WLASNC Committee Application 2024

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WLASNC Committee Application 2024–25

The information contained on this form will be used by the West Los Angeles Sawtelle Neighborhood Council to fill vacancies on Committees. Separate applications must be submitted for each position to which you are applying.

First and Last Name *

Home Address *

Phone Number *

Email Address *

The following qualifies me as a Stakeholder of the WLASNC

Check all that apply.

I live within the boundaries of the WLASNC

I own property within the boundaries of the WLASNC (list property address below)

I work within the boundaries of the WLASNC (list work name address below)

I own a business within the boundaries of the WLASNC (list business name and address below)

I am a Community Interest Stakeholder (list community interest organization name and address below)

Required

Property Address *

Type N/A if not applicable.

Business or Community Interest Organization Name and Address *

Type N/A if not applicable.

I am applying for the following Committee: *

Separate applications must be submitted for each position to which you are applying.

Budget and Finance Committee

Bylaws Committee

Communications + Outreach Committee

Mobility + Environmental Committee

Planning, Land Use, and Management Committee (PLUM)

Public Safety + Homelessness Committee

Ad Hoc Committee (describe below)

Other (describe below)

Required

Ad Hoc or Other: *

Type N/A if not applicable.

Please describe your reasons for seeking the position to which you are applying. *

Please describe any relevant experience (e.g., work, volunteer) which you believe qualifies you for the position you are seeking. Please include dates. *

Please describe any relationships (e.g., professional, personal, financial, etc.) which could possibly be construed as a potential conflict of interest with the position you are seeking. Be aware that while such a relationship does not necessarily disqualify you from the position, you will be required to recuse yourself from any vote or decision that could be construed as a conflict of interest or from which you would possibly receive gain. *

I understand that if I am accepted to this Committee position, I will be subject to the WLASNC Bylaws as well as the Brown Act, and that violations of these rules may be grounds for immediate removal from my position. *

Yes

I certify that the above information is accurate to the best of my knowledge and is subject to verification. *

Type your full name as signature.

Today's Date *

YYYY

Submit

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