2. Volunteer Interest Request Form
4. The Borough has a number of committees, commissions, and various task forces that are staffed by volunteers. At times there is a need to find new members for these positions. In order to facilitate the finding of new members, the Borough maintains a human resource file of people that would be willing to serve the Borough. If you would be interested in finding out more about a certain position please complete the form below. A staff member will be notified and will contact you with more information.
6. Date*
   Date
8. Name*
9. Daytime Phone
11. Address
12. Evening Phone
14. Email Address
16. I would be interested in learning more about the following:

    1. Planning Commission
    2. Library Board
    3. Police Special Services Civilian
    4. Police Civil Service Commission
    5. Youth Aid Panel

    1. Borough Authority
    2. Zoning Hearing Board
    3. Ephrata Area Joint Authority
    4. Shade Tree Commission
    5. Police Chaplain
18. My current occupation is:
20. Special qualifications that may be helpful to the municipality:
22. I have served on:
24. In the following organizations:
26. Please note: This form will remain on file until notice from you or for a period of two (2) years.
Leave This Blank:


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

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field