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Boards & Committee Applications

  1. TOWN OF SAN ANSELMO

  2. APPLICATION FOR APPOINTMENT TO A SAN ANSELMO BOARD/COMMISSION/COMMITTEE


  3. To: San Anselmo Town Council

  4. Name and phone numbers of three San Anselmo residents who can be contacted for referral information about me:

  5. I would be able to regularly attend the meetings of this Board/Commission/Committee.*

  6. I would be available to attend additional meetings when they are necessary.*

  7. I am familiar with the responsibilities and functions of this Board/Commission/Committee.*

  8. I have attended meetings of the Board/Commission/Committee as a member of the public.*

  9. I understand that I and all other applicants will be personally interviewed by the Town Council as part of the selection process for this appointment. I also understand that my application material will be a public document and available on the Town's website. Sensitive materials that you don't wish to be posted on the website should not be included with the application.*

  10. Thank you for your interest in serving the Town of San Anselmo and its citizens. For further information, please contact Carla Kacmar, at ckacmar@townofsananselmo.org or 415-258-4660.

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