HomeMy WebLinkAboutApplication - Boards & CommissionsCITY OF SEAL BEACH
Boards - Commissions - Committees
Application
Name:
Phone Number: Cell Phone:
Email Address:
Who is your Council representative?
Please check the areas of interest:
gCommunity
& Recreation
F-1—Building
& Planning Issues
Beach & Water Quality
F-1
-Other-
Please briefly describe:
Environmental Issues
Public Safety Issues
Infrastructure Issues
Provide a brief description of your background experience and /or education that
would qualify you for appointment to a City board, commission, or committee:
Signature
This application will kept on file in the Office of the City Clerk for a period of 2 years.
(Office Use Only)
Date received: Received By: District No.