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 16, 2017. 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:
Community Member
Senior Citizens’ Organization
Support Organization for the College
Employment History
Position
Location
Dates
Educational, Charitable or Civic Organizations
Name of Organization
Position Held
Dates
Personal References (Please give three references other than relatives.)
Name
Address
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:
Please return the completed application, no later than October 16, 2017, 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.
click to sign
signature
click to edit