Bayview Hunters Point Project Area Committee

Candidacy Filing Affidavit of Eligibility
(Business at Large)

Name of Business:

 ________________________________________

Name of Owner:

 ________________________________________

Address:

 ________________________________________
  ________________________________________

Phone Number:

 ________________________________________

Location of Business:

 ________________________________________

Type of Business:

 ________________________________________

Length of Time in Business:

 ________________________________________

Number of Employees:

 ________________________________________

My prior experience in community affairs and or my other qualifications to serve on the Project Area Committee (in 100 words or less) are as follows (attach an addition sheet if necessary). This statement may be published in local newspapers.
_________________________________________________________________________
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Along with your completed application please attach:
  • A copy of your resume
  • Current business license
  • Current driver's license or state issued identification.
I declare under penalty of perjury that the above is true and correct.

__________________________

 __________________________

Name

 Date

Please NOTE: PAC membership is volunteer and requires a minimum commitment of 3 evening meetings per month and some weekend hours through the Concept Plan adoption process. NOTE: Applicants are encouraged to submit their applications as soon as possible.