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Citizens' Oversight Committee Application for Appointment

CBOC Application for Appointment

Citizens' Oversight Committee

Applicants must complete and submit this form in order to be considered for a position on the Citizens' Oversight Committee. Applications will be accepted on a continuous basis or until a full committee is formed.

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Address *

Answer required for "Address "

Phone*

Number Required

Email Address*

Answer required for "Email Address"

Occupation*

Answer required for "Occupation"

I am an applicant of the following category (please mark box that applies to you):

Answer required for "I am an applicant of the following category (please mark box that applies to you):"

Parent or Guardian Member (with student currently enrolled at PRJUSD (March 2025 - March 2027)

Business Organization Member (March 2025 - March 2027)

Senior Citizens' Organization Member (March 2024 - March 2026)

Parent or Guardian /PTA Member with student currently enrolled at PRJUSD (March 2025-March 2027)

Taxpayers Organization Member (March 2024 - March 2026)

At Large Member (2024-2026)

At Large Member (March 2025-2027)

Education Record (High School/University):*

Include the following: Institution name, address, dates of attendance and type of diploma or degree

Answer required for "Education Record (High School/University):"

Employment History for the past 10 years: *

Provide Employer Name, Address, Contact number, Position Held and Dates Employed

Answer required for "Employment History for the past 10 years: "

Educational, Charitable and Civic Organizations you are currently or have been a part of:*

Include the name of Organization, Location, Position Held and Dates

Answer required for "Educational, Charitable and Civic Organizations you are currently or have been a part of:"

Personal References:*

Provide three references other than relatives. Include Name, Address and Contact Phone Number

Answer required for "Personal References:"

Experience/Expertise (Please provide any experience that would be useful as a member of this committee)*

Answer required for "Experience/Expertise (Please provide any experience that would be useful as a member of this committee)"

Describe what you feel you could contribute to this committee:*

Answer required for "Describe what you feel you could contribute to this committee:"

Describe what you feel are the most important issues to be addressed by this committee:*

Answer required for "Describe what you feel are the most important issues to be addressed by this committee:"

Please add any comments that you feel would assist the Board of Trustees in the evaluation of your application:*

Answer required for "Please add any comments that you feel would assist the Board of Trustees in the evaluation of your application:"

Signature*

Signature Required

Thank you for your time and interest in participating as a member of the Citizens' Oversight Committee

Applications will be accepted on a continuous basis or until a full committee is formed.

Upon review of applications, the Board of Trustees will appoint members during a public meeting.

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"