Online Application

Name *

First

Last

Email *

Address *

Address Line 1

City

State

Zip Code

Phone *

Select the public interest category(ies) in which you are active and that you wish to represent: *

Student active in a community college support group, such as student government
Community at-large
Business community located in the District
Senior citizens' organization
Taxpayers' association
Support organization for the District, such as a Foundation

Why do you want to serve on the Citizens’ Bond Oversight Committee? *

Brief statement of qualifications: *

Please list three professional references, including name, position, and contact information: *

Conflict of Interest

Please note: Employees, vendors, contractors, and consultants of the Gavilan Joint Community College District are prohibited by law from being members of the Citizens’ Oversight Committee. Employment which could result in becoming a contractor or subcontractor to the district would also be a potential conflict.

Are you an employee, vendor, contractor, or consultant to the District? *

Yes
No

Do you have conflicts that would preclude your attending quarterly meetings? *

Yes
No

Do you know of any reason, such as a potential conflict of interest, which would adversely affect your ability to serve on the Citizens’ Bond Oversight Committee? *

Yes
No

Are you willing to comply with the ethics code included in the bylaws? *

Yes
No

Complete Online Application

By clicking on the submit button below you agree to submit this application by electronic means, and certify under penalty of perjury that the information you provided is correct and complete to the best of your knowledge.