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2. PUBLIC SAFETY ADVISORY BOARD APPLICATION

   Please fill out the entire application. The Advisory Board appointment term is two years., however, five positions will have a 3 year term to ensure that entire Board doesn't expire in 2025.  We are recruiting for six (6) positions - 1 position will end March 2025; 5 positions will end March 2026 (3 year appointments).

   You must be a resident of the City of Westlake Village (Los Angeles County) to be considered for appointment.

   No more than two members may reside in the same Homeowners Association.

   Recruitment closes Friday, June 23, 2023 at 5 pm.   If the recruitment is extended, all applicants will be notified.

   
   

   
   

4. Public Safety Advisory Board Guidelines
   Public Safety Guidelines

   Read the Public Safety Advisory Board Guidelines before applying.

6. First Name
7. Last Name
9. Address1
11. Address2
13. City*
14. State
15. Zip
17. Homeowners Association for your Address*
19. Home Telephone Number
20. Cell Phone Number
22. E-mail Address
26. Statement of Qualifications

    Please include a brief summary of your personal qualifications, including education, past or current employment, general community/civic involvement, etc., which may be considered pertinent in serving on this board.

28. Reason(s) for interest in participating on the Public Safety Advisory Board

    Please include a brief summary of your fields of interest pertaining to potential appointment to the Board.

30. Additional Comments
32. Meeting Attendance Requirement*

    If appointed, you will be required to attend Public Safety Advisory Board Meetings, which are held in-person, quarterly as needed.     

    Please type your initials to acknowledge attendance of meetings is required.

33. Statement of Economic Interest*

    Members of the Board must file a Statement of Economic Interest, Form 700, as the position is listed in the City’s Conflict of Interest Resolution. Assuming Office filing due within 30 days of appointment, annual thereafter and when term ends, a leaving office statement within 30 days.

    Please type your initials to acknowledge this requirement.

35. E-Signature
    By typing in your name below you are signing that all the above information is true and accurate. In addition, this serves as an acknowledgment that you would like to submit your application.
36. Resume and List of Community Activities (Optional)

    Upload any supporting documentation, as a single PDF document, that may assist the interviewing panel on your qualifications and reasons you would like to be appointed to the Public Safety Advisory Board.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field