CITY OF
FONTANA
D) EGEIVE
CITY OF FONTANA FEB 2 4 2022
ELECTED CITY CLERK APPLICATION
CITY OF FONTANA
CALIFORNI
City 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 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.
02/23/2022
DATE:
APPLYING FOR: ELECTED CITY CLERK TERM ENDING DECEMBER 2022 NAME: Anahi Perez
HOME ADDRESS:
HOME PHONE NUMBER:
E-MAIL ADDRESS:
DO YOU LIVE IN THE INCORPORATED AREA OF THE CITY? Yes
Yes
ARE YOU 18 YEARS OF AGE OR OLDER:
ARE YOU REGISTERED TO VOTE IN THE COUNTY OF SAN BERNARDINO? Yes Amanien
Signature of Applicant