Boards And Commissions Application Form Position Board Commission Board or Commission Name Your Name Date Home Address Zip Code Telephone No. EMail Address Business Affiliation Title Business Address Zip Telephone No. Are you a resident of San Diego? Yes No Length of Residence in San Diego Council District (Select One) 1 2 3 4 5 6 7 8 9 Educational Background Occupational Experience Professional or Technical Organization Memberships Civic or Community Experience, Membership, or Previous Public Service Appointments Experience or Special Knowledge Pertaining to Area of Interest Please feel free to provide additional information or letters of endorsement. Thank you for your interest in serving City government. Form CC-1670-HTML (Rev. 2/13/2013)
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