City Commissions and Boards

2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
13. Email Address*
15. Position(s) sought (list in order of preference)*
17. Occupation*
19. Company
21. Company Address
23. City
24. State
25. Zip Code
27. Phone Number
29. Education*

    List schools attended and/or graduated/degree(s)

31. Other Special Training or Experience*
33. Previous and present governmental and civic experience*

    Indicate when, position, duties.

35. Please explain why you wish to serve on a City of Hanford Commission.*
37. Do you have any interests or associations which might present a conflict of interest?*

    If yes, please explain.

39. Attachments

    Please attach your resume and any additional information or statements which you feel would be helpful in reviewing your qualifications. 

41. Authorization and Release

    I understand that in connection with this application for appointment, this document and the information contained herein will be made available to the general public upon request. I certify under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. 

43. Signature of Applicant *

    Type full name here to sign.

45. Date*
    Date

    Date
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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field