CeSPNC Candidate Application Form

Prior to submitting this application, candidates are encouraged to visit this page and view the Board Member Expectations.
Candidate Filing Application

To apply as a candidate for a vacant seat, please complete all questions. The board will appoint a candidate for the vacant board seat at the September Regular Meeting. Please visit the website for the next meeting location and agenda. The meeting is called to order at 6:30pm. Deadline: All applications must be received by 5:00pm on the Monday (September 11, 2023) one week prior to the meeting date and candidates must attend the meeting in order to be appointed. 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.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Stakeholder Status (Choose one from the list below)*

I am a resident within the neighborhood council boundaries at the address below.I own a business or work within the neighborhood council boundaries at the address below.I own property within the neighborhood council boundaries at the address below.I have a vested interest in this neighborhood council based on the following.
Name as it should appear on the ballot.*
You must be at least 18 years of age and a stakeholder within the Central San Pedro Neighborhood Council boundaries to qualify as a candidate. (View map of boundaries here).

“Stakeholders” shall be defined as those who live, work or own real property in the neighborhood and also to 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. (Bylaws, Article IV)

Term ends June 2025.
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)*
Upload a photo to be included with your candidate statement*
Two forms of documentation confirming stakeholder status are required per the CeSPNC bylaws. Upload Document #1 to prove your eligibility as a stakeholder (example: driver's license, passport, etc.)*

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Upload Document #2 to prove your eligibility as a stakeholder (example: utility bill, letter from organization, etc.)

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I attest that I meet the qualifications of a stakeholder, that I am at least 18 years of age, and that all of the above statements are true and correct.
Electronic Signature (Type your name here)*
Signature date:*

MonthDayYear
Date
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Candidate Filing Application