City of Fortuna
APPLICATION FOR APPOINTMENT TO
CITY BOARD/COMMISSION
Name of Board or Commission:_ PARKS ' RECCEATION
Applicant Name: DARRELL JACKSON
Home Address:
Mailing Address (if different):
Home Phone: Business/Cell Phone:
Email Address:
Education: BACARLOR IN ARCHTTECTURE
Length of Time in the Fortuna Area: + YRARS
Present Employer:_ SALT
Job Title: ARCHITkET
Organizations in which you are currently involved:
Reason for wanting to serve on this Board/Commission: IN Cum BANT Expertise you bring to this Board/Commission: PARMING EXPERIIENCE References:
1. _ DWIGHT SHANKYFiLT
SANDI MARLOW
Dalk De. /1/2a/23
Signature
This application will be kept on file for six months.
Board/Commission Application
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