Boards & Commissions Application

Thank you for your interest in serving on one of Huntington Beach's citizen advisory groups. IMPORTANT, please read before applying.

Please Note: You are applying for a public position. The information provided is, therefore, a public record and cannot be kept confidential.

Name of Board, Comission, Committee or Task Force*

First Name*

Last Name*

Home Address: *

City*

Zip Code*	State*

Business Address:

City

Zip Code	State

Email

Phone* (Enter as: 714 123-4321)

Occupation

Length of Residency

United States Citizen *
Yes No

Education Background

Professional Licenses and/or Associations

Professional Experience

Special Knowledge or Skill

Civic and/or Service Memberships

Civic Interests

Availability (Must be available for meetings)

How Will Your Qualifications Best Serve the Needs of the Community?

Why Do You Wish to Serve on a Volunteer Citizen's Body?


* = required