Name:

Address:

Phone Number:

College/University:

Course of Study:

Number of Units:

Grade Point Average:

Standing:

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.

• A copy of your resume
• Current Transcripts
• Current driver's license or state issued identification.

__________________________

Name

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.