CITY OF SANTA FE SPRINGS COMMITTEE APPLICATION

CITY OF SANTA FE SPRINGS
City of Santa Fe Springs

Application for Committee Appointment

If you would like to be included in the Santa Fe Springs "Talent Bank" of persons interested in serving on a City Committee, Commission, or Board, please complete this application and submit it to the City Clerk's Office. Applications will stay on file for six (6) months, after which time you may re-submit another application for appointment, if interested.
Name*

First NameLast Name
Address*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Occupation*
Is there a specific night or time you would be unable to attend meetings? If so, please indicate:
Please list in order of preference the committee(s) on which you would like to serve:
1*
2
3
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: