Holtville, CA · Imperial County

No notary required

Application to Serve on a Committee, Board, or Panel

Holtville residents use this application to request appointment to a city committee, board, or panel and provide information for City Council selection.

What this form is

Use this application to seek appointment to a Holtville City committee, board, or panel established to assist and advise the City Council. Applicants provide contact details, occupation, education, community memberships, prior service, preferred boards, reasons for seeking appointment, and meeting availability. Applicants must be registered voters, and appointees and incumbents must file Statement of Economic Interest forms as required.

Who needs it

A registered voter seeking appointment to a Holtville City committee, board, or panel should complete and file this application.

How to submit it

Type or clearly print the completed application and file it with the City Clerk at 121 West Fifth Street, Holtville, California 92250, before any established closing date.

About notarization

This application is signed without a notary; the applicant declares under penalty of perjury that the information is true and correct.

How to submit this form

  1. 1

    Download the Application

    Download the application to seek appointment to a Holtville City committee, board, or panel.

  2. 2

    Complete the Application

    Type or clearly print your contact information, background, board preferences, reasons for applying, and meeting availability.

  3. 3

    Gather Optional Information

    You may attach a resume or other information that you feel will assist the City Council in its selection.

  4. 4

    Submit to the City Clerk

    File the completed application with the City Clerk at 121 West Fifth Street, Holtville, California 92250, before any established closing date.

Frequently asked questions

Who can apply to serve on a Holtville committee, board, or panel?
Applicants must be registered voters. The application asks for information about the applicant’s background, prior service, interests, and meeting availability.
How do I submit the committee, board, or panel application?
Type or clearly print the completed application and file it with the City Clerk at 121 West Fifth Street, Holtville, California 92250, before any established closing date.
Do I need a notary for this committee, board, or panel application?
No. The application is signed without a notary; the applicant declares under penalty of perjury that the information is true and correct.
What information does the application ask for?
It asks for contact information, occupation, education, community memberships, prior city service, board preferences, reasons for applying, and meeting availability. You may attach a resume or other helpful information.

Need something notarized?

This Application to Serve on a Committee, Board, or Panel doesn’t need a notary — but if you have another Holtville form that does, a commissioned online notary can help.