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Application for Appointment to a City Board/Commission/Committee

  1. I'd like to serve on:*
  2. Are you willing to file Statements of Economic Interest (Form 700)?*
  3. Are you able to attend meetings during business hours? (Most Boards and Commissions meet after 5 pm)*
  4. 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.
  5. Dear Applicant: As an employer with an Affirmative Action Program, we comply with Federal and State government record keeping, reports and other legal requirements. The completion of this data is voluntary and in no way affects your application to participate on any City Board, Commission or Committee. All data is kept in a separate confidential file by the Affirmative Action Office.
  6. Ethnic Origin
  7. Leave This Blank:

  8. This field is not part of the form submission.