Commissions & Committees Application

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Application for Appointment to City Boards and Commissions 

Board/Commission members are required to attend meetings on a regular basis, and may be removed if a member does not attend three meetings in a calendar year.  Please visit the Boards & Commissions web page for meeting information. 
 
Board/Commission members are required to satisfy the local ethics training requirement mandated by Government Code Section 53234 and may be removed if proof of attendance is not filed with the Office of the City Clerk following appointment.  Additionally, ethics training needs to be repeated every two years.  Classroom training will be provided each even-numbered year coinciding after an election, otherwise appointees will be provided with an      on-line training resource. 

 

The appointment process has multiple levels of review and can take some time.  Staff will monitor the status of all applications and keep you informed.  Unsuccessful applications may be retained for 1-2 years for future consideration. 
 
If appointed, you will be required to take an oath office and to complete a certified ethics training course.    

Please select the Board or Commission you wish to apply to (If applying for multiple positions please list in order of preference) 
 Please select the Board or Commission you wish to apply to (Second Choice)
 Please select the Board or Commission you wish to apply to (Third Choice)
Name
Home Address
Mailing Address (if different than above)
Home Phone Number
Mobile Phone Number
Email Address
 Are you at least 18 years old? (If no, you are eligible to apply for the Parks, Recreation, and Intergenerational Commission) 
Are you at least 18 years old? (If no, you are eligible to apply for the Parks, Recreation, and Intergenerational Commission)
Why do you wish to serve as a member of this board or commission? 
Have you verified your ability to attend regular meetings as scheduled?
Have you verified your ability to attend regular meetings as scheduled?
List your past and present government experience:
List involvement in civic groups, clubs, professional organizations:
List community service or other experience which you feel would be helpful to bring to the attention of the City Council in making this appointment: 
Education (include high school, college and/or university, and graduate study): 
 Do you have any interests or associations which might present a conflict of interest? 
Do you have any interests or associations which might present a conflict of interest?
 If yes, please explain.

 Signature (Type name if completing online or print and sign)

Date (enter mm/dd/yyyy)

  1. To receive a copy of your submission, please fill out your email address below and submit.

    Help 

    Please contact the City Clerks Office at (916) 617-4500 if you have any issues submitting the application electronically. A printable version is available for those who need an alternative format: Commissions & Committees Application PDF

    If you are unable to submit electronically, please print the document and submit it to the City Clerk’s Office at clerk@cityofwestsacramento.org or City of West Sacramento – City Clerk’s Office, 1110 West Capitol Avenue, West Sacramento, CA 95691

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