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HomeMy WebLinkAbout1999-09-14; City Council; 15393; Parks & Recreation Commission AppointmentsCl”” OF CARLSBAD - AGEN-1 BILL b9 AB#a TITLE: MTG. 7 g/14/99 DEPT. CLK PARKS & RECREATION COMMISSION APPOINTMENTS RECOMMENDED ACTION: \ Adopt Resolution Nos. 99-323 ,9Q -32Y members to the Parks & Recreation Commission. , and 09-32 5 , appointing three ITEM EXPLANATION: The term of Tim Davidson as a member of the Parks & Recreation Commission expires in August, 1999. Mr. Davidson was originally appointed in 1995, and has served four years. The term of William Scott Pierrat as a member of the Parks & Recreation Commission also expires in August, 1999. Mr. Pierrat was originally appointed in 1994, to fill an unexpired term, and has served five years. The term of Robert Richards as a member of the Parks and Recreation Commission expires in August, 1999 as well. Mr. Richards was originally appointed in 1996 to fill an unexpired term, and has served three years. The appointees will serve four year terms, which will expire in August, 2003. Other members are: Julie Baker, GaryCox, Dennis Cunningham, and Seth Schulberg. NOTE: Members of the Parks & Recreation Commission are subject to the Political Reform Act and must file a Statement of Econ%mxic Interests. EXHIBITS: $ . 1. Resolution No. 9 9 c 323 appointing one member to the Parks & Recreation z Commission. 2 *rl -z 2. Resolution No. 99 c 3aq appointing one member to the Parks & Recreation 8 Commission. d .rl z 3. Resolution No. w3as appointing one member to the Parks & Recreation ii Commission. u % 4 . Letter from Tim Davidson, dated August 3, 1999. \ 2 \ 5. Letter from Bob Richards, dated August 12, 1999. a 6. Letter from ScottPierrat, dated august 16, 1999. 7. Copies of applications received in calendar year 1999. - RESOLUTION NO. 99-323 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPOINTING ONE MEMBER TO THE CARLSBAD PARKS & RECREATION COMMISSION WHEREAS, the term of Tim Davidson as a member of the Parks & Recreation Commission expired in August, 1999; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad, California, as follows: 1. That the above recitations are true and correct. 2. That the following person is hereby appointed to serve as a member of the Carlsbad Parks Jz Recreation Commission for a term to expire in August, 2003: PASSED, APPROVED AND ADOPTED at a Regular Meeting of the City Council of the City of Carlsbad on the day of , 1999 by the following vote, to wit: AYES: NOES: ABSENT: CLAUDE A. LEWIS, Mayor I ATTEST: I ALETHA L. RAUTENKRANZ, City Clerk (SEAL) 1 1 1 1 1' l! II 1; 1t 15 2c 21 22 23 24 25 26 27 28 - RESOLUTION NO. 99-324 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPOINTING ONE MEMBER TO THE CARLSBAD PARKS & RECREATION COMMISSION WHEREAS, the term of William Scott Pieratt as a member of the Parks 8 Recreation Commission expired in August, 1999; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City o Carlsbad, California, as follows: 1. That the above recitations are true and correct. 2. That the following person is hereby appointed to serve as a member of the Carlsbad Parks & Recreation Commission for a term to expire in August, 2003: PASSED, APPROVED AND ADOPTED at a Regular Meeting of the Ciiq Council of the City of Carlsbad on the day of , 1999 by the followin@ vote, to wit: AYES: NOES: ABSENT: CLAUDE A. LEWIS, Mayor ATTEST: ALETHA L. RAUTENKRANZ, City Clerk (SEW 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 . RESOLUTION NO. 99- 3 25 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPOINTING ONE MEMBER TO THE CARLSBAD PARKS & RECREATION COMMISSION WHEREAS, the term of Robert Richards as a member of the Parks & Recreation Commission expired in August, 1999; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad, California, as follows: 1. That the above recitations are true and correct. 