Fillmore Heritage Center Oversight Board
Application form for prospective members
Email address *
Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Do you live in the Fillmore/Western Addition area?
Are you a Certificate of Preference Holder?
Please provide a brief overview of your interest and why you would like to become a member of the Fillmore Heritage Center Oversight Board. *
Your answer
In your opinion, what are the most important criteria for selecting the Fillmore Heritage Center's future owner? (Check all that apply) *
If you selected "Other" please describe:
Your answer
Are you a member or an affiliate of a Fillmore community organization? *
If you selected "Yes" please state the name of the organization and length of membership or affiliation:
Your answer
Are you licensed to practice law in the state of California?
Do you have any questions for us?
Your answer
Thank you for your responses.
NCLF is dedicated to protecting the rights of Fillmore District stakeholders as the sale of the Fillmore Heritage Center moves forward. We hope to count you as an ally, either as a member of the Board or as a community. Please stay tuned to for the latest developments.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms