Application for membership on the Planning Commission

1

Prefix

Prefix

Mr.

Mrs.

Ms.

Mx.

Dr.

Other: If other, type text here.

N/A

2

Preferred Pronoun

Preferred Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Ze/Hir/Hirs

Ey/Em/Eirs

Other: If other, type text here.

3

First and Last Name

 *

First and Last Name

4

Email

 *

Email

5

Home Address

 *

Home Address

6

City

City

7

ZIP Code

 *

ZIP Code

8

Primary Phone

 *

Primary Phone ext.

9

Secondary Phone

Secondary Phone ext.

10

I certify that I am a resident of the City of Chula Vista and at least 18 years of age.

 *

I certify that I am a resident of the City of Chula Vista and at least 18 years of age. (Select an Answer) Yes No

11

How long have you been a resident of the City?   

How long have you been a resident of the City?

12

Please click here to view the interactive map and verify your District of residency

I am a resident of the following City Council district.

 *

Please click here to view the interactive map and verify your District of residency I am a resident of the following City Council district. (Select an Answer) 1 2 3 4

13

Present employer

 *

Present employer

14

Position

 *

Position

15

Have you ever been employed by the City of Chula Vista?

 *

Have you ever been employed by the City of Chula Vista?

Yes

No

16

If you have worked for the City of Chula Vista please provide the department and dates of employment. 

If you have worked for the City of Chula Vista please provide the department and dates of employment.

17

Please indicate the area(s) in which you have expertise and experience, or select None: (select as many as applicable)

 *

Please indicate the area(s) in which you have expertise and experience, or select None: (select as many as applicable)

Architecture	Urban Planning
Architectural History	Planning/Environmental Planning
Landscape Architecture	Land Planning
Civil Engineering	History
Archeology	Folklore
Cultural Anthropology	Conservation
Curation	Other related design expertise If other, type text here.
None of the above (You will still be considered to represent the City At-Large)

18

Are you a California licensed real estate agent?

Are you a California licensed real estate agent?

No

Yes (please provide company name below) If other, type text here.

19

If you selected one or more of the areas of expertise and experience above, please describe your expertise and experience that you would bring to the selected area(s). (250 words or less)

 *

If you selected one or more of the areas of expertise and experience above, please describe your expertise and experience that you would bring to the selected area(s). (250 words or less)

20

Are you currently serving on any board or commission for Chula Vista or any other governmental agency?

 *

Are you currently serving on any board or commission for Chula Vista or any other governmental agency?

Yes

No

21

If so, which ones?

If so, which ones?

22

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.

 *

I have read and acknowledged the above statement.

23

What are your principal areas of interest in our City government, and what experience or
special knowledge can you bring to those areas?

 *

What are your principal areas of interest in our City government, and what experience or special knowledge can you bring to those areas?

24

What do you hope to accomplish in the role of a Planning Commissioner? (250 words or less)

 

 *

What do you hope to accomplish in the role of a Planning Commissioner? (250 words or less)

25

I understand that to be considered, I must submit a resume along with this application.

 *

I understand that to be considered, I must submit a resume along with this application. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

26

I understand that to be considered, I must submit a letter of reference along with this application.

 *

I understand that to be considered, I must submit a letter of reference along with this application. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

27

The City understands meeting schedules and individual's availability may change. We ask that you consider the meeting schedule when submitting an application.

I have reviewed the Planning Commission regular meeting date, time and frequency.

28

 *

I am familiar with the responsibilities of the Planning Commission. I attest that the information I have provided is accurate and true.

29

 

 *

I understand that this application and any documents submitted in connection with the application process are public records and may be publicly disclosed.

30

Where did you hear about this vacancy?

Where did you hear about this vacancy?

City’s Social Media

Chula Vista Library

City’s Website

City Employee

City Board/Commission Member or Staff

Other (please enter text below) If other, type text here.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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