City of Brentwood

Application for Boards/Commissions

Name:
Address:
City:
Daytime Phone:
Email Address:
Occupation
I will represent the following organization:

Professional and/or community activities:(500 characters max)

Applicants are encouraged to submit resumes or attachments with this application. Additional materials may be faxed to 516-5441 or e-mailed to the City Clerk
Available for meetings:
	Mornings Afternoons Evenings Weekends
Please prepare a short statement sharing your interest in this committee (500 characters max)

Type the letters of the blocks to help keep down spam.

City Clerk's Division				(925) 516-5440
150 City Park Way				(925) 516-5441
Brentwood, CA 94513				webcityclerk@brentwoodca.gov