HomeMy WebLinkAbout03.A- Appointment 3.A.a
' •�' Appointments
City of San Bernardino
Request for Council Action
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Date: January 9, 2017
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To: Honorable Mayor and City Council Members L)
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From: Mayor R. Carey Davis, Mayor Q
Benito Barrios, Ward Two Council
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Subject: Appointment of Mr. William Cioci to Fine Arts Commission c
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Recommendation That Mr. William Cioci be appointed to serve on the Fine Arts 2
Commission, representing the Second Ward. A copy of Mr. Cioci's application is E
attached.
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CITY OF SAN BERNARDINO APPLICATION-
FOR APPOINTMENT TO BOARS, COMMISSIONS ANI) i � F` �'I�I� T]U,] .
2016 OEC _6 plP) 4. .
List,in order of preference,the committee(s)on which you wish to serve.
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2) }�t� f l S ��e / Q v 4)
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Name: �6 Date of Birth: a
Home Address: city: r.� rAf�rtK7 Zip:
Horne Phone: E-Mail: `PC V;-- r-►�►� zBC� M S Na COln
Em to er: n
p y Occupation: a-
Address: City: Zip: °
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Years lived/worked in San Bernardino: V Work Phone: ( ) -°
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Educational background/degrees: 41:�n 6r-"- r-;;j'- 'Se- `Ont
1 am 2"'am not 0 a registered voter. Ward: c Marital Status: 'Sc,-)G f e
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Licenses or special certificates:
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Previous City of San Bernardino Commissions/Committees: From/To: a
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Organizations to which you belong(professional,technical, community): -a
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The information provided is factual to the best of my knowledge. I understand that I may be required to
complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, o
ordin n es and regulations of the City of San Bernardino and the State of California.
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Signs&e Date a
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Note: Applications will be kept on file for a period of one(1)year.
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Return to: Gigi Hanna,City Clerk,300 N."D"Street,San Bernardino,CA 92418-0001
03/22/2012—Prepared by the City Clerk's Office Q
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