Coastal Candidate Application Form

Prior to submitting this application, view the video "What it Means to be a Neighborhood Council Board Member."
Candidate Filing Application

To apply as a candidate for a vacant seat, please complete all questions. The board will appoint a candidate for the seat at the next Regular Board Meeting. Please visit the website for location and agenda. The meeting is called to order at 6:30pm. www.cspnc.org. All applications must be received by 12:00pm the day prior to the scheduled meeting and candidates must attend the meeting in order to be appointed. Candidates must provide documentation and any other applicable identification to establish their stakeholder status. For more information regarding this form and acceptable forms of documentation, call 310-918-8650.
Name *

First Name Middle Name Last Name
Residence Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
E-mail *
Phone Number *

Area Code Phone Number
Name as it will appear on the ballot *

First Name Middle Name Last Name
You must be at least 18 years of age and a stakeholder within the Coastal San Pedro Neighborhood Council boundaries to qualify as a candidate. See definition below:

Sec. 22.801.1. Neighborhood Council Stakeholder.
(a) Stakeholder. For the purposes of this chapter, a certified neighborhood council “stakeholder” or “community stakeholder” shall be defined as:
1. Any individual who lives, works, or owns real property within the boundaries of the neighborhood council; or
2. Any individual who is a Community Interest Stakeholder, as defined in Subsection (b) of this section, within the boundaries of the neighborhood council.
(b) Community Interest Stakeholder. A “Community Interest Stakeholder” is an individual who is a member of or participates in a Community Organization, as defined in Subsection (c) of this section.
(c) Community Organization. For the purposes of this section, a “Community Organization” is an entity that has continuously maintained a physical street address within the boundaries of the neighborhood council for not less than one year, and that performs ongoing and verifiable activities and operations that confer some benefit on the community within the boundaries of the neighborhood council.
(1) A for-profit entity shall not qualify as a Community Organization.
(2) Examples of a Community Organization may include chambers of commerce, houses of worship or other faith-based organizations, educational institutions, or non-profit organizations.
Stakeholder Status. *
Click on arrow to choose from the drop down menu.
Enter the address and/or name of the organization/place of employment which qualifies you as a Stakeholder: *
Candidate statement (tell us why you would like to apply for a board seat). (100 Words or less) *
Upload a photo to be included with your candidate statement.
Two forms of documentation confirming stakeholder status are required per the CSPNC bylaws. Upload Document #1 to prove your eligibility as a stakeholder (example: driver's license, passport, etc.) *
Upload Document #2 to prove your eligibility as a stakeholder (example: utility bill, letter from organization, etc.) *
I attest that I meet the qualifications of a stakeholder, that I am at least 18 years of age, and that all of the above statements are true and correct.
Electronic Signature (Type your name here) *
Signature date *
Should be Empty:

Candidate Filing Application