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CITY OF FONTANA
ELECTED CITY CLERK APPLICA 11Y OF f-ONTANA =�;_;;...;;�-=-=-..:....:.--=-=.:..;;.:...;;...;;..;;;.;....;,..,=,;,.=;....;;.,;+;,�.... Clerk's Department DIRECTIONS: An application is required for consideration for the Elected City Clerk position to fill an unscheduled vacancy for a term ending December 2022. This should be filled out com pletely and submitted to the City Clerk's Office. Additional sheets may be attached if necessary. All applications/resumes will be forwarded to the Mayor and City Council for evaluation and appointment.
PLEASE TYPE OR PRINT IN BLACK INK ONLY.
DATE: Mt\I 1 rz.-1tQ:1'
APPLYING FOR: ELECTED CITY CLERK TERM ENDING DECEMBER 2022 HOME ADDRESS:
HOME PHONE NUMBER:
E-MAIL ADDRESS:
DO YOU LIVE IN THE INCORPORATED AREA OF THE CITY?
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ARE YOU 18 YEARS OF AGE OR OLDER: _::::1-es ___________ _ ARE YOU REGISTERED TO VOTE IN THE COUNTY OF SAN BERNARDINO? NI.J Signature of Applicant