Citizen Leadership Form

Citizen Leadership Form

City of Ocean City
Please be advised that N.J.S.A. 40:69A-163 prohibits appointees from having any direct or indirect interest in any contract or job for work or materials, or the profits thereof, to be furnished or performed for the city.
I ... do hereby apply to perform public service on the following municipal authorities, boards or commissions:*

First NameLast Name
See list of advertised vacancies and choose from drop-down menu below.
Choose authorities, boards or commissions*
Use ctrl to select multiple options.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any: education, prior volunteer experience, work-related experience or other civic involvement that could be of use to the authorities, boards or commissions you selected above.
Signature

Clear
Personal Information Not Subject to Public Disclosure

The information in this section is considered personal information, and is therefore deemed confidential for the purpose of P.L. 1963, c. 73 (C.47:1A-1 et seq.) and P.L. 2001, c. 404 (C.47:1A-5 et al.).
Phone Number

Area CodePhone Number
Address of Residence

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Should be Empty: