Loading...
HomeMy WebLinkAbout06/21/2005, A2 - NOMINATION TO THE BOARD OF DIRECTORS OF THE CENTRAL COAST COMMISSION FOR SENIOR CITIZENS (CCCSC), A council Mfim D� j acenaa nepont geb CITY OF SAN LUIS OBISPO FROM: Mayor Romero Prepared By: Audrey Hooper, City Clerk SUBJECT: NOMINATION TO THE BOARD OF DIRECTORS OF THE CENTRAL COAST COMMISSION FOR SENIOR CITIZENS (CCCSC), AREA AGENCY ON AGING RECOMMENDATION Nominate Hosia M. Towery to serve a second two-year term, July 1, 2005 through June 30, 2007, as the City of San Luis Obispo's representative to the Central Coast Commission for Senior Citizens Area Agency on Aging Board of Directors. DISCUSSION The CCCSC is a non-profit, private corporation designated by the California Department of Aging as the Area Agency on Aging for San Luis Obispo and Santa Barbara Counties. The 12- member Board of Directors includes representatives from San Luis Obispo and Santa Barbara County, the cities of San Luis Obispo, Santa Maria and Santa Barbara and other community agencies and organizations. The Board of Directors governs the operations of all the programs sponsored by the Commission, which include the Health Insurance Counseling and Advocacy Program (HICAP), Senior Employment Program, Eldercare, Senior Connection and Area Agency on Aging. The Area Agency on Aging component of this corporation allocates funds from the Older Americans and Older Californians Acts to address needs for home and community based care for older persons and functionally impaired adults. The City Clerk's office conducted an open recruitment during the month of May. Mr. Towery was appointed June 30, 2003 to serve on the Board for a two-year term as the City's representative. His term expires June .30, 2005, however, he is eligible to serve an additional two-year term as the City's representative. After interviewing the applicants on June 6 b, I am pleased to recommend that the City Council nominate this candidate and direct staff to forward his application to the Board of Directors recommending his appointment. ATTACHMENT Hosia M. Towery's application COUNCIL READING FILE All applications � - f GA304 City Advisory Bodies\Area Agency on Aging\2005 Area Agency on Aging CAR.doc 7) E�C E I V E D AbVisony B( �y a�phcat�onR MAY 1...�..< SLO CITY.CLERK ,zs;,9 /tl , o w£,9�z mss- spy- 6-Q 2-k NAME HOME PHONE 9G 7 S,9„� A-, I[ S.L. o_ 9 3 YUP zV/4 RESIDENCE STREET ADDRESS CITY ZIP WORK PHONE Registered to vote? Live in the City Limits? ✓ How long? / _g.5 Ever attended an advisory body meeting? xf PLEASE LIST THE ADVISORY BODIES YOU ARE APPLYING FOR:�� (1) A?iq ow .4 (2). (Supplemental Questionnaires and interviews are required for each). EMPLOYMENT(Present or last employer[or school, if applicable]): Q n �?,1�C4 �rao c1i T /��7sO,i�rL 2C-riaBo l ! 7s EDUCATION: RELEVANT TRAINING, EXPERIENCE,CERTIFICATES OF TRAINING, LICENSE OR PROFESSIONAL REGISTRATION: - �L rn ,Nu,eS F eAoeo-rz d �1/PfcTo� MPn LiSe,C �,2 LAt'T /�.-✓0 1�EH9c5 INVOLVEMENT IN COMMUNITY, VOLUNTEER, PROFESSIONAL AND/OR ACADEMIC ORGANIZATIONS: �K a /AN'S� M�'�n /i4.0 ? I 't tl "S L con/i I12 M Camp- .CURRENT am CURRENT OR PREVIOUS SERVICE ON CITY OF SAN LUIS OBISP/O ADVISORY BODIES (Please list namestdates): c a a✓', ©e✓ c OAA � £✓ ze¢ � ��/R Mfe 17-A How did you hear about this vacancy? Newspaper Ad Community Group_ Word of Mouth_ City Hall Website_ Current Advisory Body >(- Other please specify IOL SFni�7— SPECIAL NOTES: (1)This application and supplement are"public documents"and are available for review upon request. (2)Applicants are advised that they may be requested to file a Statement of Economic Interests (Form 700)disclosing all reportabl interests held at the time of appointment. If applicable, a copy of this form will be provided by the City Clerk. (3) Unless otherwis indicated, please fill out the attached Supplemental Questionnaire. Thank you. G:V W City Advisory BodieMppBcaion 6 Supplemen,alMdvLrory Body Applicad, Nominations for Advisory.Council.or Board of Directors Central Coast Commission for Senior..Citizens Area Agency on Aging- Section I: INFORMATION ON PERSON NOMINATED Name: M w Birth date:_ 3 f P 1��3 Address: 5 r16 7 S"Azl 41,,et :� .o C, Optional : Minority: Yes —� Zm t'S "'�e4e o CA Retired: 2< Disabled- Telephone:- 6 isabledTelephoner4/q- 6-12$ e-mail: C L O M H L rCd 401- Occupation DLOccupation(or previous occupation,if retired): Organizational Affiliations: k 4w1*711 s List Boards,Councils,Commissions,Committees, Clubs or other bodies on which the suggested nominee has been an active participant: Board,Council,etc. Dates ,✓c �c �d%23 2csr,-T- S T s-C>o Other qualifying experience (include dates): o,A. eco ' Other comments: (Signature of person sugges (Date) Section II: INFORMATION FROM NO NATIQFGANIZATION Name of nominating organization: t n Address: j 1 Person is recommended for: Board of Directors Advisory Council (Circle one) Signature and title of respondent for nominating organization date Forward completed form to: Central Coast Commission for Senior Citizens Area Agency on Aging