Apply for Community Development and Human Services Committee

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Community Development and Human Services Committee
ID:2024CNT-07
Resume
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
CITY OF SANTA BARBARA ADVISORY GROUP MEMBERSHIP APPLICATION
PERSONAL INFORMATION
Yes   No
Yes   No
YOUTH APPLICANT’S ONLY
Yes   No
Yes   No
Yes   No
EMPLOYMENT INFORMATION

Current Employer

Yes   No
EXPERIENCE/BACKGROUND
Yes   No
Yes   No
STATEMENT OF ECONOMIC INTERESTS

I agree to submit Statements of Economic Interests* in a timely manner, if required, for the group to which I am appointed.

* Additional information regarding Statements of Economic Interests and the Form 700 may be obtained by selecting “Conflict of Interests/Form 700/COI Codes” on the home page of the following web site:

www.fppc.ca.gov.

SIGNATURE

I have read and signed the attached resolution adopting the City’s Nondiscrimination Policy and the Excellence in Customer Service Code of Conduct; and, if appointed, will follow them in the conduct of my duties.

Non-Descrimination Policy.

Code of Conduct.

Additional Questions - Community Development and Human Services Committee
* Which category/categories are you applying for?
Representative of African-American Community
Representative of Business Community/Economic Development
Representative of Disability Community
Representative of Downtown Area Neighborhood
Representative of Eastside Neighborhood
Representative of Homeless-related Service Organization
Representative of Housing Authority of the City of Santa Barbara
Representative of Human Services Organization
Representative of Latino community
Representative of Oak Park Neighborhood
Representative of Senior Community
Representative of Westside/Lower Westside Neighborhood
Representative of Youth-oriented Services Organization
Voter Registration Questions
* Are you a registered voter within the City of Santa Barbara?
Yes
No
* If you are registered to vote in a different jurisdiction, please list that jurisdiction:
Public Record Acknowledgement
* By submitting this application, I acknowledge that completed applications are considered public records and are subject for production if requested, per Government Code § 7920.530.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
Submit
Cancel
ApplicantStack powered by Swipeclock