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 application.  For more information please contact the City Clerk's Office at (707) 647-5337.

Name

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Address

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Address
E-mail Address
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Telephone Number

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Cell Phone Number

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Business Name

Business Address
Business Address
Position Held
Business Phone Number
How long have you lived in American Canyon?
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Are you a registered voter?
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Would you be available for meetings 
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Would you be available for meetings
Please indicate the Commission or Advisory Committee for which you wish to apply
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What are your principle areas of interest in our City government?
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List education, training or special knowledge which might be relevant to this appointment:
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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.
Enter your full name to indicate your approval of the electronic submittal of the information contained in this application.
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Today's (Submission) Date

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This application will be kept on file and under consideration for one year from the date is is submitted.
  1. To receive a copy of your submission, please fill out your email address below and submit.