Boards and Commissions Application

First and Last Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

District 1/Southern

District 2/Western

District 3/Eastern

District 4/Northern

Other (please specify)

ADA Access Advisory Committee

Bicycle and Pedestrian Advisory Committee

Board of Library Trustees

Design Review Board

Fire Commission

Marin Commission on Aging

Marin County Hazardous & Solid Waste Management JPA Local Task Force Advisory Member

Marin/Sonoma Mosquito and Vector District

Park and Recreation Commission

Pickleweed Advisory Committee

Planning Commission

Public Art Review Board

Voter Approved Tax Oversight Committee