Loading...
HomeMy WebLinkAbout3/21/2001 - STAFF REPORTS (28) � SUBMIT APPLICATIZ 2MtM mfiwow 6c, DATE 20 _�.( MODEM CITY OF PALM SPRINGS OMMISSION APPLICATION FORM Name of Board or Commission p on which you would like to serve: (ONEAPPIICAMONPMWO /COMMISSION,I M2) NAME xoME wn 2 C 1-(Jc, S i2D P t tiC 2 f rJ G j a-� TELEPHONE REGISTERED VOTER (crry CI.EE Wvmn) Home: 16 ( Office: _ YES '/ NO Length of Residence in Palm Springs: Occupation&Employer: (o,Forme)if Retired) n �c d z o DL-C-) C Loc eference: G p NAME 6c>& b v-D i S H TELEPHONE �- —I — I Regarding the commission you are applying for, list dates of its most recent meetings you have attended W rA-S 0 rnl 6 w A a-G .ti-i C.E 71 rJ G-s v-�L-Z ©E n The following information will be used by the City Council, and/or a subcommittee thereof, to select final applicants to be interviewed by the City Council, in making recommendations to the Mayor for appointments. FACTORS TO BE CONSIDERED: Resident& registered voter in Palm Springs Background, education, experience to demonstrate knowledge and sound judgment Social, Ethnic and cultural diversity in commission membership Attendance at commission meetings prior to interview BIOGRAPHICAL SKETCH (Do not attach additional materials) EDUCATION V l `� �� EEL �IA if 010t S/Z21 L l� l Cc !.> ' U'y Y'1 rN ��GrU LCJG� YCC�v Lv(�/ BACKGROUND (WORK EXPERIENCE/CIVIC INVOLVEMENT: 41/S L� i{ C 'oLrC,�-: i 7 yi2S' su1 1f C�) C-), I' ,0AJ C� ��� U 4i, ✓cS ?v� � r/c Vrc�r�_u (Over) H:\users\c-clk\bds-comm\apphc.frm PLEASE PRINT Va SER (Continued) A/6 11r ti7r/�L k-&A-c T�4 go/4W-? Y/z s /��i�-�/ �F Sri✓/�i r/OL ✓�J?,��(�� — a `/2�/�2 S '/ lea/ [� �i� tii�on) /Fn/✓ c �den/�NFtI� 1/UGJ��c 2— /6 !" /1'S rA) H-P2aR�/L— jSr Y25 Coy JCL 05 Describe youi`�riowTed dot lie functions, regulations and procedures of the commission which you would like to serve. fOyC 10 "1S AS A4 ) A42P,cALS 10/3Z7 Fof?- C ( { 6 f V'�J trp S 4b:s nJ What specific attitudes, skills and expertise do you think you have to enhance the work of the commission? r-a P- O Al e- I o I.LJ : I M�! !)[i('2i i f IJ P>F�L'c_ Jana — MCA'o'T—t fR PO-t> 1 r') QIOIL,- )( n 7 r d O «i !Tr 6 S ; %r-11,zD / � / �- ''2S r21c.c< 1� p —rry-2� 1JoLUi.)-r/S t=(-S 0-T -r-tr,- IS;:- iaoe-Liao What s ecific issues or problems face the board/commission? Do you have any suggestions to address those issues or problems? i[ Ii- Sdo� � <' �cC1 c=c SSJ S 1 1 i F-4 n1C- 1IL JAYf I �i�1 + �2SucJJ1 AJ � } � �1 7rsCl r) y�" 6 rZ S S — ���-�" /� t- CUci% rc. iCTS - 1 ur l}F r7c sY 27 To AFD-D, C-- PC J r- AddtUo 4 FH N �S 3e_ 1 tR- J�LF� t � �j . 9 q�I, f f32cAU�e No 6 � cal ns for the Kent Control Commission are: a)applicant may not be a landlord or tenant subject to the rent control ordinance; b) must submit a verified statement as to present holdings and interests in real pr2pn in the City. YES I am qualified, and my statement is attached (Form 700 Schedule A-2 and/or B) SOCIAL SECUR NUMBER DRIVERS LICENCE OPTIONAL Revised: 10-21-98 QeO