Holtville, CA · Imperial County
Application for Committee, Board, or Panel
Residents use this application to ask the Holtville City Council to consider them for appointment to a city committee, board, or panel.
What this form is
This application lets residents provide information for the City Council’s consideration when seeking appointment to a city committee, board, or panel. It asks for contact, residence, occupation, education, community membership, prior service, availability, and reasons for seeking appointment. Applicants must be registered voters; appointees and incumbents must file Statement of Economic Interest forms as required.
Who needs it
Holtville residents seeking appointment to a city committee, board, or panel should complete and file this application with the City Clerk.
How to submit it
Type or clearly print the completed application and return it to the City Clerk’s office 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, then signs and dates it.
How to submit this form
- 1
Download The Application
Download the committee, board, or panel application.
- 2
Complete The Application
Type or clearly print your information, including your background, availability, and reasons for seeking appointment.
- 3
Gather Optional Information
You may attach a resume or other information to assist the City Council in its selection.
- 4
Sign And Submit
Sign and date the application, then return it to the City Clerk’s office before any established closing date.
Frequently asked questions
- Do I need a notary for the committee, board, or panel application?
- No. The application has no notary block. It asks you to declare under penalty of perjury that your information is true and correct, then sign and date it.
- How do I submit the application?
- Type or clearly print it and return it to the City Clerk’s office at 121 West Fifth Street, Holtville, California 92250, before any closing date established.
- What information does the application ask for?
- It asks for your contact and residence information, occupation, education, community memberships, prior board or commission service, meeting availability, and reasons for seeking appointment.
Need something notarized?
This Application for Committee, Board, or Panel doesn’t need a notary — but if you have another Holtville form that does, a commissioned online notary can help.