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Please check any of the following for which you wish membership consideration:
  Library Board of Trustees   Planning Commission
  Museum Board of Trustees   Recreation & Parks Commission
Please note that information provided on this form is subject to public disclosure.
Email Address:
Home Address:
Business Address:
Please answer the following:
COMMUNITY SERVICE:  (List boards, commissions, and organizations on which you are currently serving or have served; offices held and in what city.)
EMPLOYMENT:  (Title and duties)
EDUCATION:  (Include professional or vocational licenses or certificates)
Briefly explain what in your background, training, education, or interests, specifically qualifies you as an appointee.
What do you see as the objectives and goals of the Commission to which you are seeking appointment?
How would you help to achieve these objectives and goals?
What specific qualities can you bring to this advisory body?
Electronic Signature
To the best of my knowledge, the information provided is true and correct as of the date submitted electronically.

Note: Prior to being seated on a Board or Commission, the City will require a signed copy of this application.
Please note that the City of Ontario's Conflict of Interest Code does require Commission / Board Members to annually file Economic Interest Forms disclosing financial information. For additional information contact the City of Ontario's Records Management Department at (909) 395-2010.
You are invited to include a copy of your resume or any supplemental information that you feel may assist in the evaluation of your application.
City of Ontario - Copyright 2009