Online Commission Application

First Name:

Last Name:

Address:

City:

State:

Zip:

Area Code/Phone:

Email Address

Commission/Committee
you wish to serve on:

If you are applying for either the Historic Preservation or Planning Commissions you must also
complete the supplemental applications listed below and return it to the City Clerk

Planning Supplemental Questionnaire

Historic Preservation Supplemental Questionnaire

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.