Please PRINT, SIGN, and submit to:
Office of the City Clerk
13325 Civic Center Drive
Poway, CA 92064
Phone: (858) 668-4530
Fax: (858) 668-1206
Your application/biographical information will be copied for the City Council and made available to the press and public.
If retired, please indicate former occupation or profession.
Every newly appointed committee or commission member is required to (1) file a Statement of Economic Interest disclosing any financial interests; and (2) complete the AB 1234 Ethics Training required by California Government Code 53234 within the first year of appointment and every two years thereafter. Noncompliance will result in automatic removal from the committee or commission.
I DECLARE, UNDER PENALTY OF PERJURY, THAT ALL STATEMENTS IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY
KNOWLEDGE AND BELIEF.
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