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Committee Application

  1. City of Poway

  2. Please PRINT, SIGN, and submit to:
    Office of the City Clerk
    13325 Civic Center Drive
    Poway, CA 92064
    Phone: (858) 668-4530
    Fax: (858) 668-1206
    Email: cityclerk@poway.org

  3. Your application/biographical information will be copied for the City Council and made available to the press and public.

  4. Are You a Resident of Poway?*

  5. Are You a Registered Voter?*

  6. Have you PREVIOUSLY served on a City Committee or Commission?*

  7. If retired, please indicate former occupation or profession.

  8. Every newly appointed committee or commission member is required to (1) file a Statement of Economic Interest disclosing any financial interests; and (2) complete the AB 1234 Ethics Training required by California Government Code 53234 within the first year of appointment and every two years thereafter. Noncompliance will result in automatic removal from the committee or commission.

    I DECLARE, UNDER PENALTY OF PERJURY, THAT ALL STATEMENTS IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

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