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HomeMy WebLinkAbout03.A- Mayor's Office 3A DOC ID: 4458 CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Appointment From: R. Carey Davis M/CC Meeting Date: 06/06/2016 Prepared by: Evelyn Estrada, (909) 384- 5133 Dept: Mayor's Office Ward(s): 5 Subject: Appointment of Vera Campbell to the Senior Affairs Commission - Council Member Henry Nickel (#4458) Current Business Registration Certificate: Not Applicable Financial Impact: None Motion: Approve the appointment of Vera Campbell to the Senior Affairs Commission as requested by Council Member Henry Nickel. Synopsis of Previous Council Action: Respectfully request that Ms. Vera Campbell be considered for appointment to serve on the Senior Affairs Commission at the June 6, 2016 Council Meeting. IL i Background: A copy of Ms. Campbell's application is attached for your review. Supporting Documents: Campbell - Cvr (PDF) Campbell - Apl (PDF) I Updated: 5/26/2016 by Georgeann "Gigi" Hanna Packet Pg. 10 3.A.a CITY OF SAN BERNARDINO INTEROFFICE MEMORANDUM TO: Mayor R. Carey Davis FROM: Council Office ° .N to E SUBJECT: Committee Appointment c N DATE: May 10, 2016 Q COPIES: City Manager, City Clerk U) d Request Ms. Vera Campbell be considered for appointment to serve on the Senior Affairs Commission (at the Council Meeting of June 6, 2016). E A copy of the resume for Ms. Campbell is attached for your information. 0 Ed E HE Y NICKEL 0. Council Member, Fifth Ward a co LO L U HN:rb Q Attachment (1) E U r c m E mow v ca w Q Packet Pg. 11 �i;Nidt3i� E',�11tll;it Erfir;i�E. "Ty ll' SAN E1E#tll,�l�llt: 16 MAY _Z AEI 9: 25 CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES List, in order of preference,the committee(s)on which you wish to serve. 1) �t°f'? i D Y -'-l� q i �'`S 3) 2) 4) `o .N N E Name: Date of Birth: E 0 Home Address: ty: 'y Zip: L N Home Phone; Fax: ( ) E-Mail: Pod , ,C6 ¢ Employer: �? y�r<' Occupation: Address: City: Zip: Years lived/worked in San Bernardino: Work Phone: jj EEducational background/degrees: � 2 r kel-aI14Z& �/��,�1 1,b�,y���llf 1��,.�f�,�..�u � cc I am am not❑ a registered voter. Ward: --±�1 — Marital Status: U loom", m d ry Licenses or special certificates: o c Previous City of San Bernardino Commissions/Committees: From/To: 0 a 00 LO Organizations to which you belong(prroofe`�ssional,technical, community): YI a YtP_S la�1 ! a The information provided is factual to the best of my knowledge. I understand that I may be required to E complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, cc U ordinances and regulations of the City of San Bernardino and the State of California. w r � r � E s Signature Date Note: Applications will be kept on file for a period of one(1)year. Return to: Gigi Hanna,City Clerk,300 N."D" Street, San Bernardino,CA 92418-0001 I03/22/2012—Prepared by the City Clerk's Office Packet Pg. 12