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Name: |
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Address: |
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Email Address: (required:email address |
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Phone (Home): OR |
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Phone (Business): phone number) |
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Supervisorial District: |
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Length of Residence in Area: |
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Ethnic Origin (optional): |
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PREVIOUS COMMISSION OR COMMITTEE SERVICE (Please Specify):
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AREA OF EXPERTISE (Please check appropriate box or boxes):
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TERM OF APPOINTMENT:
Advisory Team service is for one year (with an option for a second year).
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WORK/VOLUNTEER EXPERIENCE:
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STATEMENT OF QUALIFICATIONS:
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Please complete a brief statement indicating why you are interested in serving on the Sheriff’s Advisory Team and why you are qualified for appointment:
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CERTIFICATION:
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By checking this box and entering the date, I certify that the above information is true and correct and authorize the verification of the information in the application in the event I am a finalist for the appointment.
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Date: (required: date and checkbox)
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