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HomeMy WebLinkAbout12/17/2003 - STAFF REPORTS (33) Nov 15 03 11 : 23a Daniel B. Johnson 760-320-7907 p. 1 11/10r2003 17:22 PAX 760 322 8032 Palm Springs City Clerk Z031 SU$AAIT APPXICA7ION DATEBY NOVI CITY OF PALM SPRINGS { 003 BOARD/COMMISSION APPLICATION FORM r Name of Board or Commission on which you would like to serve: (o��rrurcnron rFxaonanmsrwsstou rnw�2) rt&rvrE`��l�G HOME ADDRESS TELC=PHONE / RUGISTEREA VOTER Bm,s: —3/S - lvlI o""`: — YES 1>< NO Length of Residence.in Palm Springs: Y"'O':�A/a S Occupation&Employer: Ale (or Former, if Retired) Local Reference: NAW OrAt 'boy/ Trrrraor E Regazdmg a commission you are applying for list,,dates of its most recent meetings you have attended ENE / rV PDN /l t'D z�3 OAt i✓. 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 CONSIDERIW: •Resident&registered voter in Palm Springs •Background,education, experience to demonstrate knowledge and Sound judgment •Social,Erhnic and cultural diverslry m commission membership •Attendance or commission meetingsprior to interview BIOGRAPHICAL SKETCH (Do not attach additional materials) PLEASE PRINT F�UCAT70N z ��es t�OI+G�G� BACKGROUND,rWORIC ENFEMNCFJCMC INVOLVEMENT S e'0 :74-f 'd M Ro i f= s or- (over) n;lwcrs\ccncU�ds-cotmn�applic.frm I_� /^''' 1 / 1 Nov 15 03 11 : 23a Daniel B. Johnson 760-320-7907 11/10/2003_17:22 F..4.L 760 322 89a2 Palm Springs city clerk P 2 - Z002 PLEASE PRINT (Continued) /1Y �,�I��k/EiUG�E !�/Tff 7ff� C� P XG A-T/DrU Z- lff� Tr=��/!/ -s �Xd �k©yfd,� �rt�r/Jf�iU6� Try Od ,SEyCJ .r) i��V, ii 11e describe your knowledge of the functions,regulations and procedures of the commission which you would like to serve. QA5250 CA) rtt/ 6r3�Tran) M/i�s ���Yr/ls;isieA) P.t'9VI R-9510 ,cls� �t�d 4/,PEcT�rV o c .�fG� ism>,�5 �PF TCd t//G R/G�f%S . r�r.'C�ud�if�G �1d7�T�ry tLr('r✓, a i4T�� What specific attitudes,skills and expertise do you think you have to enhance the work of the commission? What specific issues or problems face the board/commission? Do you have any suggestions to address those issues or problems? n( aL AAM XhA17-16 L le-:X1961S Pe TD 72�25F- 1aQ&HV U/i y. Additional qualifications for the Rent Cwrtrol Commission ate: a)applicant may notbe a landlord or tenant subject to the rent control ordinance; b must submit a verified statement as to went holdings and interests in real roe in the City. YFS I am qualified,and my statement is attached(.Form 700 Schedule A-2 and/or S) snow.ssamnv tammsu aanreas ua'.rue OPTIONAL Revised:02-07-00 Z SUBMIT APPLICATION DATE November 17 BY 2003 � G'?:�,1�' n ... CITY OF PALM SPRINGS BOARD/COMMISSION APPLICATION FORM NIN 1 7,9003 Name of Board or Commission on Which you would like to serve: HGIMAN 'RIGHTS COMMISSION ",, (ONE APPLICATION PER BOARD COMMISSION t'IMFFv NAME L-C. HOME AnnxEss S_qC V r 5 .n r n ZIP �J�oZ TELEPHONE RE STERED VOTER (yq / /! r7 -� ^ D� (CITY CLERK TO VERIFY) Home:///Q a�• 1 ! Office:�IPQ (O((J a C'Wo YES 11 NO Length/of Residence in Palm Springs: _¢q wt oVL—r� Occupation&Employer: (or Former, if Retired) k4l4dXci Local Reference: . I _ j �111 t� 7 !� „ -.NAME. V 4/� IV ccO TELEPHONE Ha.. tatg 333 .r2�l8 aC Regarding the commission you are applymg for, list dates of its most recent meetings you have attended 9 5 n J /a 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) PLEASE PRINT n p EDUCATION I S t( t� r.7�" / 'II(512 rS CDu r15,6 ! 1%1q 4yr—hd`C� .r- BACKGROUNDIWORK EXPERIENCE/CIVIC INVOLVEMENT: oT*rq r 7— IS f ,1e„ Te�� /n 7rt v�r acTrc e �I r Na T rr0 r^ 1 0, (Over) �U�(/iG/l l Ac r v-t.. {�rv6Mr7T e H:\users\c-clk\bds-comm\applie.fnn PLEASE PRINT ' N (Continued) fOrYhd I.te C1�1 A f✓' l�o..R F +�L� L.e.4[A n- Iv T✓id n /J�. �P�.� t � e - i n w uw r {en t r Q r Ad-e / I'es;CehT l iFarwr+ AIr t, �(,/�fl rB•14.-Yvrt1G'1.� `"^'ctvl7h rn mAr,^aa d 1 ,e 7-- her- y17-- 1 #1V / wclb \ffM-t�✓-IIAa4-44- tnj •/ a �csTt�'UGT describe your knowledge of the functions, regulations and procedures of the commission which you would like to serve. �/�+Mt-T hA / fZ�d�d 4/7-, r�J Com.rtl .T D Y/)♦Ud �C+wrv�-ed�e. e�r ��4f�+ o7rG Pyp fi l 0�-�er Lie 4> -e �$ v ior�cvT�DLs -- �T'�4-lyv IPWt51@GMGS el- r►te.,��a7es ��acr.