City of Piedmont Application for Appointive Vacancy 2019
Please complete this form to be considered for vacancies on Commission, Committee, and other vacancies.

Applications must be submitted by Wednesday, March 20, 2019 at 5:00PM in order to be considered. Interviews with the City Council for these positions will be scheduled for the evening of Monday, March 25, 2019. No appointments will be made without a Council interview.

Applications are also available on the City's web site at www.ci.piedmont.ca.us and at the City Clerk's Office at 120 Vista Avenue, Piedmont.

Applicants must be qualified voters residing in the City of Piedmont.

The City of Piedmont is not responsible for any technical difficulties with the online application.

The City Clerk's Office is happy to answer any questions you have. Please call (510) 420-3040.

Which position(s) are you applying for? *
For information on the duties of each body, please see http://www.ci.piedmont.ca.us/html/city_clerk/commission_duties.pdf
Required
Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Mobile Phone *
Your answer
Email address *
Your answer
Education *
Your answer
Occupation *
Your answer
Experience Related to this Appointment *
Your answer
Why are you seeking this appointment? *
Your answer
What particular talents would you bring to this position? *
Your answer
Have you attended a meeting of this commission/committee? *
Have you watched a meeting of this commission/committee on KCOM? *
Have you watched a meeting of this commission/committee on streaming video? *
I am a qualified voter residing in the City of Piedmont *
I will be available for an interview with the City Council on the evening of Monday, March 25th. *
I certify that the forgoing information is true and correct. (This is the equivalent of your signature) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service