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2. Town of Los Altos Hills
   26379 Fremont Road
   Los Altos Hills, CA 94022
   Phone: 650-941-7222
   Fax: 650-941-3160
4. About this Application
   Town citizens are encouraged to apply at any time to serve on the Town’s committees, and certain special appointed positions. Applications are reviewed when openings are available; qualified applicants will then be invited to interview with the City Council. This application is intended to assist the City Council to learn more about you and your interests in serving on one of the Town’s committees.
6. Preference for Serving On:*
8. Name*
9. Registered Voter*

   1. Yes
   2. No
11. Address*
13. Home Phone*
14. Work Phone
15. Cell Phone
17. Email Address*
18. Number of Years Town Resident*
22. What motivated you to apply to serve on the Committee / Commission?*
24. How many meetings have you attended of the Committee / Commission for which you are applying?*
26. Please describe your involvement in community activities, civic services, and volunteer organizations.*
28. What skills and / or attributes will you bring to the Committee / Commission you are applying for?*
30. What particular area of responsibility on this Committee / Commission interests you?*
32. Education Background and Professional Activities*
34. Please state reasons why you want to become a member of this Committee / Commission, including what specific objectives you would be working toward as a member.*
36. Are you aware of any existing or proposed Town or private projects or personal relationships that may create a conflict of interest that could affect your decisions?

    1. Yes
    2. No
38. If "Yes", please explain. If "No", please type "N.A."*
40. Are you aware of any issues now or proposed that might require you to recuse yourself?

    1. Yes
    2. No
42. If "Yes", please explain. If "No", please type "N.A."*
44. Membership on standing Committees / Commissions often entails meetings throughout the year, and most Committees / Commissions meet at least once monthly. Can you be available for these meetings?*

    1. Yes

    1. No
46. I voluntarily submit this application to the Town of Los Altos Hills Standing Committees/Planning Commission, and verify that the information contained in this application is correct.
48. Please check the box*

    1. I have read the Code of Conduct for Appointed Persons

    Click Here to read the Code of Conduct for Appointed Persons
50. Signature*
51. Date*
    Date
55. Please let us know how you heard about the Town's Committees and Membership Application.*

    1. Town Newsletter
    2. Town Website
    3. Newspaper

    1. Friend / Neighbor
    2. Online News
    3. Town Event

    1. Social Media
    2. Other
57. If other, please explain.
61. Please Note
    Please note that your appointment will be posted on the Town’s website as a Standing Committee member. Your signed application is public record and will be available on request.
63. Online Resources
    Town of Los Altos Hills Website

    Copies of the appropriate resolutions, mandates and certain requirements for appointment to the Town’s Standing Committees are available on Town website. The current number of vacancies on each committee is also available on the Committee’s webpage.
65. Questions?
    Questions and additional information regarding the selection process should be directed to the City Clerk at 650-941-7222.
    
    Thank you for your interest in serving your community!
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67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit Submit and Print

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