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2. FY26 Returning Senior Tax Worker Application
   

4. If you are a returning Senior Tax Worker, please fill out this form to confirm you are enrolling for FY26. If you have never participated in the program before, please call the office at 978-540-2470 to get a "NEW PARTICIPANT PACKET."

6. First Name
7. Last Name
9. Address
11. Cell Phone Number
12. Home Phone Number
14. Email Address
18. Have you applied for this abatement program before?

    1. Yes
    2. No
19. If yes, which Department did you work in?
23. Are you a veteran?

    1. Yes
    2. No
25. If you are a veteran, are you applying for the Veteran Tax Work Off Program in addition to the Senior Tax Work Off Program?

    1. Yes, both Senior and Veterans Programs
    2. Only Senior Tax Work Off
    3. Only Veterans Tax Work Off
29. Check the areas in which you are interested in working:

    1. Phone Clerk / Filing
    2. Teaching & Leading COA classes
    3. COA Outreach Assistant / Friendly Visitor
    4. Senior Diner / Meals Program
    5. Lawn Work / Mowing / Gardening
    6. Building Maintenance / Painting
    7. Accounting Clerk / Finance
    8. Conservation / Trails / Parks
    9. Excel Skills / Computer Skills
    10. Remote Work / Meeting Minutes
31. I have read the participation guidelines of the Senior Tax Work Off Program.

    1. Yes
33. I certify that the answers given herein are true and complete to the best of my knowledge.

    1. Yes
35. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
37. Electronic Signature
38. Date
    Date
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

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