HomeMy WebLinkAbout03/24/1992, A1 - HUMAN RELATIONS COMMISSIONS RF ) ' VED
APPOINTMEN
`�y G REAPPOINTMENT
APPLLTf&LMOkPPOINTMENT/REAPPOINTMENT TO A CITY ADVISORY BODY
QS• IN e Advisory Body Applied For:
Name of Applicant
a /Olh o E l e,-t- S(.o
Residence Street Address & City 2.
(If a second choice is indicated, a
second interview will be required. )
Day Phone Evening Phone
1 . Are you a registered voter of the city? ES NO
2. How long have you lived in the city?
3. Present occupation and employer: (,hh?iC+'aI Sales PG.II: or ✓=1ew 4',te..'aq
4. Education: 6. 5. 3. SG '.Jcer C"ft e.cl.ua C �C`��..1 GI... Sar,w � s L- •�
5. Membership in organizations:
6. Please specify the reasons why you feelou should be a
y appointed to this
advisory body (use reverse side for additional information) :
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7. Previous service on any SLO advisory bodies (names and dates) : reocrtc s. -r.
?LEASE NOTE: If you are 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
in order to be considered for the current round of interviews.
***TO BE FILLED OUT BY CITY CLERK'S 0 ICE***
Interview Date: Screening Committee >a A 07�/
***fj0 E FILED OG U�' 8Y SCR N COMMITTEE 'IiA ***
2�/ 9tgz
Recommend or ppo�ntme YES
Recommendation is for: Q Unexpired term Q Full term
Additional comments: �trL►4 C W44--12 S
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APPL -ION FOR ❑APPOINTMENT U REA, INTMENT L�
TO A CITY ADVISORY BODY }
�o A1J �A W e..:r.4. Advisory Body Applied For:
NAME OFAPPUCANT
( ( Qua1
�c�.i✓a_�iJ Lots (�tSpO , i�fv M �►,�L�i 1 c>JS M r"1 l SS•I 0 N
RESIDENCE STREET ADDRESS CITY I LP
R3777
(�� 5��-`Z 7 � � 5 tot t►-t � zi_ �3 I�Ir-�r l�-a-�
DAA PHONE EVENING PHONE (INTERVIEWS ARE RE RTAC C
Registered voter of the city? YES NO DEC 7 �y
CC UNCIL
How tong have you lived in the city? � SAN .13 aISPD, CA
Present Occupation/Employer. EEF 'l
Education: (�
AMPMembership in Organizations: �t tC P `—\4V_
Please explain why you would Ike to serve (use reverse side for additional information):
�i.w\ JQ�t'Ly 1 n�TC (.ST�� r o�J C,m rJ T1 Qy. �3 1 NC I'A
Ck, Ml 5 PJ S_t-Yt-J I N .0 V'l
-od�1 M EDE K-5 r 510A 9Qss,rag tj arl wb L�--- LA-,
D S t 2 1 Cep Q r.9 A be� I 4� JQ.11 0021iF M I tJ 1= a S A ri
tM0CVf xAPT C,tmnJTt2[ B�T� 0N -'m7Vw C,ouhVN
e-"�-`f
Previous service on SLO advisory bodies (names/dates): A�-'-�-
5v v e N I Le- 3yST t l.e ��t�n Pj�s u2a.��t o rJ � b M M Iw D tf E0 C
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 USEY ONLY
INTERVIEW DA /� �f /�
Tr�_� CSCREENING
MT !A A�Y�JYiQ/h I t�L>� IIJ�LX9I
APPOINTMENT RECOMMEND OR YES_NO
SCREENING RECOMMEND FOR
INTERVIEW DATE COMMITTEE APPOINTMENT'_YES_NO
TERM BEGINS: TERM ENDS: UNEXPIRED TERM: FULL TERM:
)DTTIONAL COMMENTS:
LTR SENT(Date)
A'"'_ ]ON FOR [I APPOINTMENT [I P : 'NTMENT �� D,`E/� ��
TO A CITY ADVISORY BOD. JAN 2 � 1992
Linda Barra Advisory Body Applied For. CI LERK
NAME OF APPLICANT SAN Wig OBISPO,CA
1351 Peach St. San Luis Obispo, CA 93401 1) Human Relations Commission
RESIDENCE STREET ADDRESS CITY 71P /
r,Q-470n 541-4643 2) Planning Commission✓
DAY PHONE EVENING PHONE (INTERVIEWS ARE REQUIRED FOR EACH CHOICE)
Registered voter of the city? NO
How long have you lived in the city? 2h Years
Present Occupation/Employer. Crisis Coordinator/San Luis Obispo County Mental Health Services
Education: Michigan State University-Masters degree in social work-1982
Membership in Organizations: SLO Child Abuse Prevention Council, Pacific Wildlife. Care,
SLO County Emergency Response Team and SLO Social Work Association.
Please explain why you would like to serve (use reverse side for additional information)
I love San Luis Obispo. I live here and I work here. I attend City Council and
commission meetings on a regular basis. I feel that my experience, interests and back-
ground would make a positive contribution to either commission and I would like the
a-pp- Q tunity to serve a community that means so much to me.
Previous service on SLO advisory bodies (names/dales):
I am a current member of the Personnel Board.
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 avalabie 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--:-
SCREENING
NLY ------SCREENING RECOMMEND FOR
INTERVIEW DATE COMMITTEE APPOINTMENT-_YES_NO
SCREENING RECOMMEND FOR
IN7ERVIEW DATE COMMITTEE APPOINTMENT:_YES NO
TERM BEGINS: TERM ENDS: UNEXPIRED TERM: FULL TERM:
ADDITIONAL COMMENTS -
LTA SENT(Date)
d:advbod.app _