HomeMy WebLinkAbout8/21/2002 - STAFF REPORTS (12) 0^o/00f2002 11:03 4159743387 FEDERAL RESERVE PAGE 02/e3
SUBMIT APPLICATION DATE
by ' J CrIT OF PALM SPRINGS y
BOARD/COMMISSION APPLICATION FORM
Nmme of Board or Commission '
on which you would like to serve: T V-&N 30 h9Z
(UNe nttLxCAt40H 481tLMRDICUMbAk4ON,LIM9r`t)
N""><a K� r a Lit J
wa s 190% C . CI. az2
TELEPHONE REW MRED'VOT R'
(Ql)k iC46Ar ra VeR�Rr)
0 3 !S • !2! a 15 s-12, i�z a 1'1 S NO ✓
Lmgth of Resideuce'ixI Palm rin s; e 3 r�
Occupation&Employer:
A5beflkb. �i EWE SOF-rWAtC- n1Al.q�T
or Former, if Retired)
Local Reference, M� mk«.1 r>L�eaoars' 'I 3 � 33
NAME'
Retarding the comalassion you are applying for, list dates of its most recent meetings you ha
attended 4.3 6 V�)a
The tbllowing Wormation will he used by the .City Council; and/or a subcommittee thereof, .to sel ct final
applicants to,be interviewed b_*#lie City Council, in making recommendations to the Mayor for appointment .
FACTORS TO BB CONSIDERED:
Resident,.& registe-red voter.In Palm.Springs
• Raekgtwund,.educationy eaperiencem dertratrsirate kltowlydge and sound judgment
• Social,'Ethnic and.eultarW diversity ia'contminsion membership
• Arrendance of meerings prior to interview
BIOCTRAPHWALSKETCH
(Do not attach additional materials)
FDUCt1.TION: 8S M Nhd radar A-V LbSF Tb 8le C-OMVtCITV Sfct_vA 2043
BACKGROUND [WORK EXPERIENCE ICIVIC INVOLVEMENT:
,DE JT -75 SRIUL D rJ -90MtFa 3tog&sS .J
O qg 1eYKf uJ ?-Cb FC7 AND P-*- P 1L[TJ
of $Z.qK bud t�
• VD �oi� Go e-ct-'
(Over)
08/08/2002 11: 03 4159743387 FEDERAL RESERVE PAGE 03/03
PLEASE PRINT
(Continued)
Describe your knowledge of the functions, regulations and procedures of the commission wh ch you
would like to serve,
�p 'Q�V16tV Q4NY c-c�T�a4� �e�„ICI, �{rcSOW6 Al PLL'TE'$ F4 r�GE
What .specific attitudes, skills and expertise do you think you have to enhance the work of the
commission?
OG66T1E! uiJ syGtLLill COYN.+htn,N1C D OLA.L.. ErJTAT p,�I
What,g ecific issues or problems face the board/commission? Do you have any suggestions to address
those issues or problems?
aolanl
Additional qualifieatiow for the,R:eat',CAtktFAt.Cotttmisaitin are:..
a).awicautm4Y not be a hnttlard.-�orU=z t subject to-die,rent control ardiva ; .
b)must submit a,verified statatitent as to, resenrbWdings.and iuterests irl real,property ltt the C- ;
YES I ;tm,qualified,:attd my statement is:attached(For.m 70o Schedule 2:,
and/or B)
StlCAAL 86CURliY HUMtBR ARlvpgg LA'QNC¢
528 •let.joig A383s► I
OPTIONAL j /