Application for Special District Representative (Alternate)

This application has been designed to provide pertinent information about each candidate applying for the position of the Alternate Special District Representative to LAFCO.  Please read the application carefully and type your responses or print in ink. Additional pages may be included as necessary.

Note: Candidates for this position may be board members from any independent special district.

Application

Date Submitted: 

Name: 

Address: 

Phone(s): 

Email: 

Name of District You Represent: 

Date of Most Current Election/Appointment: 

Date Term Expires: 

Total years with District: 

Total Years Associated with Government/ Community Service: 

List any other agencies/special Districts you have been or are currently involved with:

List Community Service Activities including Names of Organizations and Dates of Service:

Have you attended LAFCO meetings?  If yes, when?

Please explain why you want to serve on the Sonoma Local Agency Formation Commission (LAFCO).

From your perspective, explain the purpose of LAFCO:

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