Candidate Application for Vacant At-Large Board Seat

TO LEARN MORE ABOUT GETTING INVOLVED CLICK HERE.

To apply as a candidate for a vacant seat, please complete all questions. The board will consider the appointment of a candidate for each of the vacant at-large board seats at the next Regular Meeting. This application must be submitted by 7 days prior to the next scheduled Regular Board and Stakeholder Meeting to be placed on the agenda. Applicants must be prepared to attend the meeting to introduce themselves and possibly answer questions from the board.

Please visit the website for the meeting information and agenda (which will be posted 72 hours prior to the meeting). The meeting is called to order at 6:00pm. All candidates must attend the meeting in order to be considered for appointment.

Candidates must provide documentation and any other applicable identification to establish their stakeholder status. For more information regarding this form and acceptable forms of documentation, call 310-918-8650.

Please note that this is a volunteer position. It is an at-large board seat to complete the term ending 2027.

Name*

First NameMiddle NameLast Name

Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Name as it will appear on the ballot*

First NameLast Name

You must be at least 18 years of age and a stakeholder within the Harbor City Neighborhood Council boundaries to qualify as a candidate. Stakeholders are defined as anyone who lives, works or owns real property within the neighborhood and also those who declare a stake in the neighborhood as a community interest stakeholder, defined as a person who affirms a substantial and ongoing participation within the neighborhood council's boundaries and who may be in a community organization such as, but not limited to, educational, non-profit and/or religious organizations. [Definition text mandated by Los Angeles Administrative Code SS22.811(a)(2)]

Stakeholder Status.*

I am a resident within the boundaries of the neighborhood council at the address below.I own a business or work within the neighborhood council boundaries.I own property within the boundaries of the neighborhood council at the address below.I have a vested interest in the neighborhood council based on the information below.

Enter the address and/or name of the organization/place of employment which qualifies you as a Stakeholder.*

Candidate Statement (Tell us why you would like to run for a board seat) (100 words or less):

We need to fill the following positions below. Please choose option.

SecretaryTreasurerNone

Upload a photo to be included with your candidate statement (it will also be posted on our website).

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Documentation confirming stakeholder (example: driver's license, passport, utility bill, letter from organization).

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2nd Document (if necessary).

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Electronic Signature (Type your name here)*

Signature date*