Apply for Fire and Police Commission

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

Summary
Title:Fire and Police Commission
ID:2024CNT-31
Resume
Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:
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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.

Fire and Police Commission
* Have you ever been convicted of a crime, including a plea of guilt or no contest, which resulted in a criminal conviction? Please note that the City is encouraging applicants that have been impacted by the criminal justice system and this information will remain confidential.
Yes
No
If so, please list the type of conviction (felony or misdemeanor), date and place of conviction, as well as the nature of the crime and the legal disposition / sentencing information. Please note that the City is encouraging applicants that have been impacted by the criminal justice system and this information will remain confidential.
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.
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