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Citizen Leadership Form

  1. To learn more about the boards and committees, click here for Boards Township of Moorestown, NJ Boards ( and here for Committees Township of Moorestown, NJ Committees, Commissions and Other Agencies ( and

    You may also view the webpage for each by click here

  2. Please provide a brief explanation, list and/or attach any education, prior volunteer experience, work-related experience and/or other civic involvement which could be of use to the authority(s), board(s) or commission(s) listed above.
  3. I understand my personal information (phone number and address) is considered confidential and same is restricted from public disclosure under the Open Public Records Act. I also understand the meetings which I attend as a member may be filmed and/or broadcast.
  4. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  6. This field is not part of the form submission.