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2. Choose from the following:*

   1. Architectural Review Advisory Committee
   2. Local Development Corporation (LDC)
   3. Beautification Committee
   4. Board of Ethics
   5. Environmental Advisory Council
   6. Library Board
   7. Media & Communications Advisory Board
   8. Planning Board
   9. Recreation Advisory Committee
   10. Sustainability Advisory Committee
   11. Zoning Board of Appeals
4. Please provide the following information:
6. Name*
7. Email*
9. Address*
11. City
12. State
13. Zip Code
15. Phone*
16. Alt Phone
18. Fax
19. Organization
21. Please indicate any previous experience serving on the Village of Briarcliff Manor boards. Be sure to include dates of service:
23. Please include any training or experience you would like us to consider in reviewing your application:*
25. Upload a resume (required)*
26. A cover letter may also be uploaded (optional)
28. Number of Years as a Village Resident*
30. Conflict Check*

    1. Yes, I certify the below.

    At times, employers may wish to have a conflict check completed before you take on a volunteer role for the Village. While rare, it is possible, especially for decision-making boards such as Planning Board, Zoning Board, Local Development Corporation, or Library Board, that your employer may object to your being placed on such a board.

    Please perform this internal check with your employer before submitting your application.

32. Applicant Certification & Acknowledgements*

    1. Yes, I certify the below

    I certify that the information I have provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in withdrawal of my application or removal from appointment.

    I acknowledge that service on a Village board, council, or committee is a volunteer position and not employment with the Village of Briarcliff Manor. No salary, benefits, or employment rights are created by appointment, and any appointment may be ended at any time by the appointing authority, subject to applicable law.

    I agree to comply with all applicable provisions of New York State law and the Village Code of Briarcliff Manor, including but not limited to ethics, conflicts of interest, and open government requirements. If appointed, I will complete any required oath, training, or disclosure filings.

    I authorize the Village to verify the information provided, perform a background check and to contact references / relevant sources for the purpose of evaluating my suitability for appointment. I release the Village and any individuals or entities providing information from liability for good-faith communications made in connection with this review.

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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