Boards & Commissions Application

Thank you for your interest in serving on one of Huntington Beach's citizen advisory groups. IMPORTANT, please read before applying.

Please Note:  You are applying for a public position. The information provided is, therefore, a public record and cannot be kept confidential.

Name of Board, Comission, Committee or Task Force*

First Name*
Last Name*
Home Address: *
Zip Code* State*
Business Address:
Zip Code State
Email *
Phone* (Enter as: 714 123-4321)
Length of Residency

United States Citizen *
Yes No

Education Background
Professional Licenses and/or Associations
Professional Experience
Special Knowledge or Skill
Civic and/or Service Memberships
Civic Interests
Availability (Must be available for meetings)
How Will Your Qualifications Best Serve the Needs of the Community?
Why Do You Wish to Serve on a Volunteer Citizen's Body?
* = required