2. That the following person is hereby appointed to serve as a member of the Carlsbad Parks & Recreation Commission for a term to expire in August, 2003: LEO PACHECO PASSED, APPROVED AND ADOPTED at a Regular Meeting of the City Council of the City of Carlsbad on the 26th day of OCTOBER, 1999 by the following vote, to wit: AYES: Council Members Lewis, Hall, Finnila, Nygaard, and Kulchin NOES: None ABSENT: None ATTEST: I Z, City Clerk KAREN R. KUNDTZ, Assistant City Clerk - POST OFFICE BOX 249 3821 ADAMS STREET EXHIBIT 4 - (3: C&y @/le.6 TEL’ 729 -2888 AREA CODE 780 Bt. @trirk’~ Mlprrlj CARLSBAD, CALIFORNIA 92018 August 3,1999 MAYOR BUDDY LEWIS City Hall City of Carlsbad Aloha Bud! Hard to believe but my 4 years on the Parks & Recreation Commission have already flown by! It has been a tremendous experience to serve in this role. As I mentioned at the Christmas dinner, I figured it was time to move on. But then again, maybe you folks want another term out of me! (I believe the term expires this month.) I’ll leave that decision up to you. It would be an honor to serve again. Either way, thank you once again for this great opportunity. Sincerely, “Coach” Tim Davidson Youth Ministry Director 2530 Davis Avenue Carlsbad, CA 92008 (760) 434-0380 - EXHIBIT 5 August 12,1999 Buddy Lewis, Mayor City of Carlsbad 1200 G.&bad Village Drive, Carlsbad, CA 92008 Dear Mayor Lewis; I believe my term of appointment on the Carlsbad Parks and Recreation Commission expires this month, and I do not wish to be considered for reappointment. Participation on the commission has been interesting and rewarding. During my term, we’ve seen the start of Poinsettia Park, plamring and construction of the skateboard park and planning and start of the Leo Carillo Ranch project. I thank you for giving me the opportunity to serve Carisbad. 4615 Park Drive Carlsbad, CA 92008 - CALIFORNIA CORPORATE e;cj’yo~~ EYHIBTT 6 BENEFITS INSURANCE SERVICES 16955 VIA DEL CAMPO, SUITE 250 August 16,1999 SAN DIEGO, CALIFORNIA 92 127 TELEPHONE 619-487-4125 FAX 619-487-2913 CA LIC# 0771722 Mayor Bud Lewis City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, Ca 92008 RE: Reappointment of Parks & Rec. Commissioner Dear Mayor Lewis: My current term as a Commissioner for the Carlsbad Parks and Recreation department is coming to an end. It is my understanding that should I care to sit for a second term I must notify your office for review and reappointment. As I have enjoyed my time on the commission, and there are many projects I would like to see through, I would like to be considered for reappointment of a second and final term. Any questions you may have, please feel free to give me a call. Thanking you in advance for your time, Si ely, F $ @?r- cott Pieratt 7 03/17/i995 li: 46 666B6666 QQQQQQQQ iPPLICATZON FOR APPOINTMENT BOARD(S) AND/OR COMMZSSZON(S) (Please print or type) NAME(S) OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: J > /?/an/;&? &.s~/m 2) Puks p/2dl A%& &mmP~,hn NAME: shande &me&f ADDRESS: 2243 Tim K&/edO CITY: cLW&z2Li ZIP CODE: 9a&7 HOME PHONE: %B- 436 8sz9 PRESENT OCCUPATION:&- m ~~&4?= &@55fll/_d~~ BUSINESS NAME: sfik- /%=X&&k se;/v/m V BUSINESS ADDRESS: fl@# k&L /ii4537 &=i%d WORK PHONE: 7h% ,4 a4 33f/ U. S. Citizenship (required for all appointments) /Yes No Resident of Carlsbad (required for all appointments) /Ye8 No Registered voter in Carlsbad (required for all appointments) /Ye8 -No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Member. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. SIGNATURE: DATE: &kg/w L’pon completiou ofyour applicatiorr, please tnall or de&r the application to the following address: City Clerk k Office City Hall 1200 Carlsbad Village Drive Car&bad. CA 92008 8 EDUCATON: I graduated from San Pasqual High School in 1981. I recently returned to college and I am currently working on my degree in psychology. EXPERIENCE: I was employed by the Carlsbad Police Department as a Police Officer/Detective for over 15 years. As a result of a knee injury, I retired from the Department in January of this year. While employed by the department, I had the opportunity to become quite familiar with the geographic make up of our City and many of the civic groups, business owners and individuals that reside and work here. The following is a list of a few contributions I made to the Department and the Community during my service with the Department: 1) I researched, wrote, and proposed the change from the traditional work schedule (5/8 hour days) to the “3112 work plan”; which is now in substantial use throughout the Law Enforcement community. 2) I sought out training in “Community Oriented Policing” and formed a committee that Provided direction and training in Conununity Policing to members of the department. 3) I researched, wrote, and proposed the bicycle patrol program now in affect. 4) I was the Department’s Crime Prevention Officer for 2 ‘/2 years. This assignment provided me with the opportunity to get out into the community and become familiar with the neighborhoods, community members, and their concerns. COMMUNITY ACTIVITIES: I have 2 children ages 9 ‘/z and 11 years old. I have coached their sports teams, and served as a leader of their Brownie Troop and Indian Braves Tribe; I also regularly volunteer at their elementary school. ADDITIONAL INFORMATION OR COMMENTS: My retirement from the Department after 15 years of service came as a great disappointment. I am excited over the prospect of continuing my service to the community with service as a member of the Parks and Recreation Commission. June 27,1999 Mayor Claude A. “Bud” Lewis 1200 Carlsbad Village Drive Carlsbad, CA. 92008 Mr. Mayor, Thank you for your letter and the enclosed list of available City Boards and Commissions. After review and consideration, I have selected the Parks and Recreation Commission as my first choice. I am quite interested in the service provided by the Parks and Recreation Commission and the contribution this Commission makes to the quality of life in our community. Although my goal is to serve on the Planning Commission, I respect your position relative to the selection of individuals for this particular Commission, and would gratefully accept and embrace an opportunity to serve on the Parks and Recreation Commission. I appreciate your time and consideration, as I seek to fulfil1 my continuing goal of public service to our community. Feel free to contact me if you have any questions or would like to meet to further discuss my application. Shand’e Carpenter 2268 Camino Robledo Carlsbad, Ca. 92009 (H) 635-8529 &‘d 4+/f/r9odw th$y#G: ltGmzz 2/- APPLICATION FOR APPOINTMENT BOARD(S) AND/OR COMMISSION(S) (Please print or type) HOME PHONE:- PRESENT OCCUP BUSINESS NAME: WORK PHONE: U. S. Citizenship (required for all appointments) / Yes No Resident of Carlsbad (required for all appointments) Registered voter in Carlsbad (required for all appointments) I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Member. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of I erest codes. SIGNATURE:< JLta%c!Jd DATE:, +$%T Uport completion of your application, please mail or deliver the application to the following address: City Clerk’s Office City Hall 1200 Carlsbad Village Drive ‘Carlsbad, CA 92008 N Teresa Stroben June 1999 EDUCATION: EXPERIENCE: 1997 - present - Cal State University San Marcos 1996 - MiraCosta College Oceanside, CA AA - General Studies 1995 - Recipient - Women’s Advisory Committee Scholarship 1996 Recipient - James Copley Scholarship Present - Stuart Anderson’s Black Anszm (14 years) Foodservice, Bartending, high volume sales in a fast paced business environment. Extensive use of people skills and communication. I985-90 Garden Art - Hemzosa Beach. CA Owner operator, color-scape design landscaper, sales, inventory control, and maintenance- COMMSJ-NITY ACTIVITIJZS: 1984-85 Cal Surance - romance. CA Unit supervisor, marketing representative, public speaker, public relations, event planning. Volunteer: 1992 - America’s Cup, San Diego 1992 - Present - Carlsbad 5000 1992 - Present - Carlsbad Triathlon 1997- Present - Fresh Start Surgical Gifts 15 years of volunteer classroom participation, field trips, sports, dance, and cheerleading activities associated with 3 school age children, including taking part in, and organizing, fundraising events. ADDITIONAL INFORMATION OR COMMENTS: For the last 2 years I have been serving as an Intern for , Congressman Ron Packard. The exposure I have gained through this experience has-proven to be valuable and rewarding. I plan to continue to promote Carlsbad positively and be active in my community, as my husband and I believe this is a great place to live and raise our family. :i J” g?&a u-48-pp ;f 3 -.- APPLICATION FOR APPOINTMENT $GJik:u BOARD(S) AND/OR COMMISSION(S) (Please print or type) NAME(S) OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: Design Review Board, Parks & Rec. Commission NAME: Mary Regan (Megorden) ADDRESS: 330 Redwood Ave. CITY: ih-l=.h+ CA ZIP CODE: HOME PHONE: 760-729-0388 PRESENT OCCUPATION: Mortgage Broker BUSINESS NAME: Vista llortgage Co. BUSINESS ADDRESS: 110 N. Michigan, Vista, CA 92084 WORK PHONE: 760-941-5880 92008 U. S. Citizenship (required for all appointments) X Yes -No Resident of Carlsbad (required for all appointments) Yes X -No Registered voter in Carlsbad (required for all appointments) X Yes -.---No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Member. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. SIGNATURE: DATE: 4-23-99 Upon completion of your applicatiorr, please mail or deliver the applicatiort to the following address. City Clerk’s Office City Hall 1200 Carlsbad Village Drive Carlsbad, (2.4 92008 EDUCATION: . . RA mv 1998 /I w Leadership 2000 u EXPERIENCE: Small business owner for 8 uears. Past member of the i ; Vista Community Services commission (P&R), Law Enforcement Task Force. Board of Directors of VEDA (Vista Economic Development Assoc.) and past president of Vista Chamber of Commerce. Founding member of 1/ "LEAD VISTA" ( a leadership program for Vista residents). COMMUNITY ACTIVITIES: Vista Sunrise Kiwanis, Boy's and Girl's Club Foundation Board, Children's Home Society, Moonlight Angels, Carlsbad Arts Association. II /I ADDITIONAL INFORMATION OR COMMENTS: In the past I have enjoyed being involved in Vista. Now that I live in Carlsbad, I find that I miss not being involved in the town in which I live. I have the time and the interest to become more active in Carlsbad. /I /I I I/ /aed I-2&-7~ APPLICATION FOR APPOINTMENT C+.&:M BOARD(S) AND/OR COibfMLSSION(S) (Please print or type) NAME: IjTE\IE 2ib=@-Ey ADDRESS: 2s7s ).Jdrd3x q CITY: (rLd9-s Lad ZIP CODE: 4zooq HOME PHONE: (749 4’f3 -(+fsT PRESENT OCCUPATION: f&& Phfuwr BUSINESS NAME: c-+u&%d BUSINESS ADDRESS: LfLi;zr &,L,&& -%Vd _ . &&~s;& WORK PHONE: ma) ci66 -785s U. S. Citizenship (required for all appointments) ,k Yes -No Resident of Carlsbad (required for all appointments) F Yes -No Registered voter in Carlsbad (required for all appointments) No k Yes I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a cownzxibtee designated by the City Council or at the request of an individual Council Member. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. SIGNATURE: ?Y%-c.h DATE:. $&j Upon completion of your application, please mail or deliver the application to the following address: City Clerk’s Office City Hall 1200 Carl&ad Village Drive Carlsbad, CA 92008 EDUCATION: EXPERIENCE: COMMUNITYACTMTIES: tib+ W h- w- z ds- - &=I D P,3Wy APPLICATION FOR APPOINTMENT &Q[eS 7b : COUM~L &UWh/G FLIZ BOARD(S) AND/OR COi!4iWSSION(S) (Please print or type). NAME(S) OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: Pc,RtcS + AECAs4g-r 1 oh) c~mf-llSScQN NAME: Tlrl COlYSTQ CK ADDRESS: a79 SPOk&CrE. WctY CITY: CJ+,RLSBC)O ZIPCODE: qtoa8 HOME PHONE: 729- 7029 PRESENT OCCUPATION: CPA BUSINESS NAME: rem&J ConSTotJc CPA BUSI~SSA,DDRESS: a’)ss 3-CFFedsoJ rTucf--, ‘rti (7~ 1 ot WORK PHONE: 729 -7 YYY U. S. Citizenship (required for all appointments) Resident of Carlsbad (required for all appointments) J Yes -No Yes r/ -No . Registered voter in Carlsbad (required for all appointments) J Yes -No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am wiIling to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Member.. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. SIGNATURE: %- a- DATE: ul~+q Upon completion of your application, please mail or deliver the application to the following address: City Cterk ‘s Office City Hall 1200 Carlsbad Village Drive Carlsbad, CA 92008 . EDUCATION: 6s ’ 6as1+er~ aontr,rrnr ~/at-J - Sosu EXPERIENCE: z 4 - Tr,~PbQCO 3L7L-k Tw* c,t?ta< YaJ7-H uucnd I ;CrhTrarrS- 06aa-8 a.ao Ya-Tc) 0aseQnLL c C-6 arro OC+flL.SQA.O d-6 ccc4 ccua CGSC). eo-rw I 0 aGQr.1 & &Tlb>s trr7eltac-l- WIT-U x9E I I eaAKs #.GO at cncerra#J n-c-rt~trrCI ag CAAL.rdr,O I COMMUNITYACTMTIES: I fl ++oo~-rl*~ ~a we YOJTH II II UJ t-t-u TU t C(RLJ + 0ay.f CL40 n frr?C cuore rat3 CAFI’-‘f l=s. y&e occ,t~OCnedY 0 P Q\14 ADDITEGNAL INFORAMATION OR COlMWENTS: 5 14 = = = fi m _ P~T~~C Lh (r’ JaL~eeo I& act a tn-slbc Wl-rHrC .CaRLSano 3z C4bJ a I=I=c* nb 01 CuS Ir’ ,JSP’Orrl- OF Tli-e PCI.lzKS zI40 accnrb77ati FUcrC new . t=aa -vl+c CtTY OF cLCALx6aO R,rO QJR yaJTt+. 4 APPLICATlON FOR APPOINTMENT 6 pies -74 ; &L(.m rL BOARD(S) AND/OR COMMISSION(S) fmJlrz, G (PIease print or type). NAME(S) OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: . pa& 3 ad RacCbqbn c *UV&SS’L Or\ NAME: C aC &-I#% etw.l+ ADDRESS: 78 3 q ‘S;+ia Coca CITY: c,,l,buJ ZIP CODE: 9a009 HOME PHONE: (_760> 94 a- 70 18 PRESENTOCCUPATION: Genera \ MCL~=~er BUSINESSNAME: ~eocad'a ~~+cc Dd- - f ClG BUSINESS ADDRESS: 19 t 6 ta cn&% A.*moe. WORKPHONE: (7LC9 753- O\SG U. S. Citizenship (required f&r all appointments) No x Yes Resident of Carlsbad (required for all appointments) No % Yes Registered voter in Carlsbad (required for all appointments) -Yes - “I( ‘No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve.. X am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council. or at the request of an individual Council Member-. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. T&e.& SIGNATURE: DATE: +/y? Upon completion of yo ii&ion, please mail or deliver the application to the following address: City Clerk’s Office City Hall I200 Carlsbad Wkge Drive Carlsbad, CA 92008 19 EDUCATION: B.S. QbKr ~dvwm.c&&or) M.B.A. 3.n - rn PfoclrcS5 1 3 EXPERIENCE:.. E X+-she .-qmkna I!r! .S+q yzfw~ m\L -I- &E i CL& \ 5 : f&f (rCQC\ofia( OfagCa* Ol*nAi*. _ &dP-(6pti'"t d * ' . . c?kLvur\\4k~I^n ; @X te*ci'cue eKPef;once in Bay5 4 C;& CLb & CAbid, Qost -?resrde,d I cd Cwrent wwwb~t b i-4 i- NSaon Rt3+du f c?sr \sbJ &itib . ‘fo,f4 BasekU Cosck CL.C.KOJ. member of he S&*&r &,,d,+;,, . ADDITION+L INFORMATION OR COMMENTS: i x . R=m=D slaslqy COPfts 73 : t%lub,AJg APPLICATION FOR APPOINTMENT coulvw~ BOARD(S) AND/OR COMMISSION(S) (Please print or type). NAME -rTcl 64 S OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: ic s+ CpVUiSMir\ ?w\c\s e I3 &AA& G3m+i\SS\Qh NAME: &~QVQ L;M-\= ADDRESS: 18% bnqan D&e CITY: tiyjQc4 ZIP CODE: SaooF; HOME PHONE: ‘lbo -IW- 615-i PRESENT OCCUPATION: ~u5webs wr\e( BUSINESS NAME: %k you< h+=- BUSINESS ADDRESS: \%z cQnVQu\ Q\QL= - kV\SbG\ c\acm WORKPHONE: %b 11% 17’\ 4 U. S. Citizenship (required for all appointments) Resident of Carlsbad (required for all appointments) Registered voter in Carlsbad (required for all appointments) y Yes No y Yes No Yes -No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Memberi.. I am willing to file financial disclosure statements as required by the state’s or city’s Conflict of Interest codes. SIGNATURE: DATE: %‘k aa, qq Upon completion of your application, please mail or deliver the application to the following address: City Clerk’s Office City Hull 1200 Carlsbad Village Drive Carlsbad, CA 92008 Y EDUCATION: 3 yaS= cO+ie - T‘lo &xp3 u II II EXPERIENCE: ‘hX% sp=\s-\i b bb- Qp--e&;&~ H COMMUNITY ACTIVITIES: ADDITIONAL INFORMATION OR COMMENTS: x’wu, &zn Q T&k& oc GM+%U c;oc Yk b&w me\ OF a7 yew-s. W.x Szeti bikh YkqgAW- Qd - -. APPLICATION FOR APPOINTMENT BOARD(S) AND/OR COMMISSION(S) (Please print or type) NAME(S) OF BOARD(S) AND/OR COMMISSION(S) IN WHICH INTERESTED: NAME: &=c7 .PAcHEco ADDRESS: tirr; c3 &i-&c?+ sb?@ cITy: .<#&f ZIP CODE: a008 - I HOME PHONE: &(a ?p- yoyy- PRESENT OCCUPATION: Ji- e&- &s+JL.o y/if tJ BUSINESS NAME: yj!#f/_,fg~ “6 p&q2 -i&$yri/ I/ I BUSINESS ADDRESS: .?I? 7 b- 6% ~&&&Y&./ C/J .,P&ap WORK PHONE: / U. S. Citizenship (required for all appointments) Resident of Carlsbad (required for all appointments) Registered voter in Carlsbad (required for all appointments) Yes No I am familiar with the responsibilities assigned to the Board(s) or Commission(s) on which I wish to serve. I am willing to be interviewed regarding my qualifications for appointment by a committee designated by the City Council or at the request of an individual Council Member. I am wilhng to file financial disclosure statements as required by the state’s or city’s Conflict of Inte,r&t codes. DATE: Upon completion of your application, please mail or deliver the application to the following address: City Clerk’s Office City Hall 1200 Carlsbad Village Drive Carlsbad, CA 93008 EDUCATION: &‘.i& c/i’r I EXPERIENCE: f%&W? 61 J&w II COMMUNITY ACTIVITIES: c%&l &7- t?m C%+WeCr 1 \ d NAL INFORMA ,.P&rGa+ /& 77*--p- 70 G ‘I -rCIP jl ---2 - \ --- . - /’ L ,.