City of Fortuna
APPLICATION FOR APPOINTMENT TO
FORTUNA BUSINESS IMPROVEMENT DISTRICT (FBID) ADVISORY COMMITTEE FBID Advisory Committee Application
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Applicant Name:_____________________________________________________________________________ Home Address:______________________________________________________________________________ Mailing Address (if different):__________________________________________________________________ Home Phone:__________________________ Business/Cell Phone:__________________________________ Email Address:______________________________________________________________________________ Education:_________________________________________________________________________________ Length of Time in the Fortuna Area:_____________________________________________________________ Business Name and Address:__________________________________________________________________ ***Identify which Core Area your business is located within, refer to descriptions below.
Core Area:_________________________________________________________________________________ Job Title:___________________________________________________________________________________ Organizations in which you are currently involved:_________________________________________________ Reason for wanting to serve on this Advisory Committee:___________________________________________ __________________________________________________________________________________________ Expertise you bring to this Committee:____________________________________________________ __________________________________________________________________________________________ References:
1. ___________________________________________________________________________________
2. ___________________________________________________________________________________ _________________________________________________________________________________________ Signature Date