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City of Moorpark Teen Council Application

  1. As a candidate for appointment to the Teen Council, please complete this application form for consideration by the City Council. Please complete all questions and place "N/A" in those areas that do not apply.
  2. Note: Completed applications are considered public records per California Government Code 6252 and, therefore, are fully disclosable to the public.
  3. Title:*
  4. House Number, Street Name, Unit (P.O. Box is not acceptable)
  5. House Number, Street Name, Unit
  6. NOTE: All correspondence will be sent via e-mail (or U.S. mail when e-mail address is not provided).
  7. Do you reside within the City Limits?*
  8. Numbers only.
  9. EXPERIENCE / BACKGROUND
  10. Max. 1000 characters.
  11. Max. 1000 characters.
  12. Max. 1000 characters.
  13. Max. 1000 characters.
  14. Max. 1000 characters.
  15. Have you served on the Teen Council before?*
  16. Example: July 2017 to June 2018
  17. Have you attended a meeting of the Teen Council?*
  18. Max. file size 4MB.
  19. I have considered the duties, role and time commitment involved in this appointment and request that you consider me for appointment.
  20. The following terms are accepted by the applicant upon submitting the online application:
  21. I certify that, if appointed, I understand that neither I nor my family members will be eligible to participate in the City's First Time Home Buyer Program, according to the City's First-Time Home Buyer Affordable Housing Program Participant Exclusion List.*
  22. I hereby certify that all statements made in this application are true, and I agree and understand that any misstatement or omission of material fact will cause forfeiture on my part of all rights of appointment with the City of Moorpark. I authorize investigation of all matters contained in this application. I understand that this completed application is the property of the City of Moorpark and will not be returned. I understand that I must notify the City Clerk of any changes in my name, address, or phone number.
  23. Leave This Blank:

  24. This field is not part of the form submission.