Citizens Advisory Committee Application Process
To apply for the Citizens Advisory Committee, please submit by e-mail, mail or bring to
CMSD Headquarters:
District Clerk’s Office
Costa Mesa Sanitary District
290 Paularino Avenue
Costa Mesa, CA 92626
nmiddenway@cmsdca.gov
Costa Mesa Sanitary District
Application for Citizens Advisory Committee Appointment
All information on this page only, is considered public information and will be released to the public, including being
posted on CMSD’s website.
Name:
1. Indicate why you wish to serve on the Citizens Advisory Committee. Provide any experience and/or
qualifications you may possess that you believe would be beneficial to this committee. A resume (optional) may be
attached. (Note: All information contained on the resume is public information, will be distributed to the public, and
posted on CMSD’s website.)
Note: This contact information will not be posted on CMSD’s website or distributed to the public. However,
this information is still subject to be release pursuant to the California Public Records Request Act.
Applications submitted for recruitment will not be held past Board appointments.
2. Contact Information
Name
Street
City Zip
Phone (Cell) (Home)
Email
By checking this box and typing my name below, I am electronically signing my application.
Signature Date
Submit application by mail, email or bring application to CMSD Headquarters.
Headquarters Address: District Clerk’s Office
Costa Mesa Sanitary District
290 Paularino Avenue
Costa Mesa, CA 92626
Phone: (949) 645-8400
nmiddenway@cmsdca.gov