City Board, Commission or Committee

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To apply for appointment to a City of American Canyon Board, Commission or Committee please complete the following questionnaire.  For more information please contact the City Clerk's Office at 707-647-4369.

Today's Date

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Name

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Address

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Address
E-mail Address
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Home Phone Number

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Cell Phone Number

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Business Name

Position Held
Business Address
Business Address
Business Phone Number
How long have you lived in American Canyon?
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Are you a registered voter?
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Times you are available for meetings:
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Times you are available for meetings:
This application is for which Commission, Committee or Board?
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What are your principle areas of interest in our City government?
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Please list education, training or special knowledge which might be relevant to this appointment:
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Please list employment, membership in service or community organizations or volunteer work which might be relevant to this appointment:
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Have you been, or are you now a member of a governmental board, commission or committee?  If so, please provide name and dates of service.
REMARKS:  Please indicate any further information that will be of value regarding your appointment.
Thank you for your application.  It will be kept on file and under consideration for one year from today.  If you have any questions, please do not hesitate to call the City Clerk's Office at 707-647-4369.
  1. To receive a copy of your submission, please fill out your email address below and submit.