REGIONAL BOARD APPLICATION

REGIONAL BOARD APPLICATION
Applicant Information
Full Name

First NameLast Name
Email
example@example.com
Full Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I am applying as an adult over the age of 18
Regional Board applying for (see Boards & Commissions page for open positions)
Altamont Education Advisory Board: Pleasesanton representative who must be a Science, Environmental Education or Vocational Education teacher from the Pleasanton Public Schools. Learn more here.
Please provide name of Pleasanton Public school and subject taught
Altamont Conmunity Monitor Committee: Pleasanton representative. Learn more here.
Paratransit Advisory and Planning Committee (PAPCO): Must be Alameda County residents who use transportation that supports seniors and people with disabilities. Learn more here.

To apply please click HERE. Applications must be submitted via email or hardcopy to the City Clerk's office, located at 123 Main Street.
Upon receipt of your application, we will forward an additional supplemental questionnarie provided by Tri-Valley Conservancy which will help facilitate the onboarding and orientation to their board.
Activities/Community Involvement
1. Please describe your top 3 activities & community involvment.
2. Please explain your interest in becoming a member of commission, committee or board.
Additional Information
Employer
Occupation
3. Briefly describe your responsibilities.
4. What do you consider your greatest responsibility, skill, or career achievement?
Education - Name and City of School/Degree/Major
5. Briefly describe your educational achievements.
Should be Empty:

REGIONAL BOARD APPLICATION

Applicant Information

Activities/Community Involvement

Additional Information