| Prefix |
|
| *First and Last Name |
|
| *Residence
Address |
|
| City |
|
| *ZIP Code |
|
| *Primary Phone |
|
| Secondary Phone |
|
| *E-mail
|
|
| *Are
you registered to vote in Chula Vista? |
Yes
No |
| *Do
you live within the City limits of Chula Vista? |
Yes
No |
*How Long?
|
| *Employer |
|
| *Occupation |
|
*Please check the field(s) in which you qualify and/or have professional preparation or expertise:
A) Secretary of the Interior Qualification Standards (Certified local government requirements)
B) California Realtor
Company
License #
(Proof may be requested)
C) Member with an interest, competence or knowledge in historic preservation
Please list your experience and/or education that demonstrates your knowledge of Historic Preservation.
|
*Have you previously served, or do you currently serve, on a Chula Vista Board, Committee or Commission
Yes
No |
| *If yes, which one(s) and for what period of time? |
|
*Are you, or have you been, involved in any local, civic, service or community groups?
Yes
No |
| *If yes, please list them |
|
*Please describe your interest, experience or specia
l knowledge that you bring to this position.
(250 words or less
)
|
*What do you hope to accomplish in the role of a Historic Preservation Commissioner?
(250 words or less
)
|
*I understand that to be considered, I must submit a resume along with this application.
Yes
No
Please email your resume to cityclerk@chulavistaca.gov.
|
| I am familiar with the responsibilities
of the Historic Preservation Commission. By submitting this application, I hereby attest
that the above information is accurate. |
|
