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Home / 2023 Board/Committee Member

2024 Board/Committee Member

Please complete this form for all Board or Committee Member positions held during the current year.

  • Please complete a separate form for each Board or Committee you served on.

If you have any questions while completing this form please contact Anna DiDomenico.

Employee Information

Organization Information

If purpose/mission statement is not on website, type purpose/mission statement in box above and upload documentation supporting purpose/mission statement.
If the organization provides services that benefit low to moderate income individuals but it is not clear in the purpose/mission statement, please upload supporting documentation to evidence the benefit to low to moderate income individuals.

Important Notice

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Annual Food Drive! Donate to our annual food drive during the month of October to help support local veterans. Click here to learn more!

Connecticut Community Bank will be closed on Monday, October 14th in observance of Columbus Day.
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