Attachment 3
HG/6/CLK
428-01-05-23Att3
COUNCILMEMBER VACANCY APPLICATION
Due ___________, 2023 by 5:00 p.m.
Submit Application To:
Office of the City Clerk
500 Castro Street, P.O. Box 7540
Mountain View, CA 94039-7540
[email protected]
650-903-6304
Personal Information:
Name:
Last First MI
Address:
Street City State Zip
Home Telephone: Work Telephone:
Email:
Resident of the City of Mountain View: ____________ years
General Information:
Your application is a public document and will be kept on file. During the application period, the City Clerk’s Office is open Monday through Friday from 8:00 a.m. to 5:00 p.m.
Instructions:
Please attach your resumé, letter of interest, and completed Fair Political Practices Commission Statement of Economic Interests Form 700 to this completed vacancy application. Your letter of interest should not exceed one page. Please submit your entire packet of documents to the Office of the City Clerk via email or hand delivery by __________ at 5:00 p.m . Applications submitted without a resumé, letter of interest, and Form 700 will be deemed incomplete and disqualified from consideration. Late applications will not be accepted.
Signature Date