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Town of Fairfax
Boards and commissions
Apply to join a board or commission
Apply to join a board or commission
Date
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Required
MM slash DD slash YYYY
Please select the board/committee/commission to which you are applying:
*
Required
Climate Action Committee
Community Emergency Preparedness Committee
Marin Commission on Aging Representative
Measure F Oversight Committee
Open Space Committee ("FOSC")
Planning Commission
Parks and Recreation Commission
Tree Committee
*For the Community Emergency Preparedness Committee, there are several categories of membership. Please check all categories of membership you would like to be considered for:
Community Emergency Response Teams (CERT)
Firewise
Neighborhood Response Group (NRG)
Community
Note: The Racial Equity and Social Justice Committee has a separate application form.
Name
*
Required
First
Last
Address
*
Required
Street Address
Address Line 2
City
ZIP Code
Phone
Email
*
Required
Please explain your interest in serving on this Board, Commission, or Committee.
Please describe your relevant work/life experience or background for the board/commission you are applying for:
What is your vision for the Town of Fairfax?
Please describe possible areas of conflict of interest.
Meeting Attended
*
Required
MM slash DD slash YYYY
Applicants must first attend a meeting of the commission or committee they wish to join, what was the date of the meeting you attended?
Electronic Signature
*
Required
By printing your name below and checking this box you agree that represents your electronic signature on the application.
Please type your full name here.
*
Required
Your completed application will become a public record upon submittal to the Town.
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