Somerville Commission for Persons with Disabilities - Commission Seat Application
Please fill out below fields and attach a letter of intent (required) and resume (optional) no later then December 12, 2025. If assistance is needed, please reach out to ADA@somervillema.gov
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Do you identify as a person with a disability?
*
Yes
No
Are you a family member of a person with a disability?
*
Yes
No
Please tell us about your interest in joining the Somerville commission for Persons with Disabilities:
*
Is there anything else you would like us to know about you or your identity and/or background that you have not already shared?
*
Racial or Ethnic Background
Age
Preferred Pronouns
How long have you lived in Somerville?
Which Ward do you live in?
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Do you speak any other language(s) other than English? If so, what language(s).
Please upload your letter of intent
*
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Please upload your CV or resume (optional.)
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