HomeMy WebLinkAbout03/05/1996, A5 - APPOINTMENT RECOMMENDATION TO THE JOINT RECREATIONAL USE OF SCHOOL DISTRICT PROPERTY COMMITTEE APPLICATION FOR U APPOINTMENT❑REAPPOINTMENT
TO A CITY ADVISORY BODY
Advisory Body Applied For.
NAME OF APPLICANT
:SIDENCE STREET AD RESS CITYZp
DA PHONE ' 2) INTERVIEWS�AREEOUIEVENING PHONE QI
Registered voter of the city. YES NO FEO 2 � lyyC
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How long have you lived In the city. AW/09 CITY Cou.NCu.
Present Occupatio"n�/Employer.
Education: �Y'/�i11/>'/ i n �r�i�cD. /�/ /° l�✓i y / / //
Membership in Organizations: `
Please explain why you would like to serve (use reverse side for additional information):
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.� v /L /� /2nc.� r -, � ' 144 4-
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Previous service on S 0 a isory bodies (names/dates):
PLEASE NOTE: If appointed to the Planning Commission,Architectural Review Commission, or the City Housing Authority,
you are required by State law to file a Statement of Economic Interest disclosing all reportable interests held by you at the
time of appointment A copy of this form Is available from the City Clerk.
Applications are accepted year-round, however, if you are applying for a current vacancy,your application must be returned
to the City Clerk by to be considered for the current round of interviews.
OFFICE USE
INTERVIEW DATE �r7 q SC RECOMMEND_ RECOMMEND FOR ---,
9�COMMITTEE��vtri�/ �f APPOINTMENT_YES NO
INTERVIEW DATE: SCREENING RECOMMEND FOR
COMMITTEE RECOMMEND
_YES_NO
TERM BEGINS: TERM ENDS: I UNEXPIRED TERM: V
FULL TERM:
ADD ZONAL COMMENTS
lei✓)✓IfflrTYL� LTR SENT(Date)
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APPLId. :,... FOR❑APPOINTMENT QflEAPPC . , _ENT "R FEC E I V P .=
TO.A CITY ADVISORY BODY c
� DEC 1 1991
m,.r-�//.vim f (� ..,:
! cY�)�tt Advisory Body Applied For.
NAMEOFAPPLICANT . LERK
SA LUIS BISPO. CA ;
1)
RESIDENCE STREET ADDRESS Crry ZIP
2)
DAY PHONE EVENING (INTERVIEWS ARE REQUIRED FOR EACH CHOICE.)
Registered voter of the city? YES NO
How long have you lived in the W 15:4 921-624
Present Occupation/Employer ni"4Vf N4
Education: _ Otlz� USI! dw '
Membership in Organizations: �
.� a� �j1'
Z ,o"r ,Q-
S6�iA GGA.-A
r
Please explain why you would tike to serve (use reverse side for additional Information):
.r ) ,
Previous service on
SLO advisory bodies (names/dates):
PLEASE NOTE: If appointed to the Planning Commission,Architectural Review Commission, or the City Housing Authority,
you are-required by She law to file a Statement-of Economic Interest disclosing all reportable Interests held by you at the
time of appointment A copy of this form is available from the City Clerk
Applications are accepted year-round,however,if you are applying for a current vacancy,your application must be returned
to the City Clerk by to be considered for the current round of interviews.
OFFICE USE ONLY ® n
INTERVIEW DATE CO U.CJA Q/)-�. dC.f.[Q.Q RECOMMEND FOR
_NO
SCREENING RECOMMEND FOR
INTERVIEW DATE COMMrrTEE Q APPOINTMENT: YES NO
TERM BEGINS 7 '/ " 9.� TERM ENDS: ,/e3 3 / UNEXPIRED TERM: FULLTERM:
m
ADDONALCOMMENTS: /rr d `f0 Y'Vr �r.rm 3fi7/9a.
LTR SENT(Date)
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