Serve Your Community
Apply to Serve on a Board, Committee or Commission
(Name of Board, Commission or Committee)
(First and last name)
(Street, City, ZIP)
(If retired/unemployed, list previous employer)
|High school graduate or General Education (GED) passed?:|
List any/all college, business school, and/or military experience (most recent first)
List work experience, training, volunteer activities, and skills relevant to this appointment.
List dates/names of positions you have held on any advisory body or elected office.
Why would you like to serve in this capacity?
|Can you attend regular meetings?:|
By selecting "Yes"above, you are willing to participate in the majority of meetings each year and, if necessary, in numbers related meetings or subcommittees if you are appointed.
|File Statement of Disclosure:|
By selecting "Yes" above, you are willing to file a statement of disclosure as a public official under the standards of the Fair Political Practice Commission if you are appointed.
I understand that my comments here may be retained as public record and may be subject to the California Public Records Act.
|Publish contact info:|
By selecting "Yes" above, you want to have your address or telephone number(s) published if you are appointed.
Having trouble with this e-form? Download and print the PDF, then fill it out and mail it to
Board of Supervisors
1055 Monterey St., Rm. D430
San Luis Obispo, CA 93408