WNC Candidate Application

Wilmington Neighborhood Council
544 N. Avalon Boulevard, Suite 103
Wilmington, California 90744
(310) 522-2013 wilmingtonNC@empowerLA.org
Website: Wilmingtonneighborhoodcouncil.com

Name

First Name Last Name

Declaration of intention to become a candidate for a
City of Los Angeles Neighborhood Council

I hereby announce and declare that I am a Stakeholder in the boundaries of the Wilmington Neighborhood Council within the City of Los Angeles, based on my affiliation as someone who:

Check all that apply:

Lives Works Owns A Business or Property Participates in an Organization (Education, Labor, Non-Profit, Community, Church, etc.)

Corresponding with the address:

Address

Street Address
Apartment or Unit Number
City	State / Province
Postal / Zip Code	Country

Or alternate mailing address, if different than above:

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone:

Mobile Phone:

Email:

example@example.com

Office Phone:

Ext

Based on my stakeholder status, I also do hereby announce and declare that it is my intention and desire to become a candidate with the intent of serving on the Board of the Wilmington Neighborhood Council. Only Check 1 (one) Category:

At Large Seat (work, live or own real property in Wilmington) Community Interest Seat (one who affirms a substantial and ongoing participation within the WNC boundaries and who is in a community organization such as, but not limited to, educational, non profit, and/or religious organizations.

(Proof of stakeholder status is required for all seats.)

Documentation #1 (Please attach a photo ID):

Browse Files

Documentation #2 (Attach any additional document that may be necessary to prove stakeholder status for the seat which you are applying to fill).

Browse Files

I hereby declare under the penalty of perjury that the above statements are true and that I possess all the necessary legal qualifications to become a candidate for the position designated above.

Electronic Signature (Type in your name)

The Stakeholders who are elected to hold positions on the Wilmington Neighborhood Council Governing Board will be expected to serve on one or more committees, assist in outreach to involve other stakeholders, take actions impacting our community, demonstrate a passion and commitment to our community and adhere to the WNC Code of Civility. Additionally, Ethics & Funding training are

mandatory and must be updated accordingly. Board meeting are held on the 4th Tuesday each month.

Please print or type a statement that expresses your interest in becoming a WNC Board Member in less than 100 words. This will also become your Candidacy Statement that will be shared with the Wilmington Stakeholders. The Candidacy Statement should include your name, qualifications and interest in the Wilmington community that expresses your desire to serve on the WNC Governing Board.

Candidacy Statement (optional but encouraged)

Please note: This Candidate Filing Form is used to fill vacancies on the WNC governing board. Service on the governing board shall be limited to the term for the vacant seat. By clicking SUBMIT below, your application will be submitted by email to WilmingtonNC@empowerla.org. Completed applications must only be submitted to this email.

WilmingtonNC@empowerla.org. No physical deliveries. Applications will not be received by any other means (such as drop off or delivery to any other email or board member) or they will be deemed disqualified. Applications must be received by the deadline or they will be deemed disqualified. The Thank you for your cooperation and participation. Should you have any questions, please do not hesitate to contact the Wilmington Neighborhood Council Office by email WilmingtonNC@empowerla.org

Wilmington Neighborhood Council Board member questioner and agreement
In accepting the position of board member of the Wilmington Neighborhood Council, you must recognize that with this position comes a commitment to support the organization, its programs, and policies, and to do all that you can to develop and maintain high standards.

If you accept this position you commit to certain responsibilities and guidelines. You agree to the following:

Learn and abide by the policies of the Department of Neighborhood Empowerment.
Complete required training in a timely manner. (Training consists of 2 hours of ethics training, funding training and a review and signature of the Code of Conduct)
Act as a resource in defining activities and/or issues/concerns within our council district which can respond to our stakeholders’ concern and issues.
Attend and participate in board/stakeholder meetings and call or email if unable to attend.
Attend programs and events presented by the council.
Review all council materials/agendas/recommendations in advance so that you can help the board make effective and educated decisions.
Communicate with the executive officers effectively and timely to confirm your board meeting attendance
Communicate and respond to emails regarding board business
Exhibit respectful behavior to fellow board members and stakeholders at all times.
Attend the annual planning session/board retreat, anniversary event and participate in the development, adoption, and implementation of the council initiatives.
Serve on a minimum of one committee of your choosing, or as requested by the President of the council.
Make an effort to recruit at least one stakeholder per year to become active in a committee.

I agree to the foregoing responsibilities, and guidelines, failure to abide by these responsibilities may result in my removal from the board.

Electronic Signature (Type in your name)

Date:

Date