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Human Relations Commission Application

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Please correct the fields below:

Application for membership on the Human Relations Commission.
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Prefix
Prefix
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First and Last Name
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Preferred Pronoun

Preferred Pronoun
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E-mail
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Home Address
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City
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ZIP code
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Primary Phone
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Secondary Phone
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I certify that I am a resident of the City of Chula Vista and at least 18 years of age.

When applying for a Youth Advisory member: I am a resident of the City of Chula Vista and between 16 and 22 years of age.

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How long have you been a resident of the City?   
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Please click here to view the interactive map and verify your District of residency

I am a resident of the following City Council district.

 

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Present employer
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Occupation
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Please select the seats for which you are interested and qualify: (select as many as applicable)

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Please select the seats for which you are interested and qualify: (select as many as applicable)
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Are you currently serving on a Chula Vista Board/Commission?
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Are you currently serving on a Chula Vista Board/Commission?
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Which one(s)?
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Have you previously served on a Chula Vista Board/Commission?
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Have you previously served on a Chula Vista Board/Commission?
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Which ones?
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Per Chula Vista Municipal Code Section 2.25.030, I understand:

-If I am currently serving on a board or commission, I must resign from my current board or commission if I am appointed.

-I must have served at least 12 months on my current board or commission in order to be appointed to another board or commission.

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Are you or have you been involved in any local, civic or community groups?
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Are you or have you been involved in any local, civic or community groups?
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Which ones?
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In what ways are you associated with the business and or civic activities of the City? How has your participation reflected the interests and concerns with the protection of the civil liberties of all people which make up the City's residents?
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Please describe how you represent the diversity of Chula Vista?
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Please describe your interest in fostering better human relations in the City of Chula Vista.
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What would you hope to accomplish in the role of a Human Relations Commissioner? (250 words or less)
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Please upload a resume in addition to your application (not required, but strongly encouraged).
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Where did you hear about this vacancy?
Where did you hear about this vacancy?
  1. To receive a copy of your submission, please fill out your email address below and submit.

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