CITY OF FORTUNA
www.friendlyfortuna.com
Application for Appointment to City Council
Persons interested in being appointed to serve on the City Council of the City of Fortuna are invited to complete the following application. This appointment will expire upon the election and qualification of a successor at the General Election set for November 3, 2028. (City Charter, Article 12 The Council)
Name:
Street Address:
City: State: ZIP Code:
Residence Telephone Number: Work Telephone Number: E-Mail Address:
Brief Description of Background and Qualifications (Additional Information May Be Attached on Separate Sheets and Attachment of Resume is Desirable):
NOTE: The Application must be submitted by email on or before 5:00 PM on April 18, 2025, to City Clerk Siana Emmons at [email protected]. When sending in your application documents, please ensure the subject line is “City Council Vacancy Application”.
A copy of all Applications will be attached to an Agenda. Report for consideration at a City Council meeting currently scheduled for April 28, 2025 with the Applicant’s telephone numbers and email address removed.
Interviews will be held during the Special Meeting on April 28, 2025 applicants must be present.
I hereby certify that I am a registered voter of the City of Fortuna, and will provide any additional documentation necessary to confirm my eligibility to serve on the City Council.
Signature of Applicant: Date:
FOR CITY USE ONLY / APPOINTMENT TO CITY COUNCIL
Date of Appointment:
End of Term: