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HomeMy WebLinkAbout02- Mayor's Office 2.a NARDI�O 5 'Y d Appointment = o c c 0 a= City of San Bernardino a Request for Council Action G�'DED iN�� w O a� Cf Date: October 18, 2017 = d To: Honorable City Council Members V 0 From: Mayor R. Carey Davis By: Evelyn Estrada, Executive Assistant to the Mayor E Subject: Commission Appointment ;= 'o CL CL Recommendation Q I respectfully request that Mr. Scott Herring be considered for appointment to serve on N 1 the Personnel Commission. Ln c Background ° .N Mr. Herring submitted an application for appointment to serve on a Commission and a A copy of such application is attached for your review. E O U Conclusion Approve the appointment of Mr. Herring to the Personnel Commission. c N d Fiscal Impact a None _ Attachments = Attachment 1 — Commission Application c 0 U) w d E 0 a a Q c 0 .y N E E c d E t V M Q Packet Pg. 13 • This Page Is Left Intentionally Blank 2.b CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS ANP: 0MWTT EE- i U 2416 NOV --3 PM 33 � L List,in order of preference,the committee(s)on which you wish to serve. ° 1) ' �Mr�c.l �o►1d ►1-- �-�'�rr+2re 2- k 3) _ 2) _. - — - 4) — 2 EDE Name: �_ -:a-0@.{rj6- Date of Birth: � "t 8 o Home Address: City:-CAA-kk.9-A4•,-DINA�Zip.. 9 7,qu q sc•� sc,a rrt c Home Phone:. Fax: ■ E•Mail: m Employer: 0,t�&t".T�'�A-"o'"X..T*Ve,! . Occupation:YQ-1yc£ llaY's'Clb�'C"d�. d Address: City: a +4+�D�rsb Zip: 2-`4�� S a� Years lived/worked in San Bernardino: vent$ Work Phone: _ L Educational background/degrees: �rR.A�� Mtfl_. d'1t6k3 Sc.��t,, � 0 I amX am not❑a registered voter. Ward: Marital Status: PAA4444om _ N i c r Licenses or special certificates: (Utit,taoNKt IDS. 02b Tk s-QQ at aQ- Pf?-504 (rR-ruq" Tr T9Afrg4Ac, ..1r1 OCS1_l�,MR., _ � Previous City of San Bernardino Commissions/Committees: From/To: a Q .. - N N tp Organizations to which you belong(professional, technical,community): r . � . sem.F s.S� zJ . QENNA, Mh*Mr&--s s✓.ar R-•T• S4t4 7RVW& . jMb *u4f- CITI2&4 J(3L0 4TC R• �I The information provided is factual to the best of my knowledge. I understand that I may be required to cr complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, L orci�nant2n �d re-g i 'ons of the City of San Bernardino and the State of California. _ S ignatu Date m Note: Applications will be kept on file for a period of one(1)year. E 'o Return to: Gigi Hanna,City Clerk,300 N."D" Street,San Bernardino,CA 92418-0001 Q 03!22!1012—Prepared by the City Clark's Office E t v Q Packet Pg. 14 This Page Is Left Intentionally Blank