Laserfiche WebLink
<br />APPLICATION <br />For Appointment to Fill Vacancy <br />SAN LEANDRO CITY COUNCIL, DISTRICT 1 <br /> <br /> <br />This application will be forwarded to the City <br />Council for consideration to fill the vacancy in <br />District 1, term ending December 31, 2024. <br /> <br /> <br />Please type or print <br /> <br />Name <br /> Last First Middle Initial <br /> <br />Home Address <br /> Address City Zip <br /> <br />Primary Phone ( ) Alternate Phone ( ) (optional) <br />Email <br /> <br />Current Employment Information <br />Employer <br />Address <br />Position Dates of Employment <br />Responsibilities <br /> <br /> <br /> <br /> <br />Questionnaire <br />(A separate sheet may be attached) <br />Please describe your education, training, and/or any special certifications: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />For Official Use <br />Resident of San Leandro Yes ____ No ____ <br />Resident of District 1 ______ Years <br />Registered Voter Yes ____ No ____ DRAFT