Boards, Commissions & Committees Application

Question Title

* 1. Contact Information / Información del contacto

First and Last Name / Nombre y Apellido *

Address / Dirección *

Address 2 / Dirección 2

City / Ciudad *

State / estado *

ZIP/Postal Code / Código postal *

Email Address / Dirección de correo electrónico *

Phone Number / Número de teléfono *

Question Title

* 2. What district do you currently live in?
¿En qué distrito vive actualmente?

District 1/Southern / Distrito 1/Sur

District 2/Western / Distrito 2/Oeste

District 3/Eastern / Distrito 3/Este

District 4/Northern / Distrito 4/Norte

Other (please specify)
Otros (especifique)

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* 3. How long have you lived in San Rafael?

Question Title

* 4. Business Information

Company

Address

City/Town

ZIP/Postal Code

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* 5. How did you hear about this vacant position?

City Council Agenda

Social Media

Community Center/Library

City Manager's Newsletter

Friend

Other (please specify)

Question Title

* 6. What Board would you like to apply to?
¿A cuál te gustaría aplicar?

ADA Access Advisory Committee

Bicycle and Pedestrian Advisory Committee

Board of Library Trustees

Fire Commission

Marin Commission on Aging

Marin County Hazardous & Solid Waste Management JPA Local Task Force Advisory Member

Marin/Sonoma Mosquito and Vector District

Park and Recreation Commission

Pickleweed Advisory Committee

Planning Commission

Police Advisory & Accountability Committee

Public Art Review Board

Voter Approved Tax Oversight Committee

Boards, Commissions & Committees Application

Question Title

* 1. Contact Information / Información del contacto

Question Title

* 2. What district do you currently live in?¿En qué distrito vive actualmente?

Question Title

* 3. How long have you lived in San Rafael?

Question Title

* 4. Business Information

Question Title

* 5. How did you hear about this vacant position?

Question Title

* 6. What Board would you like to apply to?¿A cuál te gustaría aplicar?

* 2. What district do you currently live in?
¿En qué distrito vive actualmente?

* 6. What Board would you like to apply to?
¿A cuál te gustaría aplicar?