RT
C #: 26-0083
Board/Commission Incumbent Reappointment Application
Application used by current Board/Commission Members who apply for a second term on the same Board/Commission.
Please acc
ept my request to be reappointed to:
An (R) after the name indicates you must be a registered Sunnyvale voter to serve on that board or commission.
• Arts Commission
•
Bicycle and Pedestrian Advisory Commission
•
Board of Library Trustees (R)
• Heritage Preservation Commission (R)
• Housing and Human Services Commission
• Human Relations Commission
• Parks and Recreation Commission (R)
• Personnel Board (R)
• Planning Commission (R)
• Sustainability Commission
1. Are you a currently-registered voter in Sunnyvale? Yes/No Question moved to end of application When was the last time you voted?
City of Sunnyvale employees may not serve on a board or commission.
1. I am a current City employee. Ye
s/No Added question
2. How long have you served on your current board or commission?
3. Have you ever served on another City of Sunnyvale board or commission? Yes/No If yes: Name(s) of boar ds or commissions previously served with approximate dates?
4. What new information about your qualifications would you like Council to know?
5. Reasons you wish to be reappointed:
6. Any additional information related to your reappointment:
Attachment 2
Voter Registration R
equirement*
*Question will appear for applicants to Board of Library Trustees, Heritage Preservation Commission, Parks and Recreation Commission, Personnel Board and Planning Commission If you are reapply
ing for the Board of Library Trustees, Heritage Preservation Commission, Parks and Recreation Commission, Personnel Board or the Planning Commission, you must be a registered voter in Sunnyvale
1. Are you a currently-registered voter in Sunnyvale? Yes/ No Moved from beginning of application When was the last time you voted?
Your Agreement
IMPORTANT
NOTICE – READ BEFORE SIGNING:
By selecting both “Yes” and “Submit Form” below I am adding my digital signature to this application.
I am also agreeing with the following statements:
• All statements I have made on this application are true and correct. • I authorize the City of Sunnyvale (City) to investigate the accuracy of this information. • I release the City from all claims and liabilities arising from such investigation. • I acknowledge that any false statement on this application will be grounds for the City to deny my appointment. A false statement discovered later, will be grounds to dismiss me from my appointment at any time.
• I acknowledge that any false statement on this application could lead to criminal charges.
Charges could fall under California Penal Code, Section 115 or other applicable law.
Yes/No
1. Your full name
2. Date
Attachment 2