Form Center

2. First Name*
3. Last Name*
5. Applicant Address*
7. City*
8. State*
9. Zip*
11. List up to 3 boards and/or committees you'd like to serve on as a volunteer.

    To learn more about the boards and committees, click here for Boards Township of Moorestown, NJ Boards (ecode360.com) and here for Committees Township of Moorestown, NJ Committees, Commissions and Other Agencies (ecode360.com) and

    You may also view the webpage for each by click here https://www.moorestown.nj.us/171/Boards-Committees

13. Contact Phone Number*
14. Email Address*
16. Experience History*
    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.
18. Attach Document
19. Attach Document
21. 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.
23. Are you a "Covered Person" under "Daniels Law?"*
    -- Select One --YesNo
25. 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.

    1. I agree.
27. Electronic Signature
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field