Santa Barbara County: Board Application

* Denotes a required field

Profile

First Name *
Last Name *

Email Address *

Street Address *
Suite or Apt
City *
State *
Postal Code *

Indicate Supervisor Who Will Receive a Copy of your Application *

Primary Phone * Primary Phone
Alternate Phone * Alternate Phone

Which boards would you like to apply for? You may select up to 3 *

Please select a Board

Reference 1 Name

Reference 1 Address

Reference 1 Telephone

Reference 1 Occupation

Reference 2 Name

Reference 2 Address

Reference 2 Telephone

Reference 2 Occupation

Reference 3 Name

Reference 3 Address

Reference 3 Telephone

Reference 3 Occupation

If you are now, or have ever been employed by the County of Santa Barbara, please list the department in which you worked, your title, and the dates you were employed.

Interests & Experiences

Please explain why you are interested in serving, and what experience you bring to the Committee. Attach additional documentation as necessary.

Give any information explaining qualifications, experience, training, education, volunteer activities, community organization memberships, or personal interests that bear on your application for the above Board, Commission or Committee. Attach additional documentation as necessary.

Upload a Resume
Please upload your resume

Please attach any additional documents here
accepted formats: doc, docx, rtf, txt, and pdf

Demographics

Ethnicity
Gender
Date of Birth

Education Completed:

Please Agree with the Following Statement *

I agree that upon submission of this application all information provided is a matter of public record, and is subject to disclosure.

I Agree *

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