Reminder
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Please select which Commission(s) you are interested in applying for:
Beautification Commission (meets the second Wednesday at 7:00 p.m.)Parks Commission (meets the first Tuesday at 7:00 p.m.)Planning Commission (meets the first and third Monday at 7:00 p.m.)Traffic Commission (meets the first Thursday at 7:00 p.m.)
First & Last Name: Address:
Cell Phone #: Home Phone #:
E-mail: Are you a registered voter in the City of Rosemead? Yes NoHow long have you lived in Rosemead? Employer's Name:
Educational Background:
Why are you interested in serving as a Commissioner? Please describe any work, training, certificates, and/or mentorship in professional organizations that would qualify you for this position.
Personal or business activities that would be in conflict with you serving as a Commissioner:
I hereby certify by checking this box, constitutes a legal signature confirming that all statements in this application are true and correct to the best of my knowledge. I understand that this document is a public record subject to disclosure under the Public Information Act.
Date: