee Board of Health Other: rJ� u r p7ewnpa- �7r Cumrr Historical Commission Industrial Development Commission Library Trustees Municipal Building Committee Planning Board Recreation Commission WWII Scholarship Fund Committee Zoning Board of Appeals Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A. Mw P r; r Cyrr-r Caws. B. 3. Why do you want to serve on this particular Board, Committee, or Commission? NW& 5n "AV61zC-sm " L-9 9964h4 $rsdcL Jz; rsut�rs �vrf 4. Please state three attributes you can bring to this Board, Committee, or Commission. S. Have you attended any meetings of this Board, Committee, or Commission? (Optional) 6. Are there any changes you would like to make if you are appointed to this Board, Committee, or Commission? 7. What is your availability? Nights? Weekends? 8. Do you regularly attend Town Meeting? Yes No 9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? Yes No 10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served on: A. 0 it. Please list your present employer: (Optional) Employer: Position: Dates: Dates: 12: Please list any skills or specialized knowledge you can bring to this Board, Committee or Commission. 13. Education Background: Name and Location Graduated Degree(s) (Yes or No) High School: College: Other Secondary: 14. Please list any professional affiliations (Optional): 15, Please list any other specialized interests and hobbies (Optional): 16. Please provide any additional information you feel may be helpful while reviewing your application. I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by the provisions of the statute. Signature Revised 3/21/13 per BSO Vote of 3/20/13 e Town of Manfeld RECEIVED 6Park ROM, Manrfuld,Masracbxretts02048 TOWN CLERKS OFFICE Select Board im Nov - A 32 Wchael 4. Trowbridge, Sr., Cbdirrnan MANSFIELD October 13, 2022 Mf�SSACIIIISEl TS Ms. Rebecca Foster 18 Mayflower Drive Mansfield, MA 02048 Dear Ms. Foster: This letter serves as a reminder that your term on the Open Space Committee is due to expire on December 31, 2022. If you would like to continue your service on the Open Space Committee, please complete the enclosed application and return it to the Town Clerk's Office, Six Park Row, Mansfield, MA 02048, by Friday, November 4, 2022. Thank you for your past and present service to the Town of Mansfield.' Sincerely, Michael A. Trowbridge, Sr. Chairman Town of Mansfield Application to Serve on a Board, Commission, Committee or Study Group Name: Date Telephone No. (Home) E-Mail Address: Are you a registered voter in Mansfield? Yes Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Board of Assessors Cable Access Board of Directors Conservation Commission Council on Aging Cultural Council Finance Committee Board of Health Other: (IAL Historical Commission Industrial Development Commission Library Trustees Municipal Building Committee Planning Board Recreation Commission WWII Scholarship Fund Committee Zoning Board of Appeals Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A. 4. 10 Please state three attributes you can bring to this Board, Committee, or 13. Education Background: Name and Location Graduated Degree(s) High School: College: Other Secondary: 14. Please list any professional affiliations (Optional): n 15. Please list any other spe, _.,'M AGM\t- (n 6(r \ :d interests and hobbies (Optional): Jt 0 c 74W 1400day- to -W.,., 16. Please provide any additional information you feel may be helpful while reviewing your application. I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by the provisions of the statute. - Revised 3121/13 per BSO Vote of 3120/13 5. Have you attended any meetings of this Board, Committee, or Commission? (Optional) 6. Are there any changes you would like to make Nyou are appointed to this Board, Committee, or Commission? 