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Commission Application Form

  1. 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 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

  2. Registered to Vote?*
  3. Employed, Retired or High School Student?*
  4. If Student, please indicate grade:
  5. If applying for the Senior Citizen Advisory Commission, please indicate which type of seat you wish to fill?
  6. 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. 


    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. 

  8. 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. 

  9. Leave This Blank:

  10. This field is not part of the form submission.