HomeMy WebLinkAboutNomination Application - ScottELECTION DATE: November 5. 2024
TO RF COMPLETED RY CANDIDATE
RESIDENCE AD15RESS INCLUDII
G CITY
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DATE
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MAILING ADDRESS IF DIFFERENT FROM RESIDENCE
E-Mail Address: Fax:
TELEPHONE NUMBER(S): Day ( Eve.
Palm Desert City Council
OFFICE SOUGHT
( )
® Full Term ❑ Short Term
,&, OFFICE USE
ten' Registration checked by: Arl l� Zlr
(CLERK AT ROV OFFICE)
Precinct Number:Date of Registration:
Material issued by:
(CITY CLERKIDEPUTY)
V Official Filing Form
Ballot Designation Worksheet
Candidate's Statement Form
Code of Fair Campaign Practices
Statement of Economic Interests/Manual
Resolution concerning Candidate Statement
Campaign Disclosure Forms
District 1
DISTRICTIWARD (if applicable)
(951) 486-7200 or 800-773-8683
TO BE READ AND SIGNED BY CANDIDATE
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To the best of my knowledge, I meet the eligibility requirements for the office I seek. At my request the nomination
documents listed above have been issued to me and I am aware that they must be filed with the City Clerk, during
normal business hours no later than August 9, 2024, at 5 p.m.
STATE LAW REQUIRES CANDIDATE INFORMATION BE A MATTER OF PUBLIC RECORD.
Please indicate if you give permission for your home address and telephone number to be listed on the Internet.
F1 Yes
❑ No (If NO, you may provid a mailing address)
SIG CA D7DXlrr0R AGENT)
NOTE: A Spanish version of the required forms is available upon request.
La version en espaflol de las formas requeridas est3n disponibles al solicitarlas
DATE OF SIGNING