Online ApplicationPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Select the public interest category(ies) in which you are active and that you wish to represent: *Student active in a community college support group, such as student governmentCommunity at-largeBusiness organization located in the DistrictSenior citizens' organizationTaxpayers associationSupport organization for the District, such as a FoundationWhy do you want to serve on the Citizens’ Bond Oversight Committee? *Brief statement of qualifications: *Please list three professional references, including name, position, and contact information: *Conflict of InterestPlease note: Employees, vendors, contractors, and consultants of the Foothill-De Anza Community College District are prohibited by law from being members of the Citizens’ Bond Oversight Committee. Employment which could result in becoming a contractor or subcontractor to the district would also be a potential conflict.Are you an employee, vendor, contractor, or consultant to the District? *YesNoDo you have conflicts that would preclude your attending quarterly meetings? *YesNoDo you know of any reason, such as a potential conflict of interest, which would adversely affect your ability to serve on the Citizens’ Bond Oversight Committee? *YesNoAre you willing to comply with the ethics code included in the bylaws? *YesNoCBOC BylawsUpload a resume and cover letter here (optional) Click or drag a file to this area to upload. .DOCX and .PDF formats only, 128MB maxComplete Online ApplicationBy clicking on the submit button below you agree to submit this application by electronic means, and certify under penalty of perjury that the information you provided is correct and complete to the best of your knowledge.MessageSubmit Application
