Application for Director Appointment
Mid-Peninsula Water District
Name
*
First Name
Last Name
Home Residence Address:
*
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Do you live within Division 4 or 5?
*
Division 4
Division 5
Are you a registered voter?
*
Yes
No
Are you currently serving on any Boards, committees, or Commissions? If yes, please list below.
*
Why are you interested in joining the Board of the Mid-Peninsula Water District?
*
What skills, experience, or perspectives would you bring to the Board?
*
What do you see as the key issue(s) facing the Mid-Peninsula Water District?
*
Please describe any volunteer experiences you have had. (Note, prior volunteer experience is not a requirement of the position).
*
Are you comfortable with the time commitment described on the Board appointee webpage? Please share any concerns.
*
Please share any other information that you think would help facilitate the Board Members' selection process.
Please feel free to share with us any supporting documents that you believe will help the Board in their selection process.
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