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2. You must be a registered voter in the City of Watsonville to qualify for an appointment.
4. INSTRUCTIONS
   If you are interested in serving on a City board or commission, complete the following application.
6. Upon receipt, your application for appointment will be routed to the Council Members where a vacancy exists. If a Council Member is interested in nominating you for appointment, the City Clerk’s Office or the Council Member will contact you.
8. Commission/Board*
   -- Select One --Board of Library TrusteesParks & Recreation CommissionPersonnel CommissionPlanning Commission

   Please select which Board or Commission you are applying for.
10. NAME*
11. ADDRESS*
13. TELEPHONE NUMBER
14. EMAIL ADDRESS*
16. LENGTH OF RESIDENCE IN AREA*
18. PREVIOUS COMMISSION OR BOARD EXPERIENCE
20. COMMISSION OR BOARD SERVED
21. TERM
23. COMMISSION OR BOARD SERVED
24. TERM
26. COMMISSION OR BOARD SERVED
27. TERM
29. EDUCATION
31. INSTITUTION
32. MAJOR
33. DEGREE
34. YEAR
36. INSTITUTION
37. MAJOR
38. DEGREE
39. YEAR
41. INSTITUTION
42. MAJOR
43. DEGREE
44. YEAR
46. WORK/VOLUNTEER EXPERIENCE:
48. ORGANIZATION
49. ADDRESS
50. POSITION
51. YEAR
53. ORGANIZATION
54. ADDRESS
55. POSITION
56. YEAR
58. ORGANIZATION
59. ADDRESS
60. POSITION
61. YEAR
63. STATEMENT OF QUALIFICATION:
    Please attach a brief statement indicating why you are interested in serving on the advisory body in question.
65. Statement of Qualifications/Resume
67. ACKNOWLEDGEMENT:
    By submitting this application, you understand that this application is a public document and its contents will be disclosed upon request, and any misrepresentation or deliberate omission of a material fact in this application may be justification for refusal or termination of appointment. The Political Reform Act of 1974 requires all government agencies to adopt a Conflict of Interest Code that designates the positions within an agency which make or participate in making governmental decisions and may forseeably have a material effect on any financial interest. Members of City boards and commissions, by virtue of their positions, make or participate in making decisions which may affect their financial interests and who therefore must disclose these interests on the Fair Political Practices Commission Form 700 – Statement of Economic Interests of Designated Employees. The Form 700 is a public document and its contents will be disclosed upon request. This form is to be filed upon appointment and every year thereafter with the Office of the City Clerk on April 1.
69. CERTIFICATION:
    I acknowledge I have read the above information and certify that the information provided by me is true and correct, and I authorize the verification of the information in the application in the event I am a finalist for the appointment.
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71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field