Town of Andover Online Form Center

2. 
3. Andover Leadership Academy - Application Form
5. First Name *
6. Last Name*
8. Street Address 1*
9. Street Address 2
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
18. Occupation
19. Employer
23. Do you live or work in Andover.*

    1. Live
    2. Work
24. Number of years you have lived or worked in Andover.*
26. Briefly state why you wish to participate in Andover's Leadership Academy:*
28. Are you currently serving on a Town Board, Committee, or Commission?*

    1. Yes
    2. No
29. If yes, please specify:
31. Are you able and willing to commit to attending all class sessions?*

    1. Yes
    2. No
33. Please describe your interest/experience in community service or volunteerism:*
35. What do you hope to get out of the class?*
37. How did you hear about the Academy?*
39. Anything else we should know about you?*
43. We welcome all applications. In the interest of equity, we will seek to populate each session with as diverse a group of participants as possible.
45. Should applications exceed space available, a reservation list will be maintained and those individuals waiting will be contacted for the next available session.
47. Should you have any questions please feel free to contact Jemma Lambert, Director of Community Services at: jemma.lambert@andoverma.us
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49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

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