HomeMy WebLinkAbout10/16/2002 - STAFF REPORTS (22) SUBMIT APPLICATION DATE
BY 3 —��- oa
CITY OF PALM SPRINGS
BOARD/COMMISSION APPLICATION FORM
of Board or Commission
on w 1 1 I I h
on which you would like to serve: l c l T
MPIICADON PCIt BO COMMISSION,IlM92)
NANM
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TELEPHONE_ -p REGISTERED VOTER
omm: YES V NO
Length of Residence in Palm Springs:
Occupation&Employer: s
(or Former, if Retired) Q.��..-4.-_.i i9 O.M'•% /�M'�,.. ,�,.-_�` �.��' i� � '.C...p Gi d�`�k� ��'P,-pl✓�",�
Local Reference ME '" i% ➢��,t�4f'� °t `, � .9 +
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Regarding the c ssion you are appiying for, list dates of its most recent meetings you have
F,
attended ;°�a c j
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 malang 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
BACKGROUND /WORK EXPERIENCE/CIVIC INVO EME L t
(Over)
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