Advisory Body Application


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First Name Last Name Home phone Cell phone
       
Residence Address City State Zip
Do you live in the city limits ? Are you a registered voter in the City of San Luis Obispo? Business phone
 E-Mail (confirmation will be sent to this e-mail address)

 		    
Employment
Present Employer (or last) Position/Occupation No. of years
Address City State Zip


Please indicate the Board, Commission and/or Committee to which you are interested in applying.  If more than one, please designate in order of preference (1,2,3, etc.)
Architect. Review Commission Human Relations Commission Personnel Board
Bicycle Advisory Committee Jack House Committee Planning Commission
Construction Board of Appeals Joint use of Rec Facilities Comm. Promotional Coordinating Comm
Cultural Heritage Committee Mass Transporation Committee Tree Committee
Housing Authority Board Parks and Rec Commission Tourism Business Improvement

Reason for applying
(300 characters max. If necessary, please   submit additional pages via attachment to e-mail or fax (805) 781-7109) 

Would you be available to attend meetings at the scheduled time?
(Please review the Advisory Body Handbook on line.   Check  meeting days and times)

If you are currently serving on a board, commission, or committee, or have previously served on a public body, indicate the agency and explain what significant contributions you made.
(300 characters max. If necessary, please submit additional pages via attachment to e-mail or fax (805) 781-7109)  
Considering your experience and activities in business, labor, professional, social, or other organizations, indicate the experience, technical training, and/or skills which qualify you for an appointment on each desired board, commission, or committee: (Attach additional sheets if necessary)(300 characters max. If necessary, please submit additional pages via attachment to e-mail or fax (805) 781-7109)   


Education and Training Summary
College City State Major Type of degree
Technical/Vocational Training

Please check this box to indicate that information has been verified