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Youth Commissioner Application


  2. Please select which Committee you are applying for:

  3. Please list any organized activities that you have participated in:

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

  5. I would be able to attend monthly meetings of this Commission:*

  6. I would be able to serve for a period of one year:*

  7. I am familiar with the responsibilities & functions of this Commission:*

  8. Thank you for your interest in serving the Town of San Anselmo and its citizens. For further information, please contact the Town Clerk, at 415-258-4660 or
  9. Leave This Blank: