INSTRUCTIONS:

If you are interested in serving on the Sheriff’s Advisory Team, please complete this application.
When you are finished, click the "Verify Your Application" button, review the information, and if correct, click "Submit".
Questions or concerns? Email shf233@co.santa-cruz.ca.us or call (831) 454-7618.
Please note: This application is a public document and will be disclosed upon request.


Name:   
Address:   
Email Address:   (required:email address
Phone (Home):                        OR
Phone (Business):          phone number)
Supervisorial District:   
Length of Residence in Area:   
Ethnic Origin (optional):   

PREVIOUS COMMISSION OR COMMITTEE SERVICE (Please Specify):

Advisory Body    

Term    


AREA OF EXPERTISE (Please check appropriate box or boxes):








TERM OF APPOINTMENT:

Advisory Team service is for one year (with an option for a second year).


WORK/VOLUNTEER EXPERIENCE:

Organization     Address     Position     Years    

STATEMENT OF QUALIFICATIONS:

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:

 


CERTIFICATION:

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.

     Date:    (required: date and checkbox)