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City of Gilroy Application for Board, Commission and Committee Appointment

2. 
3. City of Gilroy Application for Board, Commission, and Committee Appointment
5. * All Commission, Board and Committee applications are a public record.
7. First Name*
8. Last Name*
10. Board/Commission/Committee of Interest*
    -- Select One --Arts & Culture CommissionBicycle Pedestrian CommissionBuilding Board of AppealsHistoric Heritage CommitteeHousing & Neighborhood Revitalization CommitteeLibrary Bond Oversight CommitteeLibrary CommissionOpen Government CommissionParks & Recreation CommissionPersonnel CommissionPhysically Challenged Board of AppealsPlanning CommissionStreet Naming Committee

    Select the Board/Committee/Commission for which you wish to apply

12. Are you a registered voter within the City limits?*

    1. Yes
    2. No
14. Physical Address 1*
16. Physical Address 2
18. Phone Number*
19. E-mail Address*
21. Alternate Phone Number
23. List your qualifications for this appointment:
25. List any service to the community including any prior appointments.
27. What are you goals while serving on this Board/Commission/Committee?
29. Why are you the most qualified to serve on this Board/Commission/Committee?
31. Declaration of Residency*

    1. I Understand

    PLEASE READ BEFORE SUBMITTING

    By clicking this checkbox, I declare under penalty of perjury that I am currently a resident of the City of Gilroy. Further, I understand that this application and any attachments are subject to disclosure under the public records act, and that members of all boards, commissions and committees must complete mandatory ethics training as required by law.

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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field