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Application for Boards/Commissions

Name:
Address:
City:
Daytime Phone:
Email Address:
Occupation
I will represent the following organization:
 
Professional and/or community activities:
 


Applicants are encouraged to submit resumes or attachments with this application. Additional materials may be faxed to 516-5441 or e-mailed to the City Clerk
 
Available for meetings:
  Mornings Afternoons Evenings Weekends
Please prepare a short statement sharing your interest in this committee
 
Type the letters of the blocks to help keep down spam.
 

City Clerk's Division       (925) 516-5440
708 Third Street       (925) 516-5441
Brentwood, CA 94513       webcityclerk@ci.brentwood.ca.us

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