2. To assist the Town Council in evaluating each applicant in the selection of Commission members, please complete the application form in its entirety and submit electronically. If you have any supplemental sheets, please submit them to the Town Clerk’s Office at the Civic Center Council Chambers, 9291 Old Redwood Highway, Building 400, Windsor, CA 95492, or by email at townclerk@townofwindsor.com. Alternatively, you may print the application out and mail or email it to the Town Clerk's Office. 

   If you have any questions or concerns, please contact the Town Clerk’s Office at (707) 838-5315 or by email at townclerk@townofwindsor.com. 

4. Which Committee or Commission are you applying for?*
   -- Select One --Parks and Recreation CommissionPlanning CommissionPublic Art Advisory CommissionSenior Citizen Advisory CommissionMarin-Sonoma Mosquito and Vector Control BoardSonoma County Library Commission
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Work Phone
20. Email*
22. Registered to Vote?*

    1. Yes

    1. No
23. Employed, Retired or High School Student?*

    1. Employed
    2. Retired

    1. High School Student
25. If Employed, Name of Employer
26. Address of Employer
28. Job Position
30. If Student, please indicate grade:

    1. Junior (11th)

    1. Senior (12th)
31. School:
33. If applying for the Senior Citizen Advisory Commission, please indicate which type of seat you wish to fill?

    1. At-large Seat
    2. Alden Woods and California Creekside Subdivisions (Landmark Neighborhood)
    3. Brooks Creek Subdivision
37. List your involvement on other boards, commissions, civic organizations, and/or school or neighborhood groups whether in the Town of Windsor or another community. Include any offices held. *
39. Why are you interested in this position and what particular skills would you bring to the Commission?*
41. Have you ever attended a meeting of this Commission?*
    -- Select One --YesNo
42. How much time do you have to volunteer?*
44. If applying for the Senior Citizen Advisory Commission, have you ever participated in activities at the Senior Center? If so, please list.
46. What is your vision for the Town of Windsor?*
48. Please describe your employment experience.*
50. Please describe your educational background.*
52. Are you aware of any potential conflicts of interest?*

    Rules of law and ethics may prohibit members from participating in and voting in matters in which they may have a direct or indirect financial interest. Applicants must indicate any potential conflicts of interest which may develop from their occupation or financial holdings in relation to the responsibilities as a member of the Commission. 

    1. Yes

    1. No
54. If so, please list below.
56. Would you like to submit additional documents? (resume, letter, etc.)
60. COMMISSIONER COMMITMENT

    I am willing to fulfill all requirements of serving on the Commission, including but not limited to: 

    • Filing financial disclosure statements (Form 700), if applicable, as required by the State and Town’s Conflict of Interest Code. 
    • Understand that multiple unexcused absences are grounds for vacating my position. 
    • Attend/complete all required State mandated trainings.
    • Represent the views of the public interest.
    • Maintain reliable access to review Commission agendas and meeting materials electronically, prior to a meeting. 

    I hereby certify that the foregoing information is true and correct and agree to all of the requirements mentioned above. 

62. Full Name*
64. Signature - Write Name*
65. Date*

67. Please note, all electronic submissions are received by the Town Clerk and are automatically logged into our system once submitted. If you would like to receive a copy of your submitted application, please enter your email below. 

Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit Submit and Print

* indicates a required field