Application for Town Clerk Position

Date
MM slash DD slash YYYY
Name * Required
First Last
Are you a registered voter in the Town of Fairfax, CA? * Required
- Yes
- No
Address * Required
Street Address Address Line 2 City State ZIP Code
Phone * Required
Email * Required
Questions
What interests you about the role of Town Clerk, and why do you want to volunteer for this position? * Required
What kind of experience do you have that you believe would be useful in this role? * Required
The Town Clerk may attend Town Council meetings, but does not vote with the Council. Do you anticipate attending these meetings? * Required
- Yes
- No
Do you have any conflicts of interest that could impact your ability to serve as Town Clerk? * Required
- Yes
- No
If "yes", please describe.
Is there anything else you would like the Town Council to know about your skills, experience, or interest in the Town Clerk position?
OPTIONAL: Upload a document (i.e. cover letter)
Max. file size: 35 MB.
References
Name
First Last
Relationship
Phone
Email
Name
First Last
Relationship
Phone
Email
Name
First Last
Relationship
Phone
Email
CAPTCHA
Electronic signature policy * Required
Signature
By checking this box and clicking 'Submit' below, you are electronically signing this document and agree that your digital signature has the same effect as a handwritten signature.
Name
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Name
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Questions