Committee Appointment

Make a Difference in Your Community – Apply to Become a Committee Member!

Residents of Napa County are encouraged to serve on an advisory committee. This is an impactful opportunity to help shape the county’s regional transportation planning and improvements to local streets, highways, and bicycle and pedestrian facilities.

Interested individuals may submit a Committee Appointment Application below!
(Note: Member appointments representing a jurisdiction on the Active Transportation Advisory Committee or Community Advisory Committee must apply through the City/Town Clerk)

Application for Appointment To

Representing Field of

Date

State

Current Occupation (within the last twelve (12) months)

Current License (Professional or Occupational): Date of Issue and/or expiration including status:

Education/Experience – (a resume may be attached containing this and any other information that would be helpful in evaluating your application)

Community Participation (nature of activity and community location)

Other Board/Commission/Committee on which you serve/have served

References

Reference 1

Reference 2

Reference 3

Name and Occupation of spouse within the last 12 months, if married (for Conflict of Interest purposes):

Please explain your reasons for wishing to serve, and in your opinion, how you feel you could contribute

You must type your full name in this box, thereby signing this form electronically, in order for this submission to be accepted.

Please fill out the Equal Employment Opportunity Data.