Cerritos College Citizens’ Bond Oversight Committee
Application for Appointment
Applicants must complete this form and submit it to the Office of the President at
Cerritos College by October 14, 2016. The President will review applications and will
make recommendations to the Board of Trustees.
Name:
Address:
Home Phone:
Work Phone:
Fax:
Email:
Occupation:
Category for which I am an Applicant:
Bona Fide Taxpayers Association
Senior Citizens’ Organization
Support Organization for the College
Employment History
Position
Firm/Employer
Location
Dates
Educational, Charitable or Civic Organizations
Name of Organization
Dates
Please return the completed application, no later than October 14, 2016, to the following address:
Cerritos College - Office of the President
11110 Alondra Boulevard
Norwalk, California 90650
If you have any questions, please contact the Office of the President at (562) 860-2451, Extension 2204.
Personal References (Please give three references other than relatives.)
Name
Phone
Experience/Expertise (Please provide any background experience that would prove
useful to you as a member of the Citizens’ Bond Oversight Committee.)
Why are you interested in serving on this Committee?
Signature of Applicant:
Date:
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signature
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