APPLICATION FOR BOARDS, COMMISSIONS AND COMMITTEES*

*Measure K Oversight Committee and Contra Costa Transportation Authority - submit different application. See online or contact Juanita Davalos at jdavalos@pleasanthillca.org

SUMMARY OF BACKGROUND AND EXPERIENCE

(Applications Received Are Public Record)

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Cell Phone *

Daytime Phone *

Occupation *

Employer *

Email Address (Type "None" if no email address) *

Do you live in Pleasant Hill? *

If yes, how many years?

Are you a U.S. Citizen?

(Planning Commission candidates must be U.S. Citizens and be a Pleasant Hill resident for at least one year)

Can you attend daytime meetings? *

Can you attend night meetings? *

High School Attended

Did you graduate?

College Attended

Did you graduate?

Graduate School Attended

Did you graduate?

Trade or Special School Attended

Do you have any special skills or knowledge that you believe would be helpful in serving on the commission or committee in which you have expressed an interest? Explain. *

0/500 characters

Please indicate any further information or comments you wish to make that would be helpful in reviewing your application. *

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Please attach a copy of your resume.

Sign your name in the Signature box below: *

clear

Date * +

Please select the commission/committee/boards that you are interested in serving on, and indicate your priority preference. When vacancies occur, all applicants will be considered by the City Council Interview and Nominating subcommittee, and a recommendation will be forwarded to the full City Council for final appointment. Applications may be submitted at anytime, and will be kept on file until considered or up to one year.

I am interested in serving on the following (indicate by numerical order your preference if selecting more than one):

ARCHITECTURAL REVIEW COMMISSION

Reviews site plans, architectural structures and signing related to new development in Pleasant Hill. Must have demonstrated talent and interest in aesthetics and architectural design through experience, training, education or occupation. (5 members - residency in Pleasant Hill is not required.)

CIVIC ACTION COMMISSION

Organizes major events such as the summer concert series and Community Service Day. (9 members - must be Pleasant Hill residents.)

COMMISSION ON AGING

Considers matters affecting the aging in the community; provides awareness of resources; and creates events of benefit to the aging population. (9 members - three may be under age 55 and up to three may live outside of Pleasant Hill.)

DIVERSITY COMMISSION

Makes recommendations on diversity, social justice and equity training; plans inclusive and welcoming eveents; and makes policy recommendations regarding diversity and inclusion. (7 members - must be residents or up to three non-residents may be appointed if they own/work for a business in Pleasant Hill.)

EDUCATION COMMISSION

Fosters communication and partnership among Pleasant Hill schools. (11 members - must reside in either Valley View or Pleasant Hill Middle School attendance areas.)

PLANNING COMMISSION

Provides recommendations to the City Council on land use, zoning, General Plan, other planning related issues. (7 members - must be a U.S. citizen and reside in Pleasant Hill for at least one year prior to appointment.)

TRAFFIC SAFETY COMMISSION

Reviews traffic safety problems in the community and recommend actions. Candidates must be engaged in professional engineering, traffic safety, law enforcement or related vocational or professional pursuits which involve a technical and practical understanding of vehicular traffic systems.

OTHER

Write in the name of the commission, committee or board you are interested in below for which there is a vacancy as listed at that is not listed on this application.

Name of other commission, committee or board applying for not listed above:

For information on the application and appointment process, or for an application to be sent to you if submitting this form online is not an option, please contact Juanita Davalos at jdavalos@pleasanthillca.org or 925-671-5283.