CITY OF FONT ANA
ELECTED CITY CLERK APPLICATION
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CITY OF FONfANA
Cit artment
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 completely 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: 3/oL/ J;.,o,4{1._ I I
APPL YING FOR: ELECTED CITY CLERK TERM ENDING DECEMBER 2022 NAME: G e1:s a · 0 1#. C t ·
HOME ADDRESS:
HOME PHONE NUMBER:
E-MAIL ADDRESS: __
DO YOU LIVE IN THE IN CORPORA TED AREA OF THE CITY?
ARE YOU 18 YEARS OF AGE OR OLDER: __ __....y,...C:---�-------- ARE YOU REGISTERED TO VOTE IN THE COUNTY OF SAN BERNARDINO? 4-1.s