TOWN OF LOS GATOS
YOUTH COMMISSIONER APPLICATION
For Official Use Only For Official Use Only
Note: Only the text that shows
in the box is visible, please do
not go beyond the borders of
the boxes.
Submit to: Clerk Department
110 East Main Street, Los Gatos, CA 95030
Telephone: (408) 354-6834 Email: Clerk@losgatosca.gov
FIRST NAME: LAST NAME:
ADDRESS: CITY: ZIP:
CELL PHONE: ALTERNATE PHONE:
PRIMARY EMAIL: ALTERNATE EMAIL:
PRESENT SCHOOL:
SCHOOL ATTENDING
IN THE FALL:
HOW LONG HAVE YOU
LIVED IN LOS GATOS?
GRADE LEVEL IN THE FALL:
Please list any student government
experience that you may have and/or any
service clubs or organizations that you have
belonged to. Include the position/office held
and the associated dates. (e.g. Student Body
President, 2014-2015)
Note: Only the text that shows in the box is visible, please
do not go beyond the borders of the boxes.
Tell us about your skills, experience, or
interests that you feel would assist us in
considering your application.
Note: Only the text that shows in the box is visible, please
do not go beyond the borders of the boxes.
How do you see membership on the Youth
Commission assisting in bringing a youth
perspective in Los Gatos?
Note: Only the text that shows in the box is visible, please
do not go beyond the borders of the boxes.
Why are you interested in serving as a Youth
Commissioner?
What specifically will you contribute to the
Commission?
Note: Only the text that shows in the box is visible, please
do not go beyond the borders of the boxes.
Are you interested in serving as a Youth
Commissioner liaison to one of the following:
Arts and Culture Commission
Community and Senior Services Commission
Complete Streets and Transportation
Commission
Library Board
Parks Commission
Please describe why.
Note: Only the text that shows in the box is visible, please
do not go beyond the borders of the boxes.
How many weekday hours per month would you be able to commit to as a Commissioner?
1 - 3 weekday hours per month 4 - 6 weekday hours per month
10 + weekday hours per month 7 - 9 weekday hours per month
Other (Please explain)
The application deadline is 4:00 p.m. Friday, July10, 2020. Applications received after the deadline will be
held for the following year, unless the applicant will be entering the 12th grade in the fall. Interviews will be
held Tuesday, July 21, 2020, beginning at 4:00 p.m. You will be notified via email of the interview time
and be requested to RSVP no later than 4:00 p.m. Friday, July 17, 2020. All applicants are required to be
interviewed to be considered for appointment as a Youth Commissioner.
I have read and understand the scheduled interview date and time is Tuesday, July 21, 2020, 4:00 p.m.
PLEASE NOTE: After you click below to submit your application, a current photo, SHOULDERS AND
ABOVE, and NO LARGER THAN 2X3 (similar to a student ID or drivers license) should be sent to
clerk@losgatosca.gov with your name.
Signature: Date:
IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, IF YOU NEED SPECIAL ASSISTANCE TO
PARTICIPATE IN THE INTERVIEW PROCESS, PLEASE CONTACT THE CLERK DEPARTMENT AT (408) 354-6834.
NOTIFICATION 48 HOURS BEFORE THE MEETING WILL ENABLE THE TOWN TO MAKE REASONABLE
ARRANGEMENTS TO ENSURE ACCESSIBILITY [28 CFR §35.102-35.104]
Submit
click to sign
signature
click to edit