Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreferred Role *Municipal Utility Authority ExpertMunicipal Finance ExpertRedevelopment Authority ExpertCommunity Development SpecialistPublic Safety ExpertFire District Consolidation ExpertPublic Works Operations ExpertLand Use Attorney & Planner ExpertCivic Engagement StrategistOtherIf other, please specify *Qualifications and Experience (e.g., certifications, municipal experience) *Why do you want to join the transition team? * yes, amount, firms)? Conflict of Interest Disclosure *To ensure ethical governance, please disclose any affiliations that may pose a conflict of interest. Are you currently employed by Gloucester Township or any of its departments (e.g., Public Works, Sewer Utility, Fire Districts) *YesNoIf yes, provide details (department, role) *Are you currently employed by, contracted with, or affiliated with any pay-to-play vendor or firm doing business with Gloucester Township (e.g., planning, engineering, or redevelopment firms)? *YesNoIf yes, provide details (firm, role, contract nature) *Have you made political contributions to Gloucester Township officials or campaigns in the past 5 years? *YesNoIf yes, provide details (recipient, amount, date): *Disclaimer Acknowledgment *I UnderstandI understand that all transition team roles are voluntary and advisory, with no compensation, jobs, or future employment promised or implied, in compliance with N.J.S.A. 19:44A-1 et seq. and N.J.S.A. 40A:9-22.1 et seq. Conflict Disclaimer Acknowledgment *I UnderstandI agree to disclose any conflicts of interest and understand that, to ensure transparency, only my qualifications and proposed role may be publicly disclosed, while my personal information (e.g., name, email, phone number) will remain redacted and private in accordance with New Jersey privacy laws. Upload your resume Drag & Drop Files, Choose Files to Upload Additional InformationSubmit