/ SAN FRANCISCO JUVENILE JUSTICE COMMISSION
APPLICATION

CONDITIONS OF SERVICE

  • Commissioners must be residents of San Francisco.
  • Commissioners are appointed for terms of four (4) years with possible reappointment for up to twelve (12) years. Youth Commissioners may serve terms shorter than four years.
  • Commissioners must attend Juvenile Justice Commission General Meetings, which are held each month from 5:30pm to 7:30pm (phone the JJC Office to verify meeting dates). In addition to the General Meetings, members of the JJC will also meet attending committee meetings and performing other work on behalf of the Commission. JJC members usually volunteer approximately fifteen (15) hours per month.
  • Commissioners must participate in yearly inspections of the juvenile detention facility, Log Cabin Ranch School, group homes, and police stations/lockups. Participation includes attending inspections, reviewing documents, compiling findings, and reviewing inspection reports.
  • Commissioners cannot be employees of any agency in the San Francisco juvenile justice system (including contractor of the Probation Department), and cannot be a member of a Commission with direct oversight of the Juvenile Probation Department.

Please type or print clearly.

 Mr.

 Mrs.

Ms. Last Name First Name MI

CONTACT INFORMATION

Address:

Street Apt. City Zip

Primary phone: Circle one: Cell / Home / Work

Alternative phone: Circle one: Cell / Home / Work

Email:

Emergency contact: Phone:

Are you a United States citizen?  Yes  No If no, please explain:

______

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OFFICE USE ONLY

Received: _____/_____/______
Interviewed: _____/_____/______/  Referred to Court: ______
 Not referred to Court: ______

EMPLOYMENT / EDUCATION (Please Complete the following. Resumes are also accepted)

Employer: Occupation / Title:

Address:

Street City Zip

May we contact your employer?  Yes, phone:  No

High school:  Graduated  GED  Not Graduated

College / University: City, State :

Major: Degree received:

Graduate College / University: ______City, State : ______

Major: ______Degree received: ______

SUPPLEMENTAL INFORMATION (Use additional pages if necessary, but keep answers brief.)

Why do you want to become a member of the Juvenile Justice Commission?

What special skills, knowledge, or perspective could you bring to the Commission?

List your present business, professional, and civic affiliations (feel free to attach a biographical sketch):

Do you speak any languages other than English? If so, what language(s)?

Reference #1 / Reference #2 / Reference #3
Name: / Name: / Name:
Relationship: / Relationship: / Relationship:
Phone: / Phone: / Phone:

I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE AFOREMENTIONED IS TRUE AND CORRECT.

______/_____/______

Sign name Print name Date