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CITIZENS ADVISORY COMMITTEE
NOMINATION FORM

The Santa Clara Valley Transportation Authority’s (VTA’s) Citizens Advisory Committee (CAC) was formed to facilitate communications and to receive input from interested parties and the community at large.  This Committee advises VTA’s Board of Directors on aspects of policy issues referred to the Committee by the Board or the General Manager.  The Committee is composed of seventeen (17) members.  Regular meetings are scheduled for the Wednesday following the first Thursday of each month at 4:30 p.m. and will be held at a minimum of once per quarter.  Committee members should be prepared to devote approximately eight hours per month to Committee activities.  The Committee does not have independent duties or authority to take actions that will bind VTA’s Board of Directors.  Members of the CAC must be residents of Santa Clara County and cannot hold elected public office while on the Committee.

Name:


Home Address:



Home Phone Number:


Work Phone Number:


Occupation:


Category Applying for: City Grouping or Community Interest or Business and Labor Groups  (If interested in more than one position, indicate preference by 1, 2, 3)
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List and briefly describe any community or professional organizations that are relevant to your candidacy for the Citizens Advisory Committee:
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Briefly, describe your interest in serving on the Citizens Advisory Committee, citing any relevant experience:
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List three (3) references including name, address and telephone number:
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This space is provided for additional information you may have concerning your nomination:
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I have sufficient time to devote to this responsibility and will attend the required meetings if appointed to the Citizens Advisory Committee.



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We appreciate your interest in serving VTA and will keep your application on file for two years from date of receipt.

If you have any questions about this application or the Citizens Advisory Committee, please contact  VTA’s Office of the Board Secretary at (408) 321-5680.  Please mail the completed application to VTA, Office of the Board Secretary, 3331 North First Street, San Jose, CA, 95134-1927.