Citizens’ Bond Oversight Committee Application

California law requires certain persons to be represented on the Measure C Citizens’ Bond Oversight Committee (CBOC). Members must reside within the Riverside Community College District (cities and areas of: Corona, Eastvale, Jurupa Valley, Moreno Valley, Norco, Perris and Riverside).

GENERAL INFORMATION

Name:*

Home Address:*

Cell Phone:*

Email:*

EMPLOYER INFORMATION

Name of Employer:

Work Address:

Work Phone:

Work Email:

I would be able to represent the following constituencies in the District: (Fill all that apply)
If possible, please provide a contact person and phone number for the organization in which you are active. The College District may contact these organizations to verify your participation.

RCCD Student Representative - Organization/Student Club:

Business Community Organization - Company Name:

Senior Citizens’ Organization - Organization Name:

Bona-Fide Tax-Payers Association - Organization Name:

College Advisory Organization - Organization Name:

Community At-Large - Community Name:

ADDITIONAL INFORMATION

Why do you want to serve on this committee?*

Do you have any special area of expertise or experience that you think would be helpful to the committee?*

If you have served on other District, city or community committees, please list and briefly describe your role.

Please answer the following questions:
(*Employees, vendors, contractors and consultants of the Riverside Community College District are prohibited by law from being members of the Citizens’ Bond Oversight Committee. Employment which could result in becoming a contractor or subcontractor to the District would also be a potential conflict.)

Are you an employee of the District?*

Yes

No

Are you a vendor, contractor or consultant to the District?*

Yes

No

Do you have conflicts that would preclude your attending quarterly meetings?

Yes

No

Do you know of any reason, such as a potential conflict of interest, which would adversely affect your ability to serve on the Citizens’ Bond Oversight Committee?*

Yes

No

Are you willing to comply with the ethics code included in the Bylaws?

Yes

No

Do you agree with the Bylaws and are you willing to comply with the existing Bylaws?

Yes

No

Please be aware that completed applications are public records available for public review. If you have any questions, please email cboc@rccd.edu.

By submitting this form, you are agreeing that all answers and statements in this document are true and complete to the best of your knowledge.

Citizens' Bond Oversight Committee Application