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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?
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field