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The City of San Leandro, CA Boards & mmissions <br />Application Form <br />Profile <br />Although applications are accepted at any time, staff will only consider applications where th <br />currently a vacancy. For example, if there is a vacancy on the Arts Commission for District 1 <br />will consider applications for the Arts Commission from that district. If a vacancy is for an at I <br />position, residents anywhere within the city limits may apply. <br />City of San Leandro employees are not eligible to sit on a commission. <br />Which Boards would you like to apply for? <br />r Arts Commission <br />r Community Police Review Board <br />r` Human Services Commission <br />r` Library -Historical Commission <br />q Personnel Relations Board <br />r Planning Commission/Board of Zoning Adjustments <br />r` Recreation and Parks Commission <br />I— Rent Review Board <br />r Senior Commission <br />r" Youth Advisory Commission <br />First Name <br />Middle Initial Last Name <br />0alp,4L- G,gU(A A L- t� <br />Email Address <br />Home Address <br />;1 rJ ke ot4,1 ,0 <br />City <br />What district do you live in? <br />None Selected <br />Phone: Mobile / 5/ _ ,V C y 9 $, <br />/- ,� ( �- 3Sl- 1�K <br />Primary Phone <br />Suite or Apt <br />CITY Or SAN LEANDRO <br />eels <br />N O V 01 2022 <br />t t ILIMS OFFICE <br />a <br />State Postal Code <br />authorize posting of the following information to the City's website: <br />None Selected P-L <br />Employer <br />Job Title <br />Paap 1 of 4 <br />