Commission/Committee Application City of Pleasanton
COMMISSION & COMMITTEE APPLICATION
Applicant Information
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Years as Pleasanton Resident
Commission/Committee applying for (see Boards & Commissions page for open position
*
Please Select
Bicycle Pedestrian and Trials Committee
Civic Arts Commission
Economic Vitality Commission
Human Services Commission
Library Commission
Planning Commission
Youth Commission
I am applying as a youth member:
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Yes, I am applying as a youth member. *For youth members, please indicate below which grade you will be in as of Fall 2026)
9th grade in Fall 2026
10th grade in Fall 2026
11th grade in Fall 2026
12th grade in Fall 2026
No. I am applying as an adult member
Activities/Community Involvement
1. Please describe your top 3 activities & community involvement.
2. Please explain your interest in becoming a member of commission, committee or board.
Employer/School
Occupation/Student
3. Briefly describer your responsibilities.
4. What do you consider your greatest responsibility, skill, or career/academic achievement?
Education - Name and City of School/Degree/Major
5. Briefly describe your educational achievements.
Optional: upload/attach resume or any supporting documentation to your application.
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of
Commissioner Handbook:
By signing below, I am acknowleding the following"
*
The information I have provided in support of my application submittal is true and correct.
I acknowledge the Commissioner Handbook
Signature
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Submit
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