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 |  |  |  | MEASURE G CITIZENS' OVERSIGHT COMMITTEE
 |  |  |  | [NAME]
 |  |  |  | APPLICATION FOR COMMITTEE APPOINTMENT
 | About Measure G:
 | Measure G is a $98 million facilities bond measure that was approved by the community in 2002 to authorize the repair and rehabilitation of deteriorated educational facilities and to add classrooms and instructional support space at Glendale Community College (GCC) and the Adult Community Training Center (ACTC - renamed [NAME]).  [NAME] is a prudent, cost effective plan containing essentials-only facilities projects.  All money generated by Measure G will benefit Glendale College.
 | Purpose:
 | State law requires Glendale Community College District to establish a Citizens' Oversight Committee appointed by the district's Governing Board.  The Committee purposes are:
 | • | To actively monitor all projects and expenditures approved by [NAME]
 | • | To provide proper oversight and accountability to ensure that Measure G funds are used as they were intended.
 | • | To report to members of the community on the progress of Measure G projects.
 | Duties:
 | Duties of the Committee include:
 | • | Ensure Measure G funds are spent only on projects listed in the Measure G Project List and that no funds are used for salaries or general college operating expenses.
 | • | Monitor progress of Measure G projects.
 | • | Receive and review copies of the annual performance and financial audits of Measure G projects as required by California state law (Proposition 39)
 | • | Provide Information to the public on the progress of Measure G projects and expenditures of bond funds.
 | Committee Membership Designation:
 | □ | Business Representative - Company Name:
 | □ | Active Member of Senior Citizen Group - Group Name:
 | □ | Member of Taxpayer or Homeowners Org. - Group Name:
 | □ | Student active in a GCC Student Organization - Org Name:
 | □ | At-Large/Community Member:
 | □ | Person active in a GCC support Organization - Org. Name:
 |  | (e.g. GCC advisory council, college foundation, etc.)
 | General Applicant Information
 | Applicant Name:
 | Home Address:
 | Home Telephone No.: |  |  |  |  |  |  | [NAME]:
 | Employer Information
 | Name of Employer:
 | Work  Address:
 | Work Telephone No. |  |  |  |  |  |  | [NAME]:
 | [NAME]
 | (e.g. college and/or university, degree/major, vocational and/or other training, certificates, technical training, etc.)
 | Additional Information
 | Are you now or have you ever been employed by Glendale Community College District? |  |  |  |  |  |  |  |  |  |  |  | Yes |  | No
 | If yes, please explain:
 | Describe your community service background, including participation and membership in local (Glendale, Montrose and/or La Crescenta) civic organizations.  (You may attach an additional page or resume.)
 | Describe your professional skills and training in finance, facilities and/or construction or other relevant experience, including participation in professional organizations. (You may attach an additional page or resume.)
 | Please answer the following questions:
 | 1.  How long have you been a resident within the Glendale Community College District? |  |  |  |  |  |  |  |  |  |  |  | Yrs. |  | Mos.
 | 2.  Have you ever attended Glendale College or the Adult Community Training Center ([NAME])?
 |  | Yes |  | No |  | Comments:
 | 3.  Do you have or have you had any relatives who have attended Glendale College or the Adult Community Training Center ([NAME])?
 |  | Yes |  | No |  | Comments:
 | 4.  Do you know of any reason such as a potential conflict of interest, which would adversely affect your
 | ability to serve on the Measure G Citizens' Oversight Committee? |  |  |  |  |  |  |  |  | Yes |  | No
 | 5.  Explain why you would like to be appointed to this committee:
 | Certificate of Applicant:
 | All answers and statements in this document are true and complete to the best of my knowledge and belief.
 | Signature: |  |  |  |  |  |  |  |  |  | Date:
 | Please submit your application to the Office of the Vice President of Administrative Services, Glendale Community College District, 1500 N. Verdugo Road, Glendale, CA 91208, or fax to [PHONE].  This application form can also be filled out on-line at the Measure G webpage on the college website at www.glendale.edu.  If you have any questions, please contact Mr. [NAME], Vice President of Administrative Services by email at [EMAIL] or by phone at [PHONE].