HomeMy WebLinkAbout02/21/1989, - APPLICATION TO CITY ADVISORY BOARD DONALD GREEN R E CV E D APPOINTMENT
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APPLLII r O,4PPOINTMENT/REAPPOINTMENT TO A CITY ADVISORY BODY
.(cx J - ( ' - Advisory Body Applied For:
Name of Applicant 41010 / j
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Residence Street Address & Ciy 2.
-7// /S 9 ( If a second choice is indicated, a
9 9- sS�// 5 13 ` / second interview will be required. )
Day Phone Evening Phone
1. Are you a registered voter of the city? ES NO
2. How long have you lived in the city?
3. Present occupation and employer: &Ahhz'C"&t SoJei iP/iwrl.Af Flvor LQte. 'rg
4. Education:
5. Membership in organiz ions: ec
6. Please specify the reasons why you feel you should be a
ppointed to this
advisory body (use reverse side for additional information):
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7. Previous service on any SLO advisory bodies (names and dates) : reoc .j� s,
PLEASE NOTE: If you are appointed to the Planning Commission, Architectural
Review Commission, or the City Housing Authority, you are required by State
law to file a Statement of Economic Interest disclosing all reportable interests
held by you at the time of appointment. A copy of this form is available from
the City Clerk. .
Applications are accepted year round, however. if you are applying for a current
vacancy, your application must be returned to the City Clerk by
in order to be considered for the current round of interviews.
***TO BE FILLED OUT BY CITY CLERK'S OFFICE***
Interview Date: Screening Committee
***TO BE FILLED OUT BY SCREENING COMMITTEE CHAIR***
Recommend for Appointment: YES 0 NO
Recommendation is for: Q Unexpired term Full term
Additional comments:
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