� �y. What specific attitudes, skills and expertise do you think you have to enhance the work of the co_nunissio/n/? A4 .�}1 A iirhri�v D✓a aw� c�-TA=i�dyln�"e� {r1m✓yPdwrr o.4rnA+�iL� 44Y41W, e. V G7 e IL Wh tSe"+ 6[e, e-4'e fiTi� rruao w.e1/ �• o TIraf AV rt►n c�' r`e" "016 a s eci cis ues or pro ems taco tli� board/ mtmssion� oou ave any suggesti o a ess those issues or problems? -�- /l f WfttAd A-R-e� ,D k:vIO cl M or.G fir} �rw aT y�r dw w �L»T Cn�rV,, rt Ll S rr t s /4v'-e- A"d W I wr Tor v>7 e Additional qualifications for the Rent 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 pLoperty in the City. YES I am qualified, and my statement is attached(Form 700 Schedule A-2 and/or B) E SECURITY NUMBER DRNERS LICENCE WOPTIONAL Revised: 02-07-00 t� SUBMIT APPLICATION DATE.` ` �'1r BY CITY OF PALM SPRINGS , ,1�UF i t1 BOARD/COMMISSION APPLICATION FORM - Name of Board or Commission 1 ` on which you would like to serve: U O')G I 1 c5 YYl l S O Y (ONE A VL E= HOARD COMMISSION,LIMIT 2) NAME HOME ADDRESS m ,n ZIP `1 TELEPHONE REGISTERED VOTER (CITY CLERK To VERIFY) Home: 3 1. 0 Office: 3oZ�_ l_l� YES x NO Length of Residence in Palm Springs: Occupation&Employer: (or Former, if Retired) ab(l 0 • G_Q Wl CCA Y\ Local Reference: NAME m�� t',p� TELEPHONE 3 a3''� S Regarding the commission you are applying for, list dates of its most recent meetings you have attended `tV-rcm 6n TV C f QOf u ,�e O��e 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) PLEASE PRINT EDUCATION SC7 rYl e Co l� BACKGROUND/WORK EXPERIENCE/CIVIC INVOLVEMENT: Q�A Corn �� ?G1 s4pf 1n fi (Over) H:\users\c-clk\bds-conim\applic.frm PLEASE PRIIV P (Continued) c 0n 'rl �e� 'PS \Ji o c� GmI p 1,n�1`b`y�.G� ©n '�}1� �.YTeral � �l;r>1rni �-e_ GY)J olht rs' describe your knowledge of the functions, regulations and procedure the commission which yo uld like to serve. S hG4e- abse-r\3eJ Co mr� 1 i Is o F r5 Gad, u Y-)(A-e.cSt" 'Its u >1cc What specific attitudes, skills and expertise do you think you have to enhance the work of the commission? �~ Grrl G t7 ro YYl Yy-)\.A n O Y yn of� \/Gtb 1 , < S06 a l l l\ V^� G rGr� o — rc�m \lbme -.SS G Uey �: What s fic issues br pr�blems face the board/commission? Do you have any suggestions to address those issues or problems? -Y�IA n �S COr�Y 1� SSinr1 1� uJe-0 V Ur\ . S S`A e a S Additional qualifications for the Rent Control Comn issr n 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 property in the City. YES I am qualified, and my statement is attached(Form 700 Schedule A-2 and/or B) SDCLIL SECUWTY MEMBER DRII/ERS LICE OPTIONAL Revised:02-07-00 1 SUBMIT APPLICATIONAl BY -1 i 2 CITY OF PALM SPRINGS E3 DEC 1 120 G) BOARD/COMMISSION APPLICATION FORM Name of Board or Commission ' on which you would like to serve: t//vt✓fs 1 a C� �5 V' ��4�S�J A T r (ONE APPLICATION PER WARD COhA9S510N,LIMIT 2) NAME xonE wnnass36 zm zL in TELEPHONE REGISTERED VOTER (CP CLERICTOVERIFY) Home: 6o aa- ,[,l6 O offim: y-p YES I X NO Length of Residence in Palm Springs: /3 _a Occupation&Employer: (or Former, if Retired) Local Reference S / c NAMi l V 6 FF �E—L A, S- TELEPHONE �Co O Regarding the commission you are applying for, list dates of its most recent meetings you have attendedy —7 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 �fir1- BACKGROUND [WORK EXPERIENCE/CIVIC INVOLVEMENT: sec � - lyf-6 - :2-6-d- (Over) PLEASE PRINT (Continued) r Describe your knowledge of the functions, regulations and procedures of the commission which you would like to serve. What specific attitudes, skills and expertise do you think you have to enhance the work of the .commission? / � /- o/�lE— i9 t-k, "IL1 -- Cii-Lia...J fd' f lj::- r What specific issues or problems face the board/commission? Do you have any suggestions to address those issues or problems? W-e- w-� Additional qualifications for the Rent 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 property in the City. YES I am qualified, and my statement is attached (Form 700 Schedule A-2 and/or B) SOCW,SECURITY NUMBER DRIVERS UCENCE OPTIONAL Revised: 10-21-98