Apply Now for Openings on the Board of Appeals!

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The City of Rocklin is seeking applications from residents interested in serving four-year terms on the Board of Appeals. There are 2 seats available on this City Board.

To apply, please fill out the online application at the bottom of this page. A PDF of the application is also available for print and completed copies must be submitted to the City Clerk’s Office at 3970 Rocklin Road. Thank you for your interest and willingness to serve your community!


Applicants must be at least 18 years of age, live within the City limits, a registered voter, and willing to serve a four-year term to expire June 30, 2024, or until a successor is appointed. The Board of Appeals meets as necessary. All Boards and Commissions serve in an advisory capacity to the City Council and administrative officials. Compensation, if any, is established by resolution of the City Council. All appointees are required to complete a two-hour ethics training program upon appointment and, then, every other year.

Detailed information related to each Board and Commission and Applications are available from the City Clerk at 3970 Rocklin Road, Rocklin, California, or online at www.rocklin.ca.us.

For more information, please call Hope Ithurburn, City Clerk at (916) 625-5564.

*PERSONS APPOINTED BY THE CITY COUNCIL ARE REQUIRED TO FILE A STATEMENT OF ECONOMIC INTERESTS (FORM 700). This rule requires the disclosure of a variety of sources of income for public officials.

Offers of appointment are conditional upon successful completion of fingerprint clearance.


APPLICANT INFORMATION


(First, last, middle)

(Street address, unit number)

(if applicable)


PERSONAL INFORMATION



Do you or any members of your immediate family:



EDUCATION/TRAINING/SPECIAL QUALIFICATIONS



EMPLOYMENT HISTORY/WORK EXPERIENCE


Please list the start and end dates of your employment.


Please list the start and end dates of your employment.


DISCLOSURE

If your answer is “Yes” to either of the following questions, please give details in the space provided below. Attach additional sheets if necessary.



ETHNIC SELF-IDENTIFICATION FORM

The City of Rocklin is an equal opportunity/affirmative action employer. In order to assess the City’s recruiting program and to comply with federal government recordkeeping requirements, we are asking all applicants for employment to complete this form. This information will not be attached to your application and will be used for research and evaluation purposes only. Completion of this form is voluntary. Your cooperation in providing this information is greatly appreciated.



REGULATORY REQUIREMENTS


STATEMENT OF ECONOMIC INTEREST FORM 700:  Per the State of California Fair Political Practices Commission, Persons appointed to the Art Task Force are required to file a Statement of Economic Interests (Form 700).  This rule requires the disclosure of a variety of sources of income for public officials.


ETHICS TRAINING: ALL APPOINTEES ARE REQUIRED TO SATISFY THE LOCAL ETHICS TRAINING REQUIREMENT MANDATED BY GOVERNMENT CODE SECTION 53234. INFORMATION FOR AN ONLINE TRAINING RESOURCE WILL BE PROVIDED BY THE CITY CLERK UPON APPOINTMENT.


OFFERS OF APPOINTMENT ARE CONDITIONAL UPON SUCCESSFUL COMPLETION OF FINGERPRINT CLEARANCE.


Authorization and Release


I UNDERSTAND THAT IN CONNECTION WITH THIS APPLICATION FOR APPOINTMENT, AN INVESTIGATION OF MY PERSONAL AND BUSINESS BACKGROUND MAY BE CONDUCTED. I HEREBY AUTHORIZE THE RELEASE OF ANY AND ALL INFORMATION PERTAINING TO ME OR BUSINESSES IN WHICH I PARTICIPATE, INCLUDING INFORMATION OF A CONFIDENTIAL OR PRIVILEGED NATURE IN THE POSSESSION OF GOVERNMENT OR PRIVATE AGENCIES OR INDIVIDUALS. I HEREBY RELEASE ALL SUCH AGENCIES OR INDIVIDUALS WHO FURNISH SUCH INFORMATION FROM LIABILITY FOR DAMAGE, WHICH MAY RESULT FROM FURNISHING THE INFORMATION REQUESTED.