Committee Application
I hereby certify:
I am a full-time resident of the Town of Wareham.
I have been provided a summary of MASSACHUSETTS GENERAL LAWS 268A  (conflict of interest) and have read
the material provided, and to the best of my understanding have no potential or actual conflict of interest and;
I have been provided with the Board of Selectmen Policy #05-01 and having read the material agree to
the requirement of obtaining ethics training and state-sponsored training (if any) for each term I am
appointed.

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I have read & understand the M.G.L. 268A
I have read & understand B.O.S. policy #05-01
Please provide the following information:
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You will be required to provide one of the following to the Selectmens Office:
 driver’s license
 recent utility bill
 rent receipt on a landlord’s printed letterhead or lease
 duplicate copy of voter registration affidavit
 other government-issued printed identification which contains name and
address