HomeMy WebLinkAboutAttachmentsSeptember 27, 2011
TO:
FROM:
SUBJECT:
OFFICE OF THE CITY CLERK
1243 National City Blvd.
National City, CA 91950
Michael R. Dalla, CMC — City Clerk
619-336-4228 phone 619-336-4229 fax
Honorable Mayor and Members of the City Council
Michael Dalla, City Clerk
Status Report - Boards and Commissions
There are currently two (2) new applicants to be interviewed.
Notice of Vacancies and Expired terms have been advertised in the newspaper
and posted on bulletin boards and on the city's web page. If you are aware of
any other interested applicants, please encourage them to apply as soon as
possible. Below you will find a summary of the status of Boards & Commissions
needing Council consideration.
ART COMMITTEE
Appointing Authority
Members:
Terms Expire:
Meetings are held:
Staffing Provided by:
Mayor with approval of City Council
5
September 30th
Quarterly
Community Services
Current Status: There has been one expired term on the Art Committee since
June 2010. Seven applicants, including two incumbent members, are eligible for
appointment.
CIVIL SERVICE COMMISSION
Appointing Authority City Council
Members: 5
Terms expire: September 30th
Meets: 6 times per year
Staffing Provided by: Human Resources
Current Status: There is one (1) current vacancy on the Commission due to a
resignation and one (1) term on the Commission will expire on September 30,
2011. The incumbent Commissioner (Jerry Cano) has requested reappointment
and there is one new applicant to be interviewed.
PARKS, RECREATION AND SENIOR CITIZENS ADVISORY BOARD
Appointing Authority Mayor with approval of City Council
Members: 7
Terms Expire: September 30th
Meets: Every two months
Staffing Provided by: Community Services
Current Status: Four (4) terms on the PRSCAB will expire on
September 30, 2011. All four (4) incumbent Advisory Board members have
requested reappointment and there is one (1) new applicant to be interviewed.
LIBRARY BOARD OF TRUSTEES
Appointing Authority Mayor with approval of City Council
Members: 5
Terms Expire: September 30th
Meets: Monthly
Staffing Provided by: Library Staff
Current Status: There is one (1) current vacancy on the Board due to a
resignation and two (2) terms will expire on September 30, 2011. Both
incumbent commissioners have requested reappointment and two (2) applicants
have been interviewed and are eligible for appointment.
COMMUNITY AND POLICE RELATIONS COMMISSION (CPRC)
Appointing Authority Mayor with approval of City Council
Members: 8 (7 voting / 5 residents and 2 non-residents)
Terms expire: March 31st
Meets: 4 times per year
Staffing Provided by: Community Services
Current Status: Appointments to the CPRC should be deferred until new
by-laws are adopted clarifying the appointment process and a new application is
prepared.
APPLICATION SUMMARY
ART / CIVIL SERVICE / LIBRARY / PARKS RECREATION SENIOR CITIZEN ADVISORY BOARD
Parks Recreation
& Senior Citizen Art Library Civil Service
Advisory Board
Request
Applicants Interviewed Re -Appoint
Vacancies
Expterm
0 0 1 1
4 1 2** 1**
Deborah Canedo
N
1
Richard Wingfield
N
x
Wayne English
Y
x
Gloria Bird
Y
1
Shane Uriarte
Y
1
Darryl Gorham
Y
x
Frank Bueno
Y
Yes
1
Christina Chacon
Y
Yes
1
William Ramsey
Y
1
Vener Yambao
Y
1
Pearl Quinones
Y
x
Roberto Andrade
Yes
1
Yvonne Cordoba
Yes
1
James Grier
Yes
1
Howard Schwitkis
Yes
1
Arlene Castillo
Yes
1
Deborah Hernandez
Yes
1
Jerry Cano
Yes
1
1 = First Choice
x = Willing to serve
** = On Sep 30th
3
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
X"Civil Service Commission
Community & Police Relations Commission*
Library Board of Trustees
Parks, Recreation & Senior Citizens Advisory Board
Planning Commission
Public Art Committee*
Traffic Safety Committee
Sweetwater Authority
Note: Applicants must be residents of the City of National City except for those marked by an
Name: J Rd.��-�F Al, CAl"e.L) % D
Home Address: `7 e eiL AAR,: r,/ 4 Tel. No.: 4%41L- /6 21
Business Affiliation: Title:
Business Address: Tel. No.:
Length of Residence in National City: 742cfp_s San Diego County: 72- If California: 6fiI2
Educational Background: / $ P y i 4 W-2 ,9)2-rs • Drr. s cr4-C,$r
Occupational Experience: Zia Llrs. "feaciti+.,y ert'Ke' vofunl&r- Weu'( amYFnc tL. cJt,
-0.44c00 CIuIa Vick. r- I-vnz- 8; 1LPev Ct1v(' t4s�•h-ors
s Apo 1-10 0..� c, r ®r.*
Professional or Technical Organization Memberships:46f)1fOADA-L /Nf' iA tA.7TL -.+
/-rr,�-CFf p iv ,g-ppLcc _oAJ
Civic or Community Experience, Membership, or Previous Public Service Appointments:
66 ie M-00, jo-DCe—
Experience or Special Knowledge Pertaining to Area of Interest:
sde. Pr-0 # 177.00Q.a-t- Jec.t es erne �p�s
Have you ever been convicted of a crime? No: ic
Date: 4t f Et$r3oj ,20 it Signatures
Please feel free to provide additional information or letters of endorsement.
Yes:
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
" Residency requirements may not apply
This documents is filed as a public document
Revised: 12/02/10
y
EDUCATIONAL HISTORY AND COMMUNITY INVOLVEMENT
EDUCATION
Master of Arts in Education 1985 USIU
Reading Specialist Credential 1985 USIU
General Elementary Credential 1963 SDSU
AB Degree-Spanish/Anthropology 1962 SDSU
POST -GRADUATE STUDIES (1986-1990)
University of California, San Diego
University of Missouri, St. Louis
TEACHING EXPERIENCE
Chula Vista School District
John J. Montgomery Elementary Schobl - Language Arts Specialist
National School'pistrict
Parents as Teachers Program - Community Parent Educator
San Ysidro School District
La Mirada Elementary School - Reading Lab
Spanish and English Reading Transitional Program
Chula Vista School District
Travelling Spanish Teacher
Sixth Grade/First Grade Teacher
COMMITTEES AND ORGANIZATIONS (1973-1990)
President, National City Public Library Board of Trustees
Board Member, National City Public Library Board of Trustees
Board Member, Families for Literacy Project
Board Member, Project Read
Board Member, Project My Turn Advisory Board
Sweetwater District GATE Advisory Committee
Sweetwater District Advisory Committee on Curriculum & Instruction
Sweetwater District Desegregation Committee
Sweetwater District Lau Steering Committee
Hilltop High School GATE Parent Advisory Committee
National School District Citizens' Integration Committee
National School District Parent Advisory Committee
National School District District Desegregation Committee
National School District Lau Steering Committee
National School District Bilingual Parent Advisory Committee
National School District Bilingual Education Committee
Kimball School Parent Advisory Committee
Kimball School Bilingual Parent Advisory Committee
President, Vice -President, Secretary, Treasurer
National School District/National City Community Mini -Park Committee
National City/Tecate, Mexico Sister City Committee
5
BOARD OF TRUSTEES OF THE NATIONAL CITY PUBLIC LIBRARY (1985-1990)
Appointed by the Mayor and the National City Council
Trustees determine policy relating to the operation and
administration of the library.
ADVISORY BOARD OF FAMILIES FOR LITERACY PROJECT (1988-1990)
Literacy program for parents and children
ADVISORY BOARD OF PROJECT READ (1986-1990)
Literacy program for adults
ADVISORY BOARD OF PROJECT MY TURN (1986-1988)
Project My Turn, funded by a California State Library grant, is a
library -based tutorial program for junior high school students.
Junior high school students are given an opportunity to receive
one-on-one assistance from trained tutors.
Appointed by Library Board of Trustees to represent National City
Library
ACCELERATED BILINGUAL CLUSTER PROGRAM (1985-1987)
Volunteered in National School District's Advanced Bilingual Class
Presented study units and assisted classroom teachers and students
with independent study on class topics
Curriculum consisted of E414vanced instruction in reading, math and
spanish
PARENT VOLUNTEER COORDINATOR (1974-1980)
Organized Bilingual Parent Volunteer Program for Kimball Elementary
School, National School District
Presented bilingual workshops to parents
Trained parent volunteers to work with students and teachers
COMMUNITY WORKSHOPS (1974-1980)
Presented workshops at County Education Center regarding Parent
Volunteer Programs in Bilingual Schools
Presented workshops for San Diego State Institute for Cultural
Pluralism Lau Center regarding Parent Volunteer Programs in
Bilingual Schools
TESTING TEAM EXPERIENCE (1969-1972)
Ed Snyder and Associates
Member of testing team with Ed Snyder and Associates
Tested students in Spanish and English at Norwalk/La Mirada School
District
Independent field study and language dominance survey for Bilingual
Education Programs for the state of California
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission Planning Commission
Community & Police Relations Commission* Public Art Committee*
Library Board of Trustees Traffic Safety Committee
Parks, Recreation & Senior Citizens Advisory Board
Note: Applicants must be residents of the City of National City except for those marked by an *
Name:
• T iC,kooRt (iO tt?(,Flr
Home Address: Z (')) Qv r, Tel. No.: 61 - 7 j`j L{ NC(
Business Affiliation: N/A Title: N/1-1
Business Address: i'� i/ Tel. No.: P//1
Length of Residence in National City: y:25 San Diego County: 3yi California: D yR
Educational Background: (-t1614 ' t{'c DiFLo A 1 Gvee..t:h)t'LY zFLi t" C'LLt'C?E
Occupational Experience: 17 ►01-ErES<_u Mt
Professional or Technical Organization Memberships:
Civic or Community Experience, Membership, or Previous Public Service Appointments:
Vo;..ukv; czj trr 1 AcADK. Att.>-0 31 t i Ei1. 1 V
Experience or Special Knowledge Pertaining to Area of Interest:
Cutze > rLY Pule-Su)t0(, A 7 e:(ai' C I fJ E N 9j 2o{t9r'YI.t &Yt PC> (_Au.0
Have you ever been convicted of a crime? No: X
Date: Signature:
Yes:
Please feel free to provide additional information or letters of endorser* t. „2, `��
Please return completed form to: cn
Office of the City Clerk o r- <
1243 National City Blvd, National City, CA 91950
-) w
Thank you for your interest in serving the City of National City.
* Residency requirements may not apply
This documents is filed as a public document
Revised: October 1, 2009
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission Planning Commission
Community & Police Relations Commission* Public Art Committee"
Library Board of Trustees Traffic Safety Committee
Parks, Recreation & Senior Citizens Advisory Board Sweetwater Authority
Note: Applicants must be residents of the City of National City except for those marked by an `
Name: er'W 1
Home Address: o7 5-g- of
Business Affiliation: ,iY,
Tel. No.{ ( 9)IL 77--5-67Y
Title:
Business Address: /L .0- Tel. No.:
Length of Residence in National City: ,:5--c-/144,,San Diego County:$ -,25 California: S
Educational Background: Y- x e• re:5 cc) L G 1=' -
Occupational Experience:
7/49 4 g _4/ I
Professional or Technical Organization Memberships: iUo. '
Civic or Community Experience, Membership, or Previous Public Service Appointments:
A-ie)(2- - �-X :a" a2v dF- -r u 5 7J f r /a- yr-4, p1 -P Fie/l Ii'P nVGPJ
Experience or Special Knowledge Pertaining to Area of Interest:
FfAv ver7 'vT'-7 P/z'„_
Have you ever been convicted of a crime? No: Yes:
Date: /3�7
(
THE �t
Signature: �� (7,.
Please feel free to provide additional information or letters of endorsement.
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
e2 5-- 5e, f} cgs
` Residency requirements may not apply
This documents is filed as a public document Revised: 12/02/10
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission
Community & Police Relations Commission*
Library Board of Trustees
Parks, Recreation & Senior Citizens Advisory Board
Planning Commission
X Public Art Committee*
Traffic Safety Committee
Sweetwater Authority
Note: Applicants must be residents of the City of National City except for those marked by an *
Name: W it fivC • /v.t_isI (
.cr.. _s-)c7 2? _ ,o,.c4. -II/ `fi /
Home Address: 27/n2 •k/-1-ic.S'r� ,s7 1' <r �j Z. /31 Tel. No.: r0 t�Zc7 6 C
Business Affiliation: �c1_J/e- C, 4 40 ( Title: (%! CC_ (�'n fe.-:CS,
Business Address: '1 - 1 7 z . Y (1`. //1) l'JI%STUe&. No.:6tq 2&7 6 �
Length of Residence in National City: 5 San Diego County: California:2c-/ 6
Educational Background: ('ri J(D . 16--5 YC44- /-o6r`t', /Gcc 7 J
SAS axii/LI")ZSl
Occupational Experience: iR E R1-
Professional or Technical Organization Memberships:��(/
(3-• lli �G CGYir,1-t / 7 791° c C (-) OF 7 te-7�r "(-
Civic or Community Experience, Membership, or Previous Public Service Appointments:
S'A7J0/ COg--
l/r-7P-.Skit/4/Lir �N�-J(r Cl i &A toRgi a$t lad v J
Experience or Special Knowledge Pertaining to Area of Interest: /t4fy2
Have you ever been convicted of a crime? No:
Date: t . �C
Signature:
Yes: x j C}(3 12E/ti16-/til
/t,1 f l llecf '�? CrJU/.6p
Please feel free to provide additional information or letters of endorsement.
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
* Residency requirements may not apply
This documents is filed as a public document
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CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission
Community & Police Relations Commission'
Library Board of Trustees
Parks, Recreation & Senior Citizens Advisory Board
Planning Commission
_ Public Art Committee'
Traffic Safety Committee
Sweetwater Authority
Note: Applicants must be residents of the City of National City except for those marked by an '
Name: :Da R R9 k, C) or
Home Address: ! S 1 �� Tel. No.: t t`J 69 - 3 O e I
Business Affiliation: Re---i PRA Title:
Business Address:
Tel. No.:
Length of Residence in National City. 50 - San Diego County: 6 ct California:
8
Educational Background: Pr) hx 4-t Ca L tzee I fV 'Po L j_ a, f -
V)1AvV U&L Coo 2SeS D►=? rilift.:ti c/•Q)1,v%(-
Occupattonal Experience: __e5 S1,_2
)
o� ,5 dh� 'BL ii A} -PCs „Lk, P?2.6€ 1m tP /,FuQS
Professional or Technical Organization Memberships: 4/0/1/-e r7 Ye-5`h e �!')I p ,,e, / .
Civic or Community Experience, Membership, or Previous Public Service Appointments:
M9 PRw,, 1- l's•w,.,-4- t N e Si a A I--v-02 1 rr..e S-�2a/ ► r i' MTI_ 64
F3tuUtz. BA-o+Kfti" �l" Area S he — 2Az do ¢lP_rrp
'Experience or Special Knowledge Pertaining to Arof Interest: �� �'� b
N-C • r�Z S t�-e,.,-4 i tx.i t-t-t., BUsr sync �.. Coacs-le a 1-- 144-1,-,e .l--e-f-v ye
pap voculAyee t5-y.e_avzs/ SOS boN61 -ed os
* occovd
Have you ever been convicted of a crime? No: Yes:
. al
fU h . -c"i-.
Dates AJ E? o 1( Signature: L ./14n
h iNIv e A 1- w �4-. S �� e iv t n1�4-e,�_ r F-e ci I iv u -' f--e e enaiviN
Please feel free to provide additional information or letters of endorsement.
N,4 1 &a"v t(,l.P Tlease^re AiNitirtpleted tourn rmLto: o0 o -DAM N
IN4N4 e l(Yt A p S Office of the City Clerk
oi 0} f}N N5P NI„s 1243 National City. Blvd, LA- au nal�Ci' CA 91950
A-rrl G O f\tF 14
Thank you tor your interest in servin§ the City of National City.
Je b),e_m_s. �d� Residency requirements may hot ap y b'� D+ � cue upa yZ Lt2.. d
This documents is filed as a public document Revised: 12/O2/ O
- f o } a r{ t Cec.ug .
9104,0 tie-- opp R rt' r ft/ .
10
CITY OF NATIONAL_ CITY
APPUCATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
_ Civil Service Commission Planning Commission
X Community & Police Relations Commission' Public Art Committee'
~_ Library Board of Trustees Traffic Safety Committee
Parks, Recreation & Senior Citizens Advisory Board
Note: Applicants must be residents of the City of National City except for those marked by an •
Name: Pearl Quinones
Home Address: _3009 E. 6th Street, national City, CA. Tel. No.: _619.206.9162
Business Affiliation: _Sweetwater UHSD Title: Vice President
Business Address: 1130 Fifth Avenue, Chula Vista, CA. 91911Tel. No.: _619.585.4405
Length of Residence in National City: _111981 San Diego County: 1981 California: 1981
Educational Background: BA —Political Science, Masters Public Administration, Educational
Leadership
Occupational Experience: _Education Dropout Prevention Specialist
Professional or Technical Organization Memberships: _NALEO, CA. School Board Association,
Borderview YMCA, CYAC, HOPE,CWEAR NHLI, CLSBA, CSEA
Civic or Community Experience, Membership, or Previous Public Service Appointments: _Appointed
to Congressman Bob Filner's Education Committee, CSBA English Learners, CSBA Public Policy
Committee.
Experience or Special Knowledge Pertaining to Area of Interest: I assisted in the establishment
and implementation of the San Diego Police Review Board in 1989; work closely with various police
departments in my capacity as a Dropout Prevention Specialist and as a Sweetwater Board Trustee.
Have you ever been convicted of a crime? No: X Yes:
Date: __._ 1/4/2011 Signature: Pearl Quinones
Please feel free to provide additional information or letters of endorsement.
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
\\
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission Planning Commission
Community & Police Relations Commission' Public Art Committee'
Library Board of Trustees Traffic Safety Committee
Parks, Recreation & Senior Citizens Advisory Board
Note: Applicants must be residents of the City of National City except for those marked by an '
Name: _L[L 1 (I . }-P4141d, j 119.0
�
(, A �► [� Qf. �T �� . ! 19 . D Tel. No.: (p1.1r
'tD 3 c)dj3
Business Affiliation: f 1f4 Title: 1 @ig--
Home Address:
Business Address: 60 0 t'.,- * vI1 .ytc . 3, A6 I1 S o Tel. No.: 619 - y1 j 1rt'co
Length of Residence in National
City:.6. AtS San Diego County: 1 Q c-California: L1 tilkg
on
Educational Background: �',1 IJOlflzWi N Si -I f i y' AAA rr')J bas
i
f --j ir^I U.. fit(L. faa. ) 1 'i&a-`6ej
Occupational Experience: ;2yac_d b•vg,ikrSGjL�-k� MD A 2 j,
Professional or Technical Organization Memberships:
Civic or Community Experience, Membership, or Previous Public Service Appointments:
Experience or Spec'.I Knowledge Pertaining to Area of Interest:
45A1351e ittf _ `MtC'rs t, e r LA WW1
Have you ever been convicted of a crime? No: Yes:
Date:
Signature
Please feel free to provide additional information or letters of endorsement.
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
• Residency requirements may not apply
This documents is Ided as a public document
Revised: October 1, 1ur
,'a
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission
Community & Police Relations Commission*
Library Board of Trustees
Parks, Recreation & Senior Citizens Advisory Board
RECEIVED
l�l l Y CLERK
Planning Commission
Public Art Committee* 2011 MAR I 0 A IQ
_ Traffic Safety Committee
Sweetwater Authority CITY OF NATIONAL el
Note: Applicants must be residents of the City of National City except for those marked by an
Name: Sitak,e- (Urf4e-
Home Address:
27 / 7 L /¢tom Am. A`a / "e 64.
Tel. No.: 47f) 2-01-672f
Business Affiliation: EtEein-6 OcS.',ryh Co►wlo4w1 Title: aw'-er-
Business Address: I(32- e (l2A Q/✓1. ( 6..- z'3- Z78 Tel. No.: t(0.9 207-- ??-r
Length of Residence in National City: S San Diego County: 2 0 California: 2 5—
Educational Background: (4; q1%.. Sckeol 13t; 1i°` "0 fa Sc
Occupational Experience:
E/echrr ! co lit inkelVel E/afrrc.t I A 0,-weivr
Professional or Technical Organization Memberships: tt/aftek.d e, tY eka 64. Of co €-
Civic or Community Experience, Membership, or Previous Public Service Appointments:
d r Lie./(4 H�EN/Ito 4 /A "C •a.t/ el* L'4
Experience or Special Knowledge Pertaining to Area of Interest:
e
Have you ever been convicted of a crime? No: Yes: ✓ r✓+
Date: 3 _ /o —2_ a /� Signature:
/ t✓sS a Jc;O
Please feel free to provide additional information or letters of endorsement.
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City.
* Residency requirements may not apply
This documents is filed as a public document Revised: 12/02/10
t3
CITY OF NATIONAL CITY
APPLICATION FOR APPOINTMENT
TO CITY BOARDS, COMMISSIONS, AND COMMITTEES
Civil Service Commission
Community & Police Relations Commission'
Library Board of Trustees
Parks, Recreation & Senior Citizens Advisory Board
Planning Comrission
_i_i Public Art Committee'
Traffic Safety Committee
Sweetwater Authority
Note: Applicants muss be residents of the City of National City except for those marked by an'
Name: VEUE 1.S , ` A -Hairy
Home Address: L b E . z./1
Business Affiliation: /N7'L. CHO5r%try C E2�Tr11
Tel. No.: 6/0 T4I-i(3:
VC"( . N'-i Vrt_.
Title: 342r.it/ Tf2Irr,g,'oi2.r4-7-3on)
Business Address: /93C "SizdAt, .CHuin-V/si)(.4. Tel. No.:
Length o1 Residence in National City: Al yr?f - San Diego County: 24'tgCIitornia:
Educational Background: A DC14-Tl /;t(-2-cr PT r7. to C
GRu,uS14 our �2vjEt? 1 rit7�1�i(Ytr:l3 - )001
Occupational Experience: H/171-72N4 C- �r i � iri a u�. J SN/P ,t& k Juc /E „w
1?Fe ji72. IJE� -PAW- iir zZ 3 uS/ N ESS r,v i4 6'S - ' tf DaZa7L .
Professional or Technical Organization Memberships: e.t.a/3 t,r`- /ftr;ct
Civic or Community Experience. Membership, or Previous Public Service Appointments:
r `7 rJ2t"j:s tort fP42t'1-041-1S C orfrt, i rEE
Experience or Special Knowledge Pertaining to Area of lnteresl:
1 4'- A iift ' 12 AAA) . ;'vz•-Las on. ECT2-4 ; C. tI L FEft. hcT
Have you ever been convicted of a crime? No: x Yes:
Date: O/- 2 - a17//
Signature:
Please feel free to provide additional information or letters of endorsement_
Please return completed form to:
Office of the City Clerk
1243 National City Blvd, National City, CA 91950
Thank you for your interest in serving the City of National City_
• Residency requirements may not apply
This documents is tiled as a public document
11evised: I2/02/10