Attachment 2 -- Commissioner ApplicationARTS AND CULTURE COMMISSION APPLICATION
Contact: Clerk Department
110 East Main Street, Los Gatos, CA 95030
(408) 354-6888 or Clerk@LosGatosCA.gov
Note: Only the text that shows in the boxes is visible.
Please do not go beyond the borders of the boxes.
FIRST NAME: LAST NAME:
ADDRESS: CITY: ZIP CODE:
CELL PHONE: WORK PHONE:
EMAIL ADDRESS: HOME PHONE:
EMPLOYER: JOB TITLE:
HOW LONG HAVE YOU LIVED IN LOS GATOS?
*If appointed your name, phone number, and email address will be made available to the public.
Please list all previously held elected or
appointed governmental positions.
Include the Position/Office held and the
associated dates.
(e.g. Mayor, City of San Jose, 1990-1994)
Please list any civic charitable
organizations you have belonged to.
Include the Position/Office held and the
associated dates.
(e.g. Coach, Little League, 1982-1989)
Please list any schools that you have
attended or are currently attending.
Include your major subject area and/or
grade level.
(e.g. San Jose State University, BA in History)
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Why are you interested in serving on the Arts
and Culture Commission?
Have you ever attended an Arts and Culture
Commission meeting? If yes, please provide
a summary of your observation. If not, why
not?
What do you see as the role of this
Commission?
CONTINUE TO PAGE 4
How will you balance your personal interests
with the broader role of the Commission?
What is your current involvement in the
arts?
What is your experience with public art
programs?
CONTINUE TO PAGE 5
What has been your experience or
involvement with non-profit agencies?
What has been your experience or
involvement with grant programs?
All applicants are required to be interviewed to be considered for appointment as a Commissioner. All applicants will be contacted via email with the interview date and time.
Signature: Date:
IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, IF YOU NEED SPECIAL ASSISTANCE TO
PARTICIPATE IN THE INTERVIEW PROCESS, PLEASE CONTACT THE CLERK DEPARTMENT AT (408) 354-6834.
NOTIFICATION 48 HOURS BEFORE THE MEETING WILL ENABLE THE TOWN TO MAKE REASONABLE
ARRANGEMENTS TO ENSURE ACCESSIBILITY [28 CFR §35.102-35.104]