Application for Appointment to a Citizen
Commission, Board, Committee, or Task Force
Last Name* First Name* Middle Initial Date*
Name of Board, Commission, Committee, or Task Force*
Length of Residency in Huntington Beach*
Occupation*
United States Citizen?* Currently Serving on a City Board or Commission?*
Home Address:*
Phone Numbers
Personal
Type* (?) Number*
Phone Numbers
Business
Type (?) Number
Personal Email*
Chase Carolyne J 3/21/2022
Mobile Home Advisory Board
22 years
Project Assistant
Yes No
Yes No
City
Huntington Beach
State
CA
Postal / Zip Code
92647
Street Address
Address Line 2
cell
Educational Background*
Professional Licenses and/or Associations*
Professional Experience*
Special Knowledge or Skills*
Civic Interests and/or Service Memberships?*
How will your qualifications best serve the citizen advisory group that you are applying for, and why do you wish to serve on this group?*
It is the policy of the City Council to make appointments to the citizen commissions, boards, and committees, based on the needs of the city, as well as the interests and qualifications of each applicant. Selection will be made without discrimination based on the race, creed, gender, or sexual orientation of the applicant.
Additional information concerning a particular commission, board, committee, or task force or the application process is available through the staff support department identified above. General questions can be directed to Cathy Fikes, (714) 536-5553.
High School
Certificate of training in ADA
Design and Printing, Administration, Sales, Loan origination Residential loan origination, ADA
I donate my time to voter registration and supporting the campaigns of my preferred candidates.
I own a home in a mobile home park and would like to be more informed about the policies being discussed to assist the residents.