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WLA SAWTELLE NEIGHBORHOOD COUNCIL APPLICATION FORM
Certified by the Department of Neighborhood Empowerment (DONE) of the city of Los Angeles.
Boundaries
: North/Wilshire East/405 West/Centinela South/10.
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Name
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First and last name
Your answer
Email
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Your answer
Phone number
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Your answer
Personal Address
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Your answer
If Applicable Business Name/Title
Your answer
If Applicable Business Address
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Your answer
If Applicable Business Phone
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Your answer
I am applying for the following?
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Board of Directors
Bylaws
Communications+Outreach
Sustainability, Infrastructure & Transportation [SIP]
Homelessness
Planning and Land Use Management [PLUM]
Public Safety
Youth
Other:
Required
I am a stakeholder of the Sawtelle Neighborhood Council ? Boundaries: North/Wilshire East/405 West/Centinela South/10
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I live within boundaries of the Neighborhood Council.
I work within boundaries of the Neighborhood Council.
I own property with the boundaries of the Neighborhood Council.
I own a business or belong to an organization within the Neighborhood Council.
Required
Describe your reasons for applying
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Describe relevant experience, including dates
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Describe any relationships (professional/personal/financial) which may possibly be construed as a potential conflict of interest with the position you are seeking.
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Signature
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Date
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