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Application for Boards, Commissions, and Committees

  1. El Cerrito Office of City Clerk

    Please provide your name, residency and contact information.

  3. Length of Residence
  4. Owner/Tenant:
    Please provide current employer and occupation. Resumes are welcome but not required.
    Share your education and experience, considering your activities in business, labor, professional, social, or other organizations; indicate relevant experience and abilities, including; and any prior experience with public agency boards, commissions, committees, taskforces, etc. which would help qualify you for appointment.
    Please list two personal or professional references, including name, address, and contact information.

    Please describe any possible personal or professional areas that may present a conflict of interest, or the appearance of conflict of interest, for serving on the board, commission or committee applied for.

    Please read and acknowledge the following statements regarding requirements to serve.
  10. I confirm that:

    1) The information submitted in this application is true and correct to the best of my knowledge;
    2) I do not hold any other public office or position in the City;
    3) I am a resident of El Cerrito and understand I must remain a resident for the duration of my service (unless otherwise provided in the Municipal Code); and
    4) I am aware of the meeting schedule for advisory body I am applying for and feel I will be able to devote the time necessary to perform the duties.

  11. By checking this box:*
  12. Within 30 days of appointment (unless otherwise indicated below), I understand that I am required to:

    1) File an OATH OF OFFICE (prior to the first meeting as a member);
    2) Complete two hours of Ethics Training;
    3) Complete one hour of Sexual Harassment Prevention Training;
    4) Complete Orientation/Handbook Training
    5) File a Statement of Economic Interests Form 700 if I am appointed to the ARTS AND CULTURE COMMISSION, DESIGN REVIEW BOARD, FINANCIAL ADVISORY BOARD or PLANNING COMMISSION; and
    6) Complete a criminal records background check prior to service on the CRIME PREVENTION COMMITTEE.

  13. By checking this box:*
  14. By submitting my application I acknowledge and understand that:
    1)This application is a PUBLIC RECORD and will be disclosed in full upon request; and 2) Interviews regarding appointment, reappointment, or dismissal must be held in public and that the City Council cannot exercise any discretion in this matter.
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  16. This field is not part of the form submission.