46 �K- 7, What is your availability? Nights? Weekends? S. Do you regularly attend Town Meeting? Yes No 9. Have you ever served on a Board, Committee, or Commissio in the Tow of Mansfield? Yes No 10. if you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served on: A. ©J' Dates: 202 �� E Dates: 11. Please list your present employer: (Optional) Employer: �, ` Position: 12: Please list any skills or specialized knowledge you can bring to this Board, Committee or Commission, Wrlh �Klkr`vnt �� Creak 3ocw1 txtdt$ fken. +(A soGt� (4z1a _ (A'% V%tAf V�— pfb�'a 1 lntm- — 11 October 6, 2022 Mr. Graham Wilson 3 Down Lane Mansfield, MA 02048 Dear Mr. Wilson: Town ofMansfield 6 Park .Row, Mauseld, Massacbt1setts 02048 Select Board Micbaelzl. Trowbridge, sr., Cbairman This letter serves as a reminder that your term on the Board of Health is due to expire on December 31, 2022. If you would like to continue your service on the Board of Health, please complete the enclosed application and return it to the Town Clerk's Office, Six Park Row, Mansfield, MA 02048, by Friday, November 4, 2022. Thank you for your past and present service to the Town of Mansfield. Sincerely, Michael A. Trowbridge, Sr. Chairman 0 Name: Graham M. Wilson Town of Mansfiel RECEIVED `tOWN CLERKS OFFICE Application to Serve on a Board, fl"ss�bnp (C 28 Committee or Study Group 3 Down Lane, Mansfield, MA 02048 Telephone No. (Home) E -Mail Address: graham.wilsoniggmat.com MANSFIELD M Date 10/26122 MASSACHUSETTS (Cell) 5088383780 Are you a registered voter in Mansfield? Yes x No Town Boards, Commissions, Committees: Airport Commission Animal Welfare Committee Board of Assessors Cable Access Board of Directors Conservation Commission Council on Aging Cultural Council Finance Committee Board of Health Other: Historical Commission Industrial Development Commission Library Trustees Municipal Building Committee Planning Board Recreation Commission WWII Scholarship Fund Committee Zoning Board of Appeals Keep Mansfield Beautiful Committee 2. Please mark your two choices in order of preference: A. Board of Health La 3. Why do you want to serve on this particular Board, Committee, or Commission? I am a current 80H member seMng a [arm that expires Decemher3181, 2022' pa a member of the Board, we nava taken on a gbbel pandemk, Breese Irep compliance, low= regulations, and much mote. I wish to ccognue Serving on thla oommalee because 1 enjoy trying to make a difference In all aspects of Mansfield s health. I gnd this board Is a perfect blend of my experience and interests and truly allows me to give back to the communuo 4. Please state three attributes you can bring to this Board, Committee, or Commission. CdBcai Thinking -I consider the Impact and outcomes ofall Potential decisions. especially unintended consequences Nal mayardm. Background Experience -my past experience with grease kap and septic service lines up with some of the goals of This board. Additionally, my background is heavily built on reading and understanding different topics In my own ame In order to conidbuie to the BOH. Passion -1 feel this Is the best way for me to serve Ne Mansfield community Have you attended any meetings of this Board, Committee, or Commission? (Optional) Yes 6. Are there any changes you would like to make if you are appointed to this Board, Committee, or Commission? At the moment,no, but as needs change 1 am open to discussion on proposed changes and am willing to propose such changes 7. What is your availability? Nights? Weekends? I am available nights and weekends 8. Do you regularly attend Town Meeting? Yes X No 9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? Yes X No 10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served on: A. Board of Health Dates: 412019 - current Dates: if. Please list your present employer: (Optional) Employer: Position: Chase Corporation Inside sales and Business Development Mansfield Youth Soccer -Volunteer coach- Kindergarten gide team 12: Please list any skills or specialized knowledge you can bring to this Board, Committee or Commission. Grease Trap knowledge, data analysts and Interpretation 13. Education Background: High School: saint Sebastans School College: Tuns Name and Location Graduated Degree(s) (Yes or No) Needham, MA Yes nhl m MA Yes BA -Spanish Other Secondary: Babson College, Babson Park, MA- MBA Bridgewater State University, Bridgewater, MA- Master of Education 14. Please list any professional affiliations (Optional) is. Please list any other specialized interests and hobbies (Optional): Through my current employment, I have developed a background In reading technical drawings, which could come in useful during discussions about septic systems as well as water reguianons. 16. Please provide any additional information you feel may be helpful while reviewing your application. I am proud to contribute to the community as a BON member, and am excited by the opportunity to continue to do so. 1 will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by the provisions of the statute. Graham Wilsonniiw,a Signature Revised 3/21/13 per 8S0 Vote or 3/20/13