City of Gilroy Application for Board, Commission and Committee Appointment

2. 

3. City of Gilroy Application for Board, Commission, and Committee Appointment

   City of Gilroy Application for Board, Commission, and Committee Appointment

5. * All Commission, Board and Committee applications are a public record.

   * 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 AppealsCommunity & Neighborhood Revitalization CommitteeHistoric Heritage CommitteeHousing Advisory CommitteeLibrary Bond Oversight CommitteeLibrary CommissionOpen Government CommissionParks & Recreation CommissionPersonnel CommissionPhysically Challenged Board of AppealsPlanning CommissionPublic Art CommitteeStreet 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