Online Commission Application

First Name:

Last Name:

Address:

City:

State:

Zip:

Area Code/Phone:

Email Address

Commission/Committee
you wish to serve on:

Background Information

Are you registered to vote
in Murrieta?

If yes, for how long?:

Are you now serving on a
city commission/committee?:

If yes, which one(s)?:

Have you previously served
on a city commission?

Educational Information

Indicate the highest year
completed & degree received:

Employment Information

Employers Name:

Address:

City:

State:

Zip:

Area Code/Phone:

Position:

Qualifications

I declare that the information furnished herein above is true and

correct to the best of my knowledge

Please note, a Conflict of Interest Statement may be required.

Please review your data carefully then press the "Submit Application" button.