Board of Ethics Application

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Please correct the field(s) marked in red below:

Application for membership on the Board of Ethics
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Prefix
Prefix
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First and Last Name
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E-mail
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Home Address
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City
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ZIP code
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Primary Phone
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Secondary Phone
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Are you registered to vote in Chula Vista?
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Are you registered to vote in Chula Vista?
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Do you live within the City limits of Chula Vista?
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Do you live within the City limits of Chula Vista?
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How Long?
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Present employer
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Occupation
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Are you currently serving on a Chula Vista Board/Commission?
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Are you currently serving on a Chula Vista Board/Commission?
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Which one(s)?
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Have you previously served on a Chula Vista Board/Commission?
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Have you previously served on a Chula Vista Board/Commission?
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Which ones?
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Per Chula Vista Municipal Code Section 2.25.030, I understand:

-If I am currently serving on a board or commission, I must resign from my current board or commission if I am appointed.

-I must have served at least 12 months on my current board or commission in order to be appointed to another board or commission.

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Are you or have you been involved in any local, civic or community groups?
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Are you or have you been involved in any local, civic or community groups?
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Which ones?
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What are your principal areas of interest in our City government, and what experience or special knowledge can you bring to those areas?
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What would you hope to accomplish in the role of a Member of the Board of Ethics? (250 words or less)
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I understand that to be considered, I must submit a resume along with this application.
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Do you have any “conflicts of interest” as defined below?

As defined in Chula Vista Municipal Code 2.28.050, a “conflict of interest” means the following:

1. The applicant or any of applicant’s relatives is or has been an employee of or sought employment from any City official subject to this chapter;

2. The applicant or any of applicant’s relatives is or has been supervised in an employment setting by any City official subject to this chapter;

3. The applicant has served in any capacity (including staff member, advisor, or volunteer) involving the election, selection, or appointment of any City official subject to this chapter to any public office (elected or appointed);

4. The applicant has served in any capacity (including staff member, advisor, or volunteer) opposing the election, selection, or appointment of any City official subject to this chapter to any public office (elected or appointed); or

5. The applicant is related to any City official subject to this chapter.”

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Do you have any “conflicts of interest” as defined below? As defined in Chula Vista Municipal Code 2.28.050, a “conflict of interest” means the following: 1. The applicant or any of applicant’s relatives is or has been an employee of or sought employment from any City official subject to this chapter; 2. The applicant or any of applicant’s relatives is or has been supervised in an employment setting by any City official subject to this chapter; 3. The applicant has served in any capacity (including staff member, advisor, or volunteer) involving the election, selection, or appointment of any City official subject to this chapter to any public office (elected or appointed); 4. The applicant has served in any capacity (including staff member, advisor, or volunteer) opposing the election, selection, or appointment of any City official subject to this chapter to any public office (elected or appointed); or 5. The applicant is related to any City official subject to this chapter.”
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Have you, within the past 10 years, been convicted of any felony or a crime involving moral turpitude or been found to have committed a criminal violation of the Fair Political Practices Act?
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Have you, within the past 10 years, been convicted of any felony or a crime involving moral turpitude or been found to have committed a criminal violation of the Fair Political Practices Act?
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The City understands meeting schedules and individual's availability may change. We ask that you consider the meeting schedule when submitting an application.

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I understand if I am selected to serve on this board or commission I will need to disclose certain economic interests (Form 700) in accordance with the City of Chula Vista's Conflict of Interest Code.

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