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Youth Commissioner Application 2019/20

  1. YOUTH COMMISSIONER APPLICATION - 2019/20


  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 Carla Kacmar, at 415-258-4660 or ckacmar@townofsananselmo.org.

  9. Application must be returned to Town Hall no later than April 25, 2019.

  10. Leave This Blank: