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HomeMy WebLinkAbout404941 CITY 01 PUM OM I 73-510 FRED WARING DRIVE PALM DESERT,CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o6ii FAx: 760 340-0574 ciEyha11@ci.paIm-dcscrt.ca.us OFFICE OF THE MAYOR February 28, 2017 Miss Maira Ahmad 12 Marseilles Rd Rancho Mirage, California 92270 Dear Miss Ahmad: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of February 23, 2017, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2017, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, March 6, 2017, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, JAN C. HARNIK MAYOR JCH:rm cc: Deborah S. Glickman, Management Analyst Janine Judy, Senior Office Assistant PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL I�AU; 11;t�THlORIIZ�ATION/RELEASE I give permission for my'child, W& 1 q�yl� , who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transportation to and from Palm Desert Youth Committee activities I agree to hold the City of Palm Desert, its elected or appointed officers, agents, officials, employees, and volunteers harmless from any and all claims, demands, actions, or suits arising out of or in connection with the above. Parent/Legal Guardian's signature denotes acceptance of the terms of this permission to transport. Parent/Legal Guardian Naeik �vt_�d 7 6 6_ 9sg- r 93 Name D- �gPhone No. Address City/State Zip Cbde I Signature Date Emergency Contact Information <.Tovvcc�t A-kvvL,,� -76 6 -- q8 0J — 8 R IS- Name Phone No. Name Phone No. 1 PALM DESERT YOUTH COMMITTEE V 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalmdesert.org ^ APPLICATION NAME / /i�/�'c� A-H-M!w ADDRESS Street City State Zip PHONE NUMBER_ o :160' 1-1(61 Home � Cell EMAIL ADDRESS Ma\' a• O.V)Mk\ 64 rW U(A�1DO.CCVy1 PARENT NAME/PHONE NUMBER-_ N Name Phone Number SCHOOL PDNS GRADE /AJ—AGRADUATION YEAR oZ.D17 ACTIVITIES/CLUBS cc�J(rota PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Phone Number Relation Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert Deborah Schwartz Glickman 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received Date Interviewed Discussed during interview: What is the Youth Committee? ❑ Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation ❑ r� PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalmdesert.org CITY OF PALM DESERT—VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert (City) in the capacity of the Palm Desert Youth Committee, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: ( b Signature: Print Name: Parent or Guardian Signature (if minor): r Witness: T �� ^~ PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive ..z„' Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalmdesert.org CITY OF PALM DESERT—VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert (City) in the capacity of the Palm Desert Youth Committee, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: B Signature: Print Name: Parent or Guardian Signature (if minor): Witness: T � � PALM DESERT YOUTH COMMITTEE e ,• 73-510 Fred Waring Drive / G Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalm desert.org CITY OF PALM DESERT—VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert (City) in the capacity of the Palm Desert Youth Committee, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: Print Name: Parent or Guardian Signature (if minor): � t1 Witness: Ei1Y Of PHIM1 DESERT 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o6ii info4`ciryofpal mdeser[.org May 18, 2016 Miss Maira Ahmad 12 Marseilles Road Palm Desert, California 92211 Dear Miss Ahmad: This letter is to advise that your absence from the Youth Committee meeting on April 4 was your third absence this year. In keeping with City policy, it does constitute an automatic resignation. Your contribution to the Youth Committee has been a significant part of the City's many successes. The time and effort you extended in this regard will always be appreciated, but Members of the City Council recognize that your own school obligations must be your first priority. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:glm cc: Deborah Schwartz Glickman, Staff Liaison CIIV OE PflIM DESEPI 73-510 FRED WARING DRIVE ,-+ PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346-o6 x x info@citynfpa1mdeserr.org November 6, 2015 Miss Maira Ahmad 12 Marseilles Road Rancho Mirage, California 92270 Dear Miss Ahmad: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:glm cc: Deborah Schwartz Glickman, Recording Secretary ��•'� CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge- that as a volunteer for the City of Palm Desert in the capacity of /VI I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. s I° As a volunteer who is covered under the City's workers' compensation plan, I expressly ! agree and acknowledge that workers' compensation is my exclusive remedy for any �✓ F { injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, 'officers, agencies, other volunteers and officials. ( x Date: t Signature: Print Name: Parent or Guardian Signature (if minor): I; _n Witness: C6IY � f PALM DESERT 73-S10 I'NR17 WARIM; DRIVI' u P _ I'nini 1)itir•.itr, CALIFORNIA g226o....2578 THL: 76o 346—o6u i i-nX: 76o 340-oS74 i inlitNpnlm dncn.nrg GENERAL TRAVEL/ACTIVITY AUTT�ORIZA�TION/RELEASE I give permission for my/our child,_ lt4lq CA / rTr / who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: 1q1l-1L/y � low r 760 Name Address Phone# o �� ��(� Signature Date Name Address CA-Q Ph ne# o q16 l� Signatur 14— Date` Contact in case of an emergency: Name Phone# IMIO W IItt010N11 EIIV DE PNLDI DESERT 73-5 io FREI) WARING DRIVF PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6ic FAX: 76o 340-0574 dEyha11@ci.pa1m-dcscH.ca.us OFFILE OF THE MAYOR May 18, 2015 Miss Maira Ahmad 12 Marseilles Road Rancho Mirage, California 92270 Dear Miss Ahmad: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 14, 2015, appointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31, 2015, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to serve your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, _N--i� W-Q� Susan Marie Weber Mayor SMW:rlm cc: Deborah Schwartz Glickman, Management Analyst 11 h , �•� PALM DESERT YOUTH COMMITTEE 1 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.citvofpalmdesert.org APPLICATION NAMEQ��(G1 I"1YlN V IQU ADDRESS (Z MCU(SQIII ,S RC` RQ(1C�� 111�1V�1� . C�1 9ZZ�IO Street City State Zip PHONE NUMBER 7�0 ` gS 2_-D O Home .�I . Cell EMAIL ADDRESS �}']QI�GIRC,111.f��'(A)u(0110 n J PARENT NAME/PHONE NUMBER NRb VAN%A ` 6D'0kQ01— c1q�4> Name Phone Number rw SCHOOLTA`^ :)�� k Vk"54" GRADE kU'GRADUATION YEAR at) S�ln ACTIVITIES/CLUBS PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Phone Number Relation �p lbo — Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received 43 1( Date Interviewed( Discussed during interview: What is the Youth Committee? ❑ f ° Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation ❑ �1•�� PALM DESERT YOUTH COMMITTEE .. 73-510 Fred Waring Drive Palm Desert, CA 92260 y" (760) 346-0611 —www.cityofpalmdesert.org CITY OF PALM DESERT —VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert (City) in the capacity of the Palm Desert Youth Committee, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Dater/ Signature: 14 Print Name: ffirw((A NYlrlA Parent or Guardian Signature (if minor): Witness: V • y , . PALM DESERT YOUTH COMMITTEE k 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.cityofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL AUTHORIZATION/RELEASE I give permission for my child, �"LCu who is under the age of 18, to travel in a vehicle o q r on public transportation for the following reason(s): Transportation to and from Palm Desert Youth Committee activities I agree to hold the City of Palm Desert, its elected or appointed officers, agents, officials, employees, and volunteers harmless from any and all claims, demands, actions, or suits arising out of or in connection with the above. Parent/Legal Guardian's signature denotes acceptance of the terms of this permission to transport. Parent/Legal Guardian Name Phone No. /,,7 �f a�s.� �Q /� '7�70 Address City/State Zip Code /1®///Z/ Sign a bate Emergency Contact Information /later aQ( 76 ©— 999 - 69/ g3 Name Phone No. Name Phone No. CITY 01 P H I M 0 PT 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9226o-2578 TEL: 760 346—o6li inf&U cityofpalmdese.rt.org May 2, 2017 To Whom It May Concern: It is a privilege to write this letter of recommendation for Cory Hutchinson, who served as an appointed member and chairman of the Palm Desert Youth Committee. Cory was an eager committee member who was always willing to pitch in and assist when and wherever needed. In addition, he showed a willingness to provide input on various activities and assignments and actively led and participated in general discussions by the group. He regularly volunteered at community events such as the City of Palm Desert's annual Relay for Life, Golf Cart Parade, and Wreath Lighting, Anti- bullying presentations, and Sustainability Party, among others and was the Youth Committee liaison for the City's Art in Public Places Commission where he provided invaluable input. Cory was always willing to go above and beyond the work of a regular committee member and often created original programing for the committee, including a successful arts/open mic fundraising event. If you have any questions regarding Cory or the Palm Desert Youth Committee, please do not hesitate to contact me at (760) 346-0611, ext. 664 or dglickman@cityofpalmdesert.org. Sincerely, k: Deborah S. Glickman Management Analyst II , � Ce � u PflIM DESERI 73-51 O PRED WARIN(i DRIVE PALM DESERT, CALIFORNIA 9226O-2578 TEL: 760 346—o6ii info(amityofpalmdece rt.nrg October 26, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Cory Hutchinson, who currently serves as Chair of the Palm Desert Youth Committee. Cory joined the Committee in October 2012, and served as an alternate member until May 2014, at which time he was officially appointed to the Committee by Palm Desert City Council. During the time that Cory has served on the Youth Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with community events and has consistently shown maturity in working with others. He is always willing and eager to assist when and where needed and his enthusiastic nature has been a great benefit to the Committee. One of Cory's major contributions to the Youth Committee has been spearheading the anti- bullying subcommittee which is integral in bringing awareness on the subject to the youth of our community. Cory also served as a youth representative on the City of Palm Desert's Strategic Plan Steering Committee where his input was considered as part of a community-wide vision for the next two decades. Additionally, in September 2015, Cory was elected by his peers to serve as Chair of the Youth Committee for the 2015/16 school year. By serving in this position, Cory will gain additional knowledge of Parliamentary Procedure and California's open meeting laws. Cory's strong leadership and dedication with these projects is, and has been, truly commendable. What I find most remarkable about Cory is that the Palm Desert Youth Committee is only one facet of his active community and academic involvement. Over the past several years he has managed to be one of the Youth Committee's most participatory members all while juggling his many other activities with ease. In closing, I believe that Cory's enthusiasm, maturity, and ability to handle multiple responsibilities will make him a great addition to any college community. I have no doubt that Cory will be successful in all of his future endeavors and affiliations and that he will continue to have a positive impact on the world around him. He has been a valuable asset to the City of Palm Desert, the Palm Desert Youth Committee, and to the community. If you have any questions regarding Cory or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, / Amy Law nce Former Palm Desert Youth Committee Advisor CITY 0 r P 0 1M 0 E ERI I, 73-510 PRED WARING DRIVE PALM DESERT, CALIFORNIA 922610-2578 TEL: 76o 346—o6iL Infb@cityofpalmdesen.org k October 26, 2015 G' To Whom It May Concern, It is a privilege to write this letter of recommendation for Cory Hutchinson, who currently serves as Chair of the Palm Desert Youth Committee. Cory joined the Committee in October 2012, and served as an alternate member until May 2014, at which time he was officially appointed to the Committee by Palm Desert City Council. During the time that Cory has served on the Youth Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with community events and has consistently shown maturity in working with others. He is always willing and eager to assist when and where needed and his enthusiastic nature has been a great benefit to the Committee. One of Cory's major contributions to the Youth Committee has been spearheading the anti- bullying subcommittee which is integral in bringing awareness on the subject to the youth of our community. Cory also served as a youth representative on the City of Palm Desert's Strategic Plan Steering Committee where his input was considered as part of a community-wide vision for the next two decades. Additionally, in September 2015, Cory was elected by his peers to serve as Chair of the Youth Committee for the 2015/16 school year. By serving in this position, Cory will gain additional knowledge of Parliamentary Procedure and California's open meeting laws. Cory's strong leadership and dedication with these projects is, and has been, truly commendable. What I find most remarkable about Cory is that the Palm Desert Youth Committee is only one facet of his active community and academic involvement. Over the past several years he has managed to be one of the Youth Committee's most participatory members all while juggling his many other activities with ease. In closing, I have no doubt that Cory will be successful in all of his future endeavors and affiliations and that he will continue to have a positive impact on the world around him. He has been a valuable asset to the City of Palm Desert, the Palm Desert Youth Committee, and to the community. If you have any questions regarding Cory or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, *Lace Former Palm Desert Youth Committee Advisor `�lXIXIFX OM PF(YRM MIFF Lawrence, Amy From: Cory Hutchinson <cory.hutchinson@att.net> Sent: Saturday, October 24, 2015 5:53 PM To: Lawrence, Amy Subject: Letter of Recommendation Hi Amy! I'm so sorry I'm asking on a short notice, but things have just been absolutely crazy. I was wondering if you would write me a letter of recommendation for college as I had worked with you for three years and grew incredibly close to you and was so blessed to have your guidance before I took up the Chair position on Youth Committee. I do have a November 1st deadline for LMU and University of Chicago, but if that is too short notice I totally understand and would still love to have your recommendation for my other universities(their deadlines are in December).Thank you and have a lovely weekend! Best, Cory Hutchinson 1 .� CIIV Of P 0 1 M DESERT 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o61I FAX: 760 340-0574 cityha11@ci.pa1m-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Mr. Cory Hutchinson 70 Sutton Place Palm Desert, California 92211 Dear Mr.. Hutchinson: -At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II OJ rvixrEo xx x¢,rnm vuu = . ., I I y 9 E P 0 LIB 0ESER I 73—5 1 O PRED WARING DRIVE PALM DESERT, CALIFORNIA 92z6O-2578 a , 9 TEL: 760 346—o6ii lnfo@cityofpalmdesert.org October 26, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Cory Hutchinson, who currently serves as Chair of the Palm Desert Youth Committee. Cory joined the Committee in October 2012, and served as an alternate member until May 2014, at which time he was officially appointed to the Committee by Palm Desert City Council. During the time that Cory has served on the Youth Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with community events and has consistently shown maturity in working with others. He is always willing and eager to assist when and where needed and his enthusiastic nature has been a great benefit to the Committee. One of Cory's major contributions to the Youth Committee has been spearheading the anti- bullying subcommittee which is integral in bringing awareness on the subject to the youth of our community. Cory also served as a youth representative on the City of Palm Desert's Strategic Plan Steering Committee where his input was considered as part of a community-wide vision for the next two decades. Additionally, in September 2015, Cory was elected by his peers to serve as Chair of the Youth Committee for the 2015/16 school year. By serving in this position, Cory will gain additional knowledge of Parliamentary Procedure and California's open meeting laws. Cory's strong leadership and dedication with these projects is, and has been, truly commendable. What I find most remarkable about Cory is that the Palm Desert Youth Committee is only one facet of his active community and academic involvement. Over the past several years he has managed to be one of the Youth Committee's most participatory members all while juggling his many other activities with ease. In closing, I have no doubt that Cory will be successful in all of his future endeavors and affiliations and that he will continue to have a positive impact on the world around him. He has been a valuable asset to the City of Palm Desert, the Palm Desert Youth Committee, and to the community. If you have any questions regarding Cory or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, *Lace Former Palm Desert Youth Committee Advisor Ca nixrtxaxunm eana CITY 01 P01M OESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 922 60-2 5 7 8 TEE: 76o 346—o6Ex info@ciryofpalmdesert.org October 5, 2015 Mr. Cory Hutchinson 70 Sutton Place Palm Desert, CA 92211 Cory: I have calculated the amount of volunteer hours you have worked since joining the Palm Desert Youth Committee, and that amount is 118 hours. Please let me know if you need any more information. Best, Deborah S. Glickman Youth Committee Liaison City of Palm Desert n �• CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of —U6alk (/i+(/� , I am not an employee of the City, but that 1 am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: Print Name: Wryi''1SAy) Parent or Cy—'' di�an ignature (if minor): Witness: ���.. _. I I I I I i I I i _ -., w I _ _ IIIV 01 P 0 1 M DESERI 73-510 FRED WARINO DRIVE PALM DESERT, CALIFORNIA 9226o-2578 TEL: 760 346-o6xi FAX: 760 40-0574 i n Ib(,.pr Im-dcxc rt.nrg PALM DESERT YOUTH COMMITTEE APPLICATION NameIA� C.a Last Firsr Middle Home Address 74 &A++or) P(oce- po'lV �bezert C& Street No. City State ZIP Telephone Number(s) 760 K(036 - lJ ? - 760 - e6V- 48(o Email Address COr). ' �YOV)Q Grade! School Rim DwSe-4 hh &C Col School Activities/Clubs Om.w` , } CSC LC4 + &Q,dmg4y 866�oy)� Other Activities/Clubs OZ2r-, �^'�ol -G,V Your Personal Statement of Qualifications/Interest (continue on back if necessary) l * �k 6qkvwl&j "Itm AL. '' Ab IkInd tald& K , PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). & LMbIV (�I 2Anj - 'jo 9LZ�3 7(o0- S(o-7 002- Name Address Telephone No. 7ZGbt7 /7td /Jafi�� De, qp�. 701 7�0 ,rid 13�-3 Name Address pa/,y Dcse,f, CA- Telephone No. SLLG 0 APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received It II 11> Date Reaffirmed Comments CITY 01 PH [ 01 9ESER1 73 SID F141) WARINC DRIVI- PAi w DI'M icr, CALIFORNIA 9226o 2578 71�1: 76o 346—o6ii iAx: 76o 340 0574 inliiNp.lm daxn.ar� GENERAL TRAVEL/ACTIVITIY�AUTORIZATION/RELEASE I give permission for my/our child, c r{o(-V qjc��� who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: �'A-.yD �T�Nidt�/ 20 ��c77o�✓ �� �� - 7�B —.��—��� Name Address Phone# 9180 Sign ure Date Name Address Phone# Signature Date Contact in case of an emergency: /S9 Nd IKC "4/ce'tl Name Phone# .,xmiowmrconra 7 Lawrence, Amy From: Haley Schmidman [Haley@dc.rr.com] Sent: Friday, May 16, 2014 5:45 PM To: Lawrence, Amy Subject: Re: Carwash Cory and I have to film an English project tomorrow morning so if we finish early we will come! Thank you! ! ! Sincerely, Haley Schmidman Sent from my iPhone > On May 16, 2014, at 11:18 AM, <alawrence(@cityofpalmdesert.ora> wrote: > > Hi Haley! Yes. . .I will send out an email with details and also post to the Facebook page. Probably right around 1 to 2 p.m. > Thanks for checking in! ! > Amy Lawrence > City of Palm Desert > 760.346.0611 Ext. 425 > > -----Original Message----- > From: Haley, Schmidman [mailto:HaleyOdc.rr.com] > Sent: Friday, May 16, 2014 11:12 AM > To: Lawrence, Amy > Subject: Carwash i > Hi Amy! Are you going to send an update on the car wash? Have a good day! > Sincerely, > Haley Schmidman > Sent from my iPhone 1 CIIY Of P H I M HEST � 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9 2 260-2 5 7 8 TEL: 760 346—o611 Fax: 760 340-0574 cityhxl I(:ix.nctco m.Com OFFICE OP THE MAYOR May 28, 2014 Mr. Cory Hutchinson 70 Sutton Place Palm Desert, California 92211 Dear Mr. Hutchinson: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 22, 2014, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2014, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 8, 2014, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:rm cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary W 6a •1Xno uxn.<nn.un CIIY OE P H [ M DE � Ei� I 73-5I0 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 78 TEL: 760 346-o6iL i nfo(dotyofpalmdesert.org May 18, 2016 Ms. Rachel Seiberg 78805 Wakefield Circle La Quinta, California 92253 Dear Ms. Seiberg: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:gIm cc: Deborah Schwartz Glickman, Staff Liaison I CITY .01 PUM 01HPI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346-o6I I FAX: 760 340-0574 cicyha11@d.pa1m-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Rachel Seiberg 78805 Wakefield Circle La Quinta, California 92253 Dear Miss Seiberg: At its regular meeting of June 9, 2016, Palm Desert City Council, accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm-Desert,-the City Council Would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been Very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERTA. SPIEGE'L �/ '` MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II �D rxixno ox xavnm rr,x ' CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I h reby acknowledge/t,�haIt {a� a a lunteer for the City of Palm Desert in the capacity of tuy V�V-'I�- �'u,�, , I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: 0I Il J Signature: Print Name: (Ikd--Q t Parent or Guardian Signa re if minor): LT� Witness: (� CITY Of PfllM DESERT 73 SM PNI•U WARING DRIVI• 1.. ;. PAIM DI-SPR"I', CALIFORNIA 9226o 2578 rEL: 760 346—o6n PAs: 76o 340 0574 I mfi,01p.dm dmri.o,g GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, (v' � ` I Y ✓C I who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: C'yc/c CQ ��as3 Name Address Phone# Signatur Date Name Address Phone# Signature Date Contact in case of an emergency; Name Phone# JO PALM DESERT YOUTH, COMMITTEE APPLICATION Name soo"" a-,UL"QA l S G beds t L t First Middle Home Addressl o%b ;b 6J60w-(�e%ck &6� Lk C'—A �79-5 3 Street No. City State ZIP Telephone Number(s) Email Address VAO'%' k.S Rg a'1.c""` Grade Cl School ?() S School Activities/Clubs QR,..-&`itV Other Activities/Clubs Nv-,(f �0 (A yt.TQ �U�M rn\ `o C p c �� o � ��✓ � �� tiC2 C �^ 4h� (/Ld" 4 In,C,Q, 9v rklo Your Personal Statement of Qualifications/Interest (continue on back if necessary) iv�( :'w.iL— A're-aL,w.Br% c.A— P'DJ-A Sc.�� �F✓< bea q�. vo o v , PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Address Telephone No. �S-73) �� '1a51ti �,� L,., pa w, gene epr�az�� l Cam) Name Address Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received Date Reaffirmed Comments I K4k\V1t0t (/ % CITY 01 P 8 1 M 0 73-5io FREI) WARING DRIVE j PALm DrsER'r, CALIFORNIA 92260-2578 TEL: 760 346-o61 i FAX: 760 340-0574 cilyh3l](6iX.1letrom.com OFFICE OF THE MAYOR May 28, 2014 Miss Rachel Seiberg 78805 Wakefield Circle La Quinta, California 92253 Dear Miss Seiberg: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 22, 2014, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2014, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 8, 2014, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:rm cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary Amok IIIV 01 P 0 1 M OESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9226o-2578 TEL: 760 346—o6II FAX: 760 340-0574 qW 6tyha11@ci.pa1m-desen.Ca.us OFFICE OF THE MAYOR January 31, 2016 Miss Sarah Lauer 77115 Florida Avenue Palm Desert, California 92211 Dear Miss Lauer: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of January 26, 2017, reappointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31, 2017, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to serve your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, / • /� tARNIK MAYOR JCH:rlm cc: Deborah Schwartz Glickman, Management Analyst II ��,ninrrwvnnrorrw C ( I 'Y Of Pfl1M OESERI 4 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346-o6iI FAX: 760 340-0574 dtyha11@d.pa1m-desercca.us OFFICE OF THE MAYOR June 21, 2015 Miss Sarah Lauer 77115 Florida Avenue Palm Desert, California 92211 Dear Miss Lauer: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of June 9, 2016, appointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31, 2016, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to serve your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERT A. SPIEGEL� MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II �,IPIXIEX OX AFIIILLOIVEA PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 - www.citvofpalmdesert.org \ / APPLICATION NAME O1V Ch VA 1 ('� t kE r o pp ADDRESS ��1 `S I l7V � SAG Ay-e- L� w) ` e,�- r � ., 1. A Street City State Zip PHONE NUMBER 4 la b - S6 - G5- 1 Home Cell EMAIL ADDRESS .(A u p.\r- c;G,ra \f`p �@d �-VwGu ) . C-oVIq PARENT NAME/PHONE NUMBERW e OA i j�n,{Z,oA,- ` 460 Name Phone Number SCHOOL P(a (M O-P C-e,,4 GRADE_�) GRADUATION YEAR 201,`a_ ACTIVITIES/CLUBS P/ L PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) =-j vi 0 U l A V,) e 6.v` 1AO o, -lto � a par 4 a IP `10 c)+L-1 I �„v�w,�� b-eCo.,Ua— C a,(.W ✓ cv✓i --2cl k-o t-p C�(,a rV o- +� vti vvwvti �t b u h l^2N-4� lnacr� woe- ` 1, � C ehh.ZC� a oV1S 4tA- k- 'lam . - S 4, a N - -�A t- � C food oi. . rwtal tl ern c c,-." 4-06-e- cue6L r J C.P� uuwi,vwvv,.� t y ! PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Phone Number Relation Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert Deborah Schwartz Glickman 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received Date Interviewed Discussed during interview: What is the Youth Committee? ❑ Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation ❑ PALM DESERT YOUTH COMMITTEE C ` I� 73-510 Fred Waring Drive ! Palm Desert, CA 92260 (760) 346-0611 - www.cityofpalmdesert.ora / APPLICATION NAME C`� (� ( . 0; t ke r ADDRESS `S I bV GCG V-e 2C O M 1�-e S-� f l A Street City State Zip ( ZZ� PHONE NUMBER l0 b ' S6i� - S(oS I l / Home Cell EMAIL ADDRESS ( .G� u P.� �G rc4 �( D ��C�d � -y'}✓yLGLi I . F V✓1 PARENT NAME/PHONE NUMBERW LV A � L-A,,tour --Rp - 'Y--j' Name Phone Number SCHOOL YGt ,�IM V-e C-P„-4 GRADE GRADUATION YEAR 2L 1 `� ACTIVITIES/CLUBS L w PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) ` - vi o u [ d [tee a t') IAOVt OJ -4 o vz' - CX (?o,r � d IP `I o o`( In �v yvwv)4est �J eC0.ua2 V C Q.(M>Gcf'I/� ✓.�G-M �J kv Ld-e- G rd r 4 o-P ` /",p C,D w1 wwvt ) �+, 10 k —C_ QV•eiv-e. �1.�.a"�s� 4Wv `I'V Ca s+'0(c i 115 G �t e 9 �-o e le.s evt t_ Ot V,?J�n-C.� Gw.� 0-eck f �' o-� }y APPOINTED TO yp�nt-h �rv�wi.�ffiee ON , Z-0 I(, PALM DESERT YOU i ri COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Phone Number Relation Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert Deborah Schwartz Glickman 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received Date Interviewed Discussed during interview: What is the Youth Committee? ❑ Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation ❑ �- IIIV 01 POEM OESERI I 73-51 o FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6ii info aici[yofpalmdesm.org October 26, 2016 To Whom It May Concern, It is a privilege to write this letter of recommendation for Samantha Sandoval-Heglund, who served as a member of the Palm Desert Youth Committee. Samantha joined the Committee in November 2011, and served as an alternate member until May 2013, at which time she was officially appointed to the Committee by Palm Desert City Council. Samantha actively served on the Committee up until she graduated high school in June 2016. During the time that Samantha was on the Committee, she demonstrated maturity and dependability through her participation with several community projects and events. Samantha was always willing and eager to assist when and where needed and her enthusiastic participation with the Youth Committee's Anti-Bullying Campaign was integral in bringing awareness on the subject to the youth of our community. What I found most remarkable about Samantha is that the Palm Desert Youth Committee was only one facet of her active community and academic involvement. Over the past several years she managed to be one of the Youth Committee's most participatory members all while juggling her other activities with ease. In closing, I have no doubt that Samantha will be successful in all of her future endeavors and affiliations. She was a valuable asset to the Palm Desert Youth Committee and to the community. If you have any questions regarding Samantha or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, Amy Law ence C� Former Palm Desert Youth Committee Advisor Illy F PRIM DESERT 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 rEt: 760 346—ob06 iI FAx: 76o 340-0574 ciryhall@ci.palm-deserr.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Samantha Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Miss Sandoval-Heglund: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERTA. SPIEGEL MAYOR RAS:rIm cc: Deborah Schwartz Glickman, Management Analyst II co.'Wa�mmni„. 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA tg2260-2578 TEL: 760 346—o6ii info@cityofpalmdesert.org November 24, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Samantha Sandoval-Heglund, who currently serves as a member of the Palm Desert Youth Committee. Samantha joined the Committee in November 2011, and served as an alternate member until May 2013, at which time she was officially appointed to the Committee by Palm Desert City Council. During the time that Samantha has served on the Committee, she has demonstrated maturity and dependability through her participation with several community projects and events. Samantha is always willing and eager to assist when and where needed and her enthusiastic participation with the Youth Committee's Anti-Bullying Campaign has been integral in bringing awareness on the subject to the youth of our community. What I find most remarkable about Samantha is that the Palm Desert Youth Committee is only one facet of her active community and academic involvement. Over the past several years she has managed to be one of the Youth Committee's most participatory members all while juggling her other activities with ease. In closing; I have no doubt that Samantha will be successful in all of her future endeavors and affiliations. She has been a valuable asset to the Palm Desert Youth Committee and to the community. If you have any questions regarding Samantha or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, Amy La ence Former Palm Desert Youth Committee Advisor 6J rnimmox xenmorno . GIIV OE PALM 0ESER1 73-5 I o FRED WARING DRIVE PALM DESERT, CALIFORNIA 9 2 2 60-2 5 78 TEL: 760 346—o6zz i n foOMryofpalmdesers.org November 6, 2015 Miss Samantha Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Miss Sandoval-Heglund: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:gIm cc: Deborah Schwartz Glickman, Recording Secretary CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby.acknowledge etthat a�s�a/volu eer for the City of Palm Desert in the capacity of t� "�/✓Vl�Ilt.7►� I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: 'Z Signature: Print Name: �o(h(ynE�,c, Sr,nrky,r�� Parent or Guardian Signature if minor): Witness: CIIV Of P01 [0 OESERI 71 5I() FREE WARIM ; DkIVF PA ai UIISI It1, CA i.uF,ui N Id ,)z o 2578 'r¢i-: 76a 346—o6t i irvli,,lleu nriom. im OPVI( I OF IIII MANOR February 26, 2014 Ms. Samantha Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Ms. Sandoval-Heglund: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary ti ANIL CITY OE P0EM OESERI - 7 3-5 1 u 1:R11) AVARIN 1)RIVI' Pnl.n+ Uescur. (.niuvurnin � h„ ,s,x TEL: 76o 34G-o6i I PA%1 7Go ;.1,1 "5 ".I in-ha�le,ix nrnoni .... 0I I'll.I! OF 'I III'; MAYOR February 14, 2014 Ms. Samantha Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Ms. Sandoval-Heglund: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary kud 0"? t PALM DESERT YOUTH COMMITTEE APPLICATION Namecvn�o_al-41e" '�rnarA,a 1 Dcm J _ Last'J I �' First I Middle Home Address q&2�5 rid an St. 0dApt C,A -q%b Street No. ' City State ZIP Telephone Number(s) '76g — Yqq-B3�7 A A Email Address R:'�eglvnd ua c on, Grade� School� School Activities/Clubs Marc.h,j�a �2,yA Other Activities/Clubs:fimL� � �E7�b��A6 Xee C9.16 Your Personal Statement of Qualifications/Interest (continue on back if necessary) A .heave, nn Lgg? n LJY i,na- .ynYf 4o. �Am 0. m. om, Mh- ,d\ . J c, ,.. ., . . 'eJ� .. , ,. � .. . YA:. .. �{ ..: .. y.,.�-d- � �. , ... .. _ � 1 PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Address Telephone No. Name Address Telephone N . APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. n 1 FOR OFFICIAL USE ONLY Date Received ( I I Date Reaffirmed Comments (j (Z` k;,vo.:P" `p vqq o, U, ............. .......... CIIY Of P 0 1 M OESERI 73--S10 FRLD WARM; DRIVI PAi M DrxRI. CA]n ORNIA 92z6o-2578 TRA 760 346-o6it ]AX: 760 340-0W4 inln6'palm-dmn.urg GENERAL TRAVEL/ACTIVITY AUTO �R`IZATION/RELEASE I give permission for my/our child, 5�rrx�lv�b✓dP ��°5�!who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: Pm, ( .ionc1 24% (4L(CA crJa l Na� Address U Phone# Signature T Date Nl� Name Address Phone # Signature Date Contact In case of an emergency: pm t�glur,cl Name Phone# (J mmoennaionm C11Y of PRLm 0 1 P I 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o6ci FAX: 760 340-0574 ciryhall@ci.palm-desert.ca.us OFFICE OF THE MAYOR May 14, 2013 Miss Samantha Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Ms. Sandoval-Heglund: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 9, 2013, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2013, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 9, 2013, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely,�� UGAU6�k JAN C. HARNIK MAYOR JCH:rg cc: Frankie Riddle, Director of Special Programs ✓Amy Lawrence, Recording Secretary t�.,„„o....,a.....,, t, kud 0(3III PALM DESERT YOUTH COMMITTEE APPLICATION Name�o�l,--}ledt�n3 �rv�anNna " Lastj First Middle Home Address - Street No. ;City State ZIP Telephone Number(s) �740 - %/ i-35)7 Email Address Q:'Wealund. la".Um Grade School V'J School Activifies/Clubs M_ ctcc j:n Other Activities/Clubsliwn- 4 460 yMV115" C-,<gg Your Personal Statement of Qualifications/Interest(continue on ba1dc if necessary) `gc�Qa,Cn Ali iae� Q ,-XI v PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Address Telephone No. 130 Name Address Telephone N . APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760)346-0611, EXT.425. This application will remain on Me for a period of one year. n FOR OFFICIAL USE ONLY Date Received I Date Reaffirmed Comments APPOINTED TO 40 ui- n . Old - - 00/ II 'ly 0I: P H I M DESERT 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 260-2 5 78 TEL: 760 346—o61 I FAX: 760 340-0574 c4yha11@d.pa1m-desert.ca.us M46 (CI-1 OFFICE OF THE MAYOR May 18, 2015 Mr. Roman Bloch 73300 Grapevine Street Palm Desert, California 92260 Dear Mr. Bloch: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst II ��rnxnccw„vanru,e u G11Y Uf P H I M DESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 ?EL: 760 346-o6 i x i n rnVci tpo Fpal and esert.org March 6, 2015 Mr. Roman Bloch 73300 Grapevine Street Palm Desert, California 92260 Dear Mr. Bloch: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, T RACHELLE D. KLASSEN, MMC CITY CLERK RDK:glm cc: Deborah Schwartz Glickman, Recording Secretary nnuuxamunnr e�fl TV 7;-510 Fecu WA It INC. DIt1VI PALM DI.%FRI, CA 1,11'uu NIA 9z26o-257 rra: 760 346—o6i i udu-miilp"Il'A n..1 a".I o.g �mtin�ifi January 6, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Roman Bloch, who currently serves as a member of the Palm Desert Youth Committee. Roman joined the Committee in January 2011, and served as an alternate member until May 2012, at which time he was officially appointed to the Committee by Palm Desert City Council. During the time that Roman has served on the Committee, he has demonstrated maturity and dependability through his participation with several community projects and events. Roman is always willing and eager to assist when and where needed, especially with projects that help those that are less fortunate than others. Additionally, Roman's enthusiastic participation with the Youth Committee's Anti-Bullying Campaign has been integral in bringing awareness on the subject to the youth of our community. What I find most remarkable about Roman is that the Palm Desert Youth Committee is only one facet of his active community and academic involvement. Over the past several years he has managed to be one of the Youth Committee's most participatory members, all while juggling sports, academics, and other activities with ease. In closing, I feel that Roman has many great qualities to contribute to a college community. I have no doubt that he will be successful in all of his future endeavors and affiliations. He has been a valuable asset to the Palm Desert Youth Committee, the community, and to the many other organizations that he's been associated with. If you have any questions regarding Roman or the Palm Desert Youth Committee, please don't hesitate to call me at (760) 346-0611, ext. 425. Sincerely, Amy Lawrence Former Palm Desert Youth Committee Advisor CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge t at as a volunteer for the City of Palm Desert in the capacity of �p( A am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the.City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: 7�' ►2 Signature: �r Print Name: morn Pared or uar ' Signature (if minor): Witness: JAMUL CIIV OE POEM DESERI 71-51u FRRU WANINO DRIVI. PALM DIISIAU, Gv IFI MNin ,)_26o-2578 rm.: 760 346—o6i i PAS: -6,, t lu ,,5z1 nclinl�o,,x.u....nn... UPfH r. oP 'r u,: M,rron February 26, 2014 Mr. Roman Bloch 73-300 Grapevine St. Palm Desert, California 92260 Dear Mr. Bloch: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary n C11V Of PO DESERI 71-q io Bern WARING DRIVE PdLAI DFSI It I, Cni-ironNIA 92261) 2578 'rr:F: 76n 346—o6i i i'AS: 76,, i.{o u57,1 nclullo ixnumu.i m OFPI[I- OF rnv. Mmvni February 14, 2014 Mr. Roman Bloch 73-300 Grapevine St. Palm Desert, California 92260 Dear Mr. Bloch: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CI1 ' V Uf PHI [H DESERT 7; 510 FRiD WARING DRWP PALM Dr9ERT, CAMORNIA 9226o—A578 TE1»760 346-o6n rAK:760 340 0574 info+palm dmmmg GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, 06(1 ,who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. 1 agree to hold the City of Palm Desert, its Council,employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: CW 6' " (21 S6;�6S24 Na Address Phone# 3 c2 - !/ Signature Date V,taf\ k" qW Name Address Phone# 4=y&� 2,-L#-I Signature Date Contact in case of an emergency: ll Name Phone# �90YINWOIWI k •� .. } .. � .� r ,; IIT, V Uf P H I M DESEHI 73-51 o Mum WARING DRIVE PALM DESERT, CALIFORNIA .)'_26o—_>578 TEL: 760 346—o6is FAX: 76o 340-0574 inlow pak,d,,c......g PALM DESERT YOUTH COMMITTEE APPLICATION Name LI J�" Last ��nn �^- First (n�_ `;� Middle Home Address -7�?ll 6 (mpelu taieL . Q��m !L?f � 2� Street No. City State ZIP Telephone Number(s) ( Cq, jb, Ap, , C.-76a� S�qg -092q EmailAddressI qQ,— Grade School �f� t School Activities/Clubs ��1Q T�ohV&Vr\d; Other Activities/Clubs T, 0 I o cmS• 1 P(�(yS 64 Your Personal Statement of Qualifications/Interest (continue on back if necessary) T mM a 6 -_WocKiuTo sWenl wkp i5 ( Jidw� j 4t 14 Vk,VxkDA in 1 "', �mrwt; yes. aAd �,c,tg, -uRJ �0c2. �}nienu. u,ouunae , PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). No;s e S6TY Tefra Ova 76 0- SN-n\ Name Address LOy CX GJIC Telephone No. To t 1 ,�, R,�k�e,�o -76lQ - U,2—g3u Name Address Telephone No. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received Q �� Date Reaffirmed Comments My of Pfl m MINI �!vei iw onnnnm nxv 1 I1 .1Y - 0f P 0 [ M OESERI t� 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 260-2 5 7 8 TEL: 760 346-o61 I FAX: 760 340-0574 cityha11@ci.pa1m-desert.ca.us OFFICE OF THE MAYOR , t February 15, 2013 Mr. Roman Bloch 73300 Grapevine Street Palm Desert, California 92260 Dear Mr. Bloch: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. Oh behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is, invaluable. I hope you,will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ?JAN . HARNIK MAYOR JCH:gIm cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary N �,ipIX1140M pF(Y<l[01I1O Lawrence, Amy From: Roman Bloch Bloch [roman.blochO924@gmaii.com] Sent: Monday, March 04, 2013 5:03 PM To: Lawrence,Amy Subject: Youth Committee Hi Amy, I would like to inform you in advance and apologize that I will not be attending today's youth committee meeting because of an appointment, but I will certainly be at the next meeting. If there any essential aspects of today's meeting, I can ask my brother about them; but if you have any questions or concerns,please feel free to ask me. Sorry about that! Roman i Lawrence, Amy From: Roman Bloch Bloch [roman.bloch0924@gmail.com] Sent: Sunday, December 01, 2013 9:00 PM To: Lawrence,Amy Subject: Youth Committee Hi Amy, Unfortunately, I won't be able to make the upcoming youth committee meeting this Monday. I know there is a anti-bullying subcommittee meeting before-hand, but luckily I was able to talk to Zannie about what I will be working on already. I am sorry about the absence, and if there is anything that I should know about, if you could please inform me through email or I can stop by to pickup any information. Finally, I will be attending the Anti-Bullying Lincoln Afterschool Program meeting on December 12, eliminating my ability to attend either the Pledge of Allegiance or the Palm Desert Charter Middle School's Afterschool program presentation which all happen to fall on the same date,just in case you were wondering if I could attend. I am sorry, and thank you Roman i Lawrence, Amy From: Roman Bloch Bloch [roman.bloch0924@gmail.com] Sent: Sunday, March 02, 2014 11:54 AM To: Lawrence, Amy Subject: Youth and Senior Tech Event Hi Amy, I just wanted to say that I am'sorry about leaving the technology room with Yung and Uriah yesterday to go into another room where a movie was playing. Initially, one of the workers called us in to help function a DVD player, but that only took about three minutes. After the movie started,they told us that we could watch it to and even help ourselves to popcorn, so we got a little carried away and I forgot that we were even there for a volunteer event. I am very embarrassed by this and I know they are too. I will be sure that something similar will never happen again. Thank you! Roman 1 �.�.. CIIY . 01 POLOl OESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o61I FAX: 760 340-0574 cityhall@ci.palm-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Aiden Brossfield 8 Waterloo Court Rancho Mirage, California 92270 Dear Miss Brossfield: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, �o 'e'ye' ROBERT A. SPIEL 1 MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II �0 nnEoaw rarnto nna CIIIV 0r P0LfO OESERt 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 r TEL: 760 346-061I FAX: 760 341-4564 info@palm-desert_org December 31, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Aiden Brossfield, who currently serves as an appointed member of the Palm Desert Youth Committee. Ms. Brossfield joined the Committee in 2015, and served as an alternate member prior to that. Youth Committee members are appointed by the Palm Desert City Council. Ms. Brossfield is an eager member who is willing to pitch in and assist when and where needed. . In addition, she has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. She has contributed more than twenty (20) hours of volunteer time, and continues to do so. If you have any questions regarding Ms. Brossfield or the Palm Desert Youth Committee, please feel free to contact me at (760) 346-0611, ext. 664. Sincerely, Deborah Schwartz Glickman Youth Committee Liaison City of Palm Desert cp,�oxa�,�a CIIV OF PNLCI 9ESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o611 FAX: 760 340-0574 cityha11@ci.pa1m-d=ert.ca.us Ntcu w 5'l�l-lam OFFICE OF THE MAYOR May 18, 2015 Miss Aiden Brossfield 8 Waterloo Court Rancho Mirage, California 92270 Dear Miss Brossfield: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 14, 2015, appointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31 , 2015, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to serve your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, Susan Marie Weber Mayor SMW:rIm cc: Deborah Schwartz Glickman, Management Analyst 11 t SGkW0.rfi�® ci y 6f-r4 (lM. d0r-er1 .J1C t d_ �"�`•� PALM DESERT YOUTH COMMITTEE 1- k " A 73-510 Fred Waring Drive a . !I Palm Desert, CA 92260 g I a (760) 346-0611 - www.cityofpalmdesert.org APPLICATION NAME jejn Sy-c)<, lie � Cl ADDRESS Fs 1, oa+e y- too C-f)u(v t- C(Lyi(, 10 K( acig- Qw � q Z Z7C Street City State Zip PHONE NUMBER 7GO Lc LGG -77 -7G0y I '� '7Ln Home r Cell EMAIL ADDRESS C +L b y-o SS i 2I c4 (Q G w,ri i 1 . c c�,. PARENT NAME/PHONE NUMBER -)-t co.lu.. rocs �i�\c1 '1(yt7 S(o-f ZO $ Name Phone Number SCHOOLPZIw. DPSc,rr I-Vial , GRADE1LGRADUATIONYEAR �U � fo Sip ACTIVITIES/CLUBS I $lGv�d boss (�ulAcJ.Y J'ror, ao\a-a0\3 , o�v.cA rece.�.} ly Sparked age {t��s 14,Q-o_v-. l o-w. o. wrilCr� or.c1 wr � �e ewse- t��rovc�4�o�, t tl•c w2e�i� . Wt ScJv�po�� 0.� kv,vo\ve_d w: -Lulol, svc� - Na F;oV.o-1 µ� rg �U�y. ) \l.G� C\�nlo J4r�5 Jur:ior St0-tt• o-E �w.eX: Cc. , PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) eve m� &e \� - eke FeJrvr.a .al:pv\ o hd w-o t�vo tiov.. l G. me �L.¢ -Fop vS-/• o� rn�E Gloss 0-4- 0es-e,rt h�mes'6 3 CjOLSs_e S� S 1.�C-ti aS 1`tP C.ctil CAAr(t-Ls V415 I' U.S. 11iS1orc� � 1o0.t0.ric- -d w•� aco-c�ew�;e worl�io�l . .. .. ^ ,..�:ca..• � a ��__ _ . _ . . . _ . _ ._ .. 1 .. ,. , _ v.�r�4� +mos� t� goet�-yjI 1 e�,�jo� w �t+i ,9 Univ�rSl�'S �a�lve wr�i-e,�s wo�r 1,�,s�.c�� \c�.s-� Sv-xvvrn�� e- !o tre-ef rv.c��,� OA'\n ckfyxc) l ASS oY.g OkG r CL 1 G5S S r S�1G d CocS c v, �rvd�vecJ� Will w.v, -oVA �i ,{ecl c1osS �S c a Sc,, ,Ool CAu6s ) vv,coc� will. Gc.V-rV'i C �, (c0.ys r3i\/ e-S cxb�lil� -4o bz ko�\C_CJ PALM DESERT YOUTH COMMITTEE-APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). M0.Yi —Llek,0', Gu,, Ac 1(003G,bI(0C0 (',oILvsz, Cou.viseLor Name Phone Number Relation Mrs . Larsoy-% `1 G,o&,a43w Fxt. y o5q 1gr 11S w s-1u J 12a r4-4- Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert Deborah Schwartz Glickman 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received Date Interviewed Discussed during interview: What is the Youth Committee? ❑ Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation 13 PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 ; :, tJ C11V OF P H [ M 01 1 P I 73-510 FRED WARINO DRIVE p PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346-o6i x info(e ciryofpa I mdesem org October 16, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Christie Chaplin, who currently serves as an appointed member of the Palm Desert Youth Committee. Christie joined the Committee in September 2011, and served as an alternate member until May 2014, at which time she was officially appointed to the Committee by the Palm Desert City Council. Christie is an eager member who is willing to pitch in and assist when and where needed. She has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. Some specific projects that she has played an active role in over the last few years include helping seniors to their seating area at the Palm Desert Golf Cart Parade, providing assistance at the Palm Springs Art Museum in Palm Desert's Galen 5K, and bringing awareness about bullying to elementary school students. In closing, I feel that Christie has many great qualities to contribute to a college community. I have no doubt that she will be successful in all of her future endeavors and affiliations. If you have any questions regarding Christie or the Palm Desert Youth Committee, please feel free to contact me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sinc rely, Amy L ence Former Youth Committee Advisor ............. Glickman, Deborah From: Christie Chaplin <christie.chaplin@yahoo.com> Sent: Friday, May 20, 2016 12:36 PM To: Glickman, Deborah Subject: Christie Chaplin - Resignation Dear City Council, I hereby resign from the Palm Desert Youth Committee, as I will be attending Pasadena City College in the fall.Thank you for everything. Sincerely, Christie Chaplin Sent from my Whone 1 ..•. Cl1W OF P 0 1 M � ESER1 - ' 73-5 IO FRRD WARING DRIVE +' PALM DESERT, CALIFORNIA 92260-2578 ' TEL: 760 346—o6[I FAX: 760 340-0574 dtyha11@ci.pa1m-deserr.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Christie Chaplin 72-500 Beavertail Street Palm Desert, California 92260 Dear Miss Chaplin: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council.would like to wish you'well on all your future endeavors. We all know the extra effort it takes to be involved ,in civic affairs, and your service to this board has been very much appreciated. I hope you ` will not hesitate to call on. us if we can ever be of service to you. Sincerely, ROB ERT A. SPIEGEL MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II �D vnixnoax xEnnco vxve �b3 � IIy 01 P 0 1M 0 1 1 R I 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA g2260-2578 TEL: 76o 346—o6xi info@ cityofpalmdesert.org August 21, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Christie Chaplin, who currently serves as an appointed member of the Palm Desert Youth Committee. Christie joined the Committee in September 2011, and served as an alternate member until May 2014, at which time she was officially appointed to the Committee by the Palm Desert City Council. Christie is an eager member who is willing to pitch in and assist when and where needed. She has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. Some specific projects that she has played an active role in over the last few years include helping seniors to their seating area at the Palm Desert Golf Cart Parade, providing assistance at the Palm Springs Art Museum in Palm Desert's Galen 5K, and bringing awareness about bullying to elementary school students. If you have any questions regarding Christie or the Palm Desert Youth Committee, please feel free to contact me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, n Amy La rence Former Youth Committee Advisor ays CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of �nA COf' thu.� A2lYl, , I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against.the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: I "�yV1QA ter. Print Name: l/�,� (/ S T��Q C�G� a I I'n Parent or Guardian Signature (if minor): Witness: �� i CITY Uf PHLM DESERT 73-510 Face WAGING DRIVE TTELM llcs,34 CALIFORNIA 92260-2578 8L: 760 346-o6LL rnx: 760 340-0574 ,nh,V,palm-dcscrt.orF PALM DESERT YOUTH COMMITTEE APPLICATION Name 0-hca 0QJ�1�--� IV-ICJ Gu Last First Middle Home Address �OA,13t, VQKK L 4j Ul I Q I Q � Street No. City State ZIP TelephoneNumber(s) 1 -960- HU�6- QI O , Email Address 7c, Urj-k-P -) .C(1YYIGrade F School �)DC M School Activities/Clubs Casp, . ` \ RS Zoncg Other Activities/Clubs �CLU , �j.C; F:� anN A]Md Q nn u Lj-Cj� Your Personal Statement of Qualifications/Interest (continue on back if necessary) ➢ (A N ACC ,u k� u-, bl2 R-1DOULC'� , (TYn ;s„IT H I111111 �°T4,k, Ak ,q Q q 6tAA CM � ��� Q, Q U'9�{ .� qo� bU-k-. C t � PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name Address f Telephone No. AC 1o1Vy Natne Address Telephone No. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received Date Reaffirmed Comments Clfy Of ? HIM 01S[ Ri 1)rnmmoimnnEormv [ Hy of PHIM OHM 73-510 FRED WARING Diuvi; PALKI DESElff, CALIFORNIA 92260-2578 THU.: 760 346-o6ij 1;AX: 760 340-0574 GENERAL TRAVELIACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, (e�La&l , who is under the age of 18, to travel in a vehicle or on public transportation' for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: f a,� f'L�a� -VEoo sg�acyci�L d- 1) cp 2,at,o 764qa-Z�1?0 I P Name Address Phone# f Signature Dat74 Naike Address Phone# Signature Date' Contact in case of an emergency: 0 8,944 V09-212o Name Phone# Lawrence, Amy From: Lawrence, Amy Sent: Tuesday, September 10, 2013 4:30 PM To: 'Christie Chaplin' Subject: RE: Youth Committee Attachments: RE:Anti-Bullying Subcommittee Meeting ; RE: Reminder- Letter of Resignation from the Palm Desert Youth Committee;Anti-Bullying Subcommittee Meeting; RE: Christie; RE: [SPAM]- Re: [SPAM] - Re: PDCMS Anti-Bullying Survey Review; Anti-Bullying Subcommittee Meeting; RE: Palm Desert Youth Committee-Anti-Bullying Subcommittee Meeting Hi Christie, I just looked back at my emails and found that we actually held a total of eight meetings (not five). Also, attached is an explanation that I sent to your mom when she inquired on April 30, 2012, about you not being informed of the meetings. Listed below are all of the meeting dates and attached are all of the notices sent via email for each meeting with the exception of April 24, 2012. I didn't attach the notice I sent for the April 1, 2013, meeting as you had already sent me an email informing that you could not attend that night. - December 1, 2011 — you attended (see email notification attached) - December 12, 2011 — on December 9, your mom emailed to inform me that you were not available because you were working on a job that week (see attached) March 21, 2012 — you attended (see attached email from your mom) March 27, 2012 — this meeting was set at the March 21 meeting and you did not attend April 11, 2012 — you attended (see email notification attached) April 18, 2012 — on April 11, an email was sent to your mom about this meeting and you did not attend (see attached) April 24, '2012 — this meeting was set at the April 18 meeting and you did not attend (please see explanation in the email attached as to why no notice was sent out) April 1, 2013 — this meeting was held right before the Youth Committee meeting that night and notification of this meeting was sent via email and in the mail along with the agenda packet. Please see attached email stating that you were not able to attend this meeting due to a job in Los Angeles. I sincerely apologize for overlooking the two other meetings that you attended. I thought we only met five times but after looking at the email I sent your mom, I see that we met eight times. I have changed your points tor reflect these two meetings. However, even if these points were counted, being that we only had four vacancies due to Julien, Will, Jason, and Wes leaving, you were still fifth in line based on the points formula. Please note that you are next in line for appointment and in the event that an appointed member decides not to continue their term this year or is asked to resign due to non-attendance, you will be appointed. If neither of these two situations occur, you will be appointed in May 2014 as long as you continue to attend the Youth Committee meetings and participate with events. I will continue sending notices of all Youth Committee meetings, events, and subcommittee meetings. 1 r I ° I am hoping this clarifies that I did in fact send meeting notices to your mom via email as that was the email that I had on file for you. Would you like me to send future notices to christie.chaplin@yahoo.com from now on? Please let me know if you have further questions. Thanks!! �{Yn 'y Zawrence City of Palm Desert 760.346:0611 Ext. 425 From: Christie Chaplin [mailto:christie.chaplin@yahoo.com] Sent: Tuesday, September 10, 2013 3:12 PM To: Lawrence, Amy Subject: Re: Youth Committee Okay thank you for the clarification and regarding the anti-bullying campaign, after the first meeting I was never notified when the following meetings were. I only made the second meeting because Emily Goldstone asked me that day if I was attending so I was able to make it. I also asked you about it saying how I wasn't notified when our meetings were so I don't really know who I should talk to to make sure I am told when our next meeting is. Sent from my iPhone On Sep 10, 2013, at 2:09 PM, <alawrence(cDcityofpalmdesert.org>wrote: Hi Christie, Thank you for your email. Alternate members of the Palm Desert Youth Committee are appointed by City Council based on participation; not length of time on the Committee. Below outlines the selection process for those appointed to vacancies each school year: - First, each alternate is given points for their current grade at the time of appointment (1 point for 8th grade, 2 points for 9th grade, 3 points for 10th grade, etc.) - Second, members are given one point for each meeting they attend. - Third, members are given one point for each event that they participate in. After the Youth Committee meeting in May 2013, we had four vacancies left by Julien, Will, Jason, and Wes. Therefore, we needed to appoint four alternates to fill those positions which we do by bringing a recommendation before City Council for approval. In preparing the recommendation, I calculate points based on the above formula (i.e., current grade, meeting attendance, and event participation). Based on my calculations at that time, you had a total of 17 points which breakdown as follows: - 2 points for your grade at the time (9th) - 3 points for the events you participated with during your time on the Committee - 12 points for each meeting you've attend since September 2011 2 The Committee held 18 meetings between September 2011 and April 2013. According to the attendance roster and my notes from the meetings, you missed a total of five meetings during that time (April, May, and October 2012 and March and April 2013). Also, between September 2011 and April 2013, the Committee participated with 15 events. I have you down as attending two of those events, i.e. Joslyn Center's Game Night in April 2011 and the Golf Cart Parade in October 2012. In addition, as a member of the Anti-Bullying Subcommittee, you attended one out of five planning meetings held from December 2011 to April 2013. That being said, your points were lower than the other alternates. If we'd have had five positions open, you would have been appointed. However, as indicated, only four senior appointed members left the Committee in May 2013. Please note that if any member decides that he or she is unable to complete their term as an appointed member between now and May 2014, you will be appointed in their place. Also, if any appointed member misses more than two regular meetings per calendar year (unexcused absences), they will be asked to resign and you will be appointed to take their place. If neither of the above occurs, at this time you have 20 points (three more points than before because you went up a grade and attended both the May and September 2013 meetings), which is seven more than the alternate member next in line to be appointed after you. As long as you continue to attend the meetings and participate with some of this year's scheduled events (thereby increasing your points as an alternate), you will appointed by City Council at the May 2014 meeting. I want you to know that your participation on the Palm Desert Youth Committee is appreciated. The only difference between an appointed member and an alternate member is voting rights. As an alternate member, you are still eligible to provide input and make suggestions regarding topics of discussion, coordinate and participate in all events, and serve on various subcommittees. I apologize that we were unable to appoint you this year. As stated you are next in line should there come a vacancy this school year, and if not, you will be appointed in May 2014 as long as you commit to attending meetings and participating with events this school year. I hope this explanation was helpful in answering your question. Should you have any other questions, or if you would like to meet with me to discuss this further, feel free to call me at (760) 776-6425. �lm'y Cawr^errce City of Palm Desert 760.346.0611 Ext. 425 From: Christie Chaplin rmailto:christie.chaolin(&yahoo.coml Sent: Monday, September 09, 2013 7:23 PM To: Lawrence, Amy Subject: Youth Committee Hi Amy! 3 I am a bit confused as to why I was not parf of the newly appointed members. This will be my third year as an alternate and I assumed I would for sure be an appointed member by now. Please let me know what I am missing. Sincerely, Christie 4 Lawrence, Amy From: Christie Chaplin Ichristie.chaplin@yahoo.com] Sent: Monday, December 02, 2013 3:53 PM To: Lawrence, Amy Subject: todays meeting Hi Amy! Unfortunately I have been very sick the past couple of days so I will not be able to make tonights meeting, but I will be volunteering on Friday! -Christie i CI1V Of P 0 1 M OESERI !F 73-5ro PrscO WnRwc Dave s- PALM DcsenT, CALIFORNIA 92260-2578 TEL: 760 446—o6c i rnx: 760 340-0574 cityhnllN ix.ncrtom,com Orrice or THE MAYOR May 28, 2014 Miss Christie Chaplin 72-500 Beavertail Street Palm Desert, California 92260 Dear Ms. Chaplin: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 22, 2014, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2014, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 8, 2014, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely VAN G. TANNER MAYOR VGT:rg cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary Sl rnnno ooanneoexm CITY Df P 0 1 M 01 � R1 73-5 c o FRED WARING DRIVE PALM DESERT, CALIFORNIA 922 60-2 5 7 8 TEL: 760 346—o6i I FAX: 760 340-0574 ciryhall@ci.palm-desercta.ua O•�^ F— OFFICE OF THE MAYOR May 18, 2015 Miss Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Miss Chen: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rIm cc: Deborah Schwartz Glickman, Management Analyst II N "IFlXIED DX PifYfIiD IXIp CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of 'n e PAY'^ Oexrk cLh1 `IwYO- I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: (2 3 �2 Signature: --`7� Print Name: Ka Alkf, C" v Parent or Guardian Signat if minor): Witness: Ask CITY of PHH NMI 71 ,I" PRHD WARiN(; DmvF PAI k1 Dl:1FI I, CALIFORNIA 92 6 'S 'N TEL: 760 j.;G—OC,I I FAX: 76„ ;.I.. 'ayh:Jlm is.u.n m. uni OFFICE OF THE: MAYOR February 26, 2014 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary IIIV OE PH1M OESERI 73-510 FRED WARIN6 DRIVI= PALM DFSFICI, CALIFORNIA 9'(;1,—z57N TEL: 760 346—o6i I FAX: 76o 340-0574 ntyhnllor'ix.nri a+m.aw ()rrlt 1 uF 'rlu, MANOR -_- February 14, 2014 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary iJ rnxneax Hoorn rm ,... � GIIV 0f P H I M 0ESERI 73-510 PRRD WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346-6611 r•Ax: 760 340-0574 info@palm-deserr.org October 4, 2012 To Whom It May Concern, It is a privilege to write this letter of recommendation for Kaylie Chen, who currently serves as an appointed member of the Palm Desert Youth Committee. Kaylie joined the Committee in December 2010, and served as an alternate member until May 2011, at which time she was officially appointed to the Committee by the Palm Desert City Council. Kaylie is an eager and dependable member who is willing to pitch in and assist when and where needed. In addition, she has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. If you have any questions regarding Miss Chen or the Palm Desert Youth Committee, please do not hesitate to contact me at (760) 346-0611, ext. 331. Sincerely, kie Riddle Director of Special Programs akl n e9 raixnoox rtuniourex .r + Lawrence, Amy From: Kaylie Chen [kychen4@gmail.com] Sent: Wednesday, October 03, 2012 5:41 PM To: Lawrence,Amy Subject: Re: NHS Recommendation for Kaylie Chen Also, it is due by Friday, October 5th. Sorry it is so soon! Thank you so much, Kaylie Chen On Wed, Oct 3, 2012 at 4:59 PM,Kaylie Chen<kychen4( email.com>wrote: Hi Mrs. Lawrence, Thank you so much for doing this for me! I need a letter of recommendation around a paragraph or so about my character on your letterhead mailed to: Mr. Shaw Zaidins, NHS Advisor, Palm Desert High School, 74910 Aztec Rd., Palm Desert, CA 9226o Thanks again!. Kaylie Chen i CIIY Of Pfl1M DESERT 73 -51U Pu Mn WARING DRIVE PALM DMsca'1', CALIFORNIA 91260-2578 TEL: 760 346—o61 1 PAX: 76o 3.I0 057-1 eiq+a11(14i.pa1m-dmmca.us Orrice M;riu; MAvun January 27, 2012 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: It is with great pleasure that I write this letter officially notifying you that the Palm Desert City Council, at its regular meeting of January 26, 2012, reappointed you to the Youth Committee for 2012. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, /3oh 'X V ROBERT A. SPIEGEL MAYOR RAS:mpl cc: Amy Lawrence, Recording Secretary t5mmnwnnm.nn. T CIIV Of P01M. OESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o611 FAX: 760 340-0574 dtyha11@ci.pa1m-dcscrt.ca.us OFFICE OF THE MAYOR , May 18, 2011 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 12, 2011, appointed you to the Youth Committee to fill the vacant position. Therefore, your term will start immediately and run through December 31, 2011, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Youth Committee, which is scheduled to meet next on Monday, September 12, 2011, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sin ly, J N M. BENSON YOR JMB:rg cc: Amy Lawrence, Recording Secretary v .� c1TY0 � PH M 0 , 1�k�sfQ z +„ 73-510 PR15D WARM; DRIVE `0/� �oCF/CF /� PALM DESERT, CALIFORNIA 9226o-2578 0�6 ?7 A TEL: 760 346—o6 x x P# 1_4 7 VAX: 760 340-0574 i n G,(rt polm.desc rLnrK PALM DESERT YOUTH COMMITTEE APPLICATION Name C)m KaAV Last First Middle Home Address Street No. City State ZIP Telephone Number(s) _ Email Address _ Grade �� School VIUQrS School Activities/Clubs rtF ccti\ �v kl -�Iz, \1k"wwk 4.o ciT A k A u ( I-la�cr 42t�\ /�+� gLra�e Nab\^Tcai,� au\\ oil v--;rv1 �xi�kT -\0%ae l FC��'CA4\�S1 Other Activities/Clubs 'a\(nnNrrr 6k- v\,Ak,: ��� C-�:,r ;'a��. C:F< n 1��ik�� �C�t•�crl .s�nn �Ca1E^n�e�l t;��eakc*v� �oUra�n � �� ��Fac Your Personal Statement of Qualifications/Interest (continue on back If necessary) C\�11 V& CIA%V\ Ync- SnSN)y ^Wcl� Few\ YY\i<< 2v ob\vra cl� (�. • 2\ \�rxs��+t� nu r� cl v+vr P va.�>\�i \ ��s =r 1,�a k •v�ge�:}�euo� L' avh� ah�, a9a x�vv; �. l�-�a�h1_ja:a+�Ha e�a�a�,�"as�� ci c . y� � 1,����F,31'y��'��'��v1v�"v`�1� i�Sv�j•Znv��;`*�,aaZY�Q}an�w�i w`6:t��a�ai, .�Qu`� ai.�}vk�'3� ,-�}- ���a 1'1^o�n Z��`?�1_y=Tan � ����ec: . 'y ��a,�`1\1Y"', ry,Q Yv,� aft , ono � ati °Vtt• }»,,Y� 1`a1�, a l�`�ifl,vh-�a't ����'�i�a•o r; ,v,.y.,�a,a N� }ao��a e a�Nr .�.��;ar vy ��n rn��\ v1 aw, �v3 w�, a ,�.ry� ��� ,aNL �° u, N to tyaa o F r. PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). u� � � izo c� z+wa \ante Pa\w Ocr4 CEO gzatl Name Address Telephone No. `3 %t Qj n3-aso ttw,� %k� �� j� '�4VA a pt eR aWW Name Address Telephone No. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received I�- al 10 Date Reaffirmed Comments APPOINTED TO \/0 4- ON _ 5—is -act/ Nly of PRIM OHIPT y.,.. , .. �,f' v. , Ka�[z0-1 IIIY 0 P 0 1 M 01 1 N I 73-510 FRED WAHINc Diuvla 1L FAI.M DL•sUrl', CALIFORNIA 92260-2578 r J'' 'rrt.: 760 346—o6u r•AX: 760 340-0574 inli(!p;dnrdcsen.org GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, C\r\e.V\ who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: V;Ce A- mev\ `xq`aE& 4\ac. G�cck -4-L'� (IN C�zv0 \mb) 4upk \9si Name Address Phone# 3 l /\k Signature Date CI CeV\ `l4%3(3 LakaC CSrck+>_ TW Q)O, ' 202'" Name Address Phone# Signatur Date Contact in case of an emergency: --�mSkZ Qsu v otwb 3-6z 5b�� Name Phone# (j nnionuumeeun CITY OF P0IM DE �� � Rsoa 73-5io FRED WARING DRIVE 4/1 SERr flC� O£0 cA HALM DESERT, CALIFORNIA 92260-2578 2�TEL: 760 346—o6L L ply /' 4 rnx: 760 340-0574 ' inlidpnlm-desert.urg PALM DESERT YOUTH COMMITTEE APPLICATION Name CVVN\ Kmw Last First Middle Home Address`Tyq� L+lac �trcle 'Wko Street No. City State ZIP Telephone Numbers) Ce\\ kkw--,y- \(,,mo)-tiro-b5s2b Email Address Grade ZS School pOChJ School Activities/Clubs cc4+ro '�WHcr 1riAvA /PCCNS Ve�c�cs k �/4.n C-,�A LtZ t �erah>�n Other Activities/Clubs S.uyyr Vt\w,x Tv �,� l Vk ` ,, ��\IkCA �,��e>•i.�a�a �Q1eyc o-�l 'E.�1.,cak�ih C%cnu��,c,�/ S�ey, ��r Your Personal Statement of Qualifications/Interest (continue on back if necessary) 44�\ AV \4 eke 5%jbn w,e S W�a,N awLacc < hc &.Svk haw- _TA. 0\ak WV Ctrl.+?'�. ,, a\R kPf.�fc. V }c �0 nix....en..... e w \ ! . . . - .. 93,` � � P { ©® IV , @ f , . . e R � R � ° t� . . , : . e � m 2 ) { > \ PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). DO ftyto&�\ &�wa ate �a�r+Ocrc4 CA 9z2�1 h�,y�-\Luu� yb l +wt�3 Name Address Telephone No. ��tt CR awJa1 <tp - lCvw") stro-subb Name Address Telephone No. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received '� a1 �� Date Reaffirmed Comments Oily Of PEE OMNI �^�ruxumxnnniorm, �---. CIIY Of PHIRI 0111RI 73-510 FRED WARING DRIVE r d, PALM DESERT, CALIFORNIA 92260-2578 TEL: 60 7 346-o6n FAX: 760 340-0574 ijifo@palm-desert.org December 8, 2010 Miss Kaylie Chen 74-935 Lilac Circle Indian Wells, CA 92210 RE: PALM DESERT YOUTH COMMITTEE APPLICATION Dear Miss Chen: Thank you for your interest in the Palm Desert Youth Committee. Per your request, enclosed are two applications (one for you and one for your friend) which can be completed and returned to my attention. If you have any questions, please call me at (760) 346-0611, ext. 331. Thank you again for your interest in the Palm Desert Youth Committee. Sincerely, IE RIDDLE DIRECTOR OF SPECIAL PROGRAMS akl Enclosure: as noted �;runmaurznu<orun �,___• CIIY Of P 0 1 M OESERI 73-510 FRED WARING DRIVE - PALM DEs34 CAuraeNingzz6o-257$ 6 TEL: 760 34 —oG11 FAx: 760 340-0574 cic),h.lff@ci.paim-deserr.c.i.us OFFICE or reE MAvoE January 27, 2012 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: It is with great pleasure that I write this letter officially notifying you that the Palm Desert City Council, at its regular meeting of January 26, 2012, reappointed you to the Youth Committee for 2012. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERTA. SPIEGEL MAYOR RAS:mpl cc: Amy Lawrence, Recording,Secretary n CD xxixrtxoxx¢nuxrmv CIIV 01 P 0 1 M OESERT a, 73-510 FRED WARING DRIVE b a+ PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o61I FAX: 760 340-0574 cityhall&i.palm-desert.ca.us OFFICE OF THE MAYOR February 15, 2013 Ms. Kaylie Chen 74935 Lilac Circle Indian Wells, California 92210 Dear Ms. Chen: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. On behalf of the'entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, / (f AN C. HARNIK MAYOR JCH:gIm cc: Frankie Riddle,.Director of Special Programs Amy Lawrence, Recording Secretary c S,rxixrmoxemam rxrEx Lawrence, Amy From: Kaylie Chen [kychen4@gmail.com] Sent: Sunday, March 03, 2013 9:51 PM To: Lawrence, Amy Subject: March 4, 2013:.Meeting Absence Hi Mrs. Lawrence, I will not be able to attend the Youth Committee meeting tomorrow, March 4, 2013, because of family issues. I'm so sorry for my absence. Thank you, Kaylie Chen 1 Lawrence, Amy_. From: Kaylie Chen [kychen4@gmail.com] Sent: Friday, January 03, 2014 8:35 PM To: Lawrence, Amy Subject: January 6th Meeting Absence Hi Mrs. Lawrence, I hope you had a wonderful holiday season and a happy new year! I am so sorry, but I will be unable to attend this Monday's meeting on January 6th due to familial situations. I will receive an update on what I missed from other members. Thank you for your understanding, Kaylie Chen i CIIV Of PRLPI 0E � ER1 73-5TO FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o6I I FAx: 760 340-0574 ciryha11@d.pa1m-deserc.ca.us QFEICE OF 'I-[IF MAYOR May 18, 2015 Miss Michelle Dan 74260 Velardo Street Palm Desert, California 92260 Dear Miss Dan: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst 11 �•� CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I here) here-�ow� t' s� �"`�' P volunteer fpr the City of Palm Desert in the capacity of 7VC I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: 0JI-N -/Z Signature: d1 j,L Print Name: / 1 4�P//P_ hal� Parent or Guardian Signature (if minor): Witness: Tj ' �,.����`S � � 1 1 e � �. �4 pp . . � i CIIY Of P 0 1 01 1 P 1 73-51 ' PAIL) WAILING DRIVE PALM I)1-11 R'I', CALIFORNIA 92260-2578 TEL: 76u 146-o61 I FAX: I°-057.4 nrvh.J l, i. mrtam.a,m OFFICE OF THF. MAYOR February 26, 2014 Ms. Michelle Dan 74260 Velardo St. Palm Desert, California 92260 Dear Ms. Dan: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary IIIY Of P 0 [ M OESERI 73-510 PRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 76o 346-o6i 1 FAX: 760 340-0574 uiryhalhix.neunm.nim OFIa(E 0E THE MAYOR February 14, 2014 Ms. Michelle Dan 74260 Velardo St. Palm Desert, California 92260 Dear Ms. Dan: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary 5f a PALM DESERT Y TH (COMMITTEE APPLICATION Name Last First Middle. // � Ve �trdo r^. //��__,, Home Address �`l ivy G2.�!`� 5�.� Street No. ��Q,,.I�CJty S?t ZIP Telephone Numbers) �I �� 1 �4 ��/ 1 � / 1l r60 ) eH2-21 � l ,�an I Email Address rOOSIlI 11 6)Wh00 .COn 1 Grade School—A rq 3 School Activitjes/Clubs C-�/` �C�' �(C / '/oC k ���d /(/ Other Activities/Clubs // I Your Personal Statement of Qualifications/interest(continu�on back if necessary) 1 Vw&l � ' /004 r 1��� 110 7bi W&i Wry c ' PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone con ected with the City of Palm Desert). �,ChciS boCc ( 17 - 7y�� Ue�c�r, "��o4-3�1 -3325 Name Address Telephone No. . PH-ef KerdGY, --'1�--rP3G_1-1 Name Address Telephone No: ' APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611,-EXT.' 425 ' This application will remain on file for period of one year. FOR OFFICIAL USE ONLY Date Received 8 q Date Reaffirmed 71 Comments V/ CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereb a kn wl dge th t as a volunteer for the City of Palm Desert in the capacity of —� In am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: tz Signature: Print Name: Parent or Guardian Signature (if minor): 1 Witness: JeSSic� reqa,4l- Lawrence, Amy From: Michelle [zarnesti1'11@yahoo.com] Sent: Thursday, August 09, 2012 2:54 PM To: Lawrence, Amy Subject: Youth Committee Attachments: Michelle YC 2.JPG; Michelle YC 1.JPG Hello Mrs. Lawrence, My name is Michelle Dan, I am going to be a Sophomore in the 2012-2013 school year and I would love to join the Youth Committee. I have attached my application.below. You can contact me at this email address or at my home phone number [(760)674-1991] any time! Thank you in advance, and I hope you have a wonderful day! - Michelle 1 , -� CITY Of � DEfD DESERT 73-510 RRGU WARINO DRIVI•. j �' PALbI DFtiP.R'I', CALIFORNIA 92260-2578 a � J TrL- 760 346—o6u r•AX: 760 340—0574 I� inli+4+p,dm drscn.org GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, eq— who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: ..r_ ���le�►�.._ �2.,� �ti2�o 1/�1.�i�11oQ,�' �ulr�`�►-�60� 37�-y5"6 4 Name Address Phone# Signature Date Name Address Phone# Signature / 2 Date Contact in case of an emergency: Now Name "" 90�� 4 ----------------------- Ph he# CIIY 01 PO M OESER � 73 Stu PRru WARM; Durvr " ' .. Pni ni Drsrar, CALIFORNIA9zz6o 2578 '1'e1.: 760 346--o6n rns: 7G0 340 0574 in lnpn�r.ilm Jrecn.ury; GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, %ehe lie- Am who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: )g2j IV Name Address 'Ph o e# Signature Date MlKl�l �771 1 (��o/5A?&54 Name Address PhoKie# m -/'� -/2- Signature Date Contact in case of an emergency: a&l/ if A#q 456 y Name hon # „j nmi>ornnwormr CITY Of P 0 1 M 5 � SER1 73-510 FRED WARwc DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6I E FAX: 760 340-0574 ciryha11@ci.pa1m-dcscrr.w.us OFFICE OF THE MAYOR May 14, 2013 Miss Michelle Dan 74260 Velardo Street Palm Desert, California 92260 Dear Ms. Dan: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 9, 2013, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2013, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 9, 2013, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, f JAN C. HARNIK MAYOR JCH:rg cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary s , PALMDESERT Y TH COMMITTEE APPLICATION' Name rl F p Last First y.4 u Middle 'A Home Addre§S C .,��.� ,..,,.•uw� , . u�treet No: W24 rraii I Telephone Numbers) , . � Email Add I,;�����hdd. Grade School :•���r7 ` rr ��+aS, :c; Pa Yx' F f �kS ge`, . ""1 f • red school Actvi eslClubs ��:C� ` . I¢rr. r y ` v+4,t=�` i} C, u.1 f,�a',n<E i ritig�:7t.• �ci.7 0 a"r'.ActlVitid6/Cliwbs Your-Personal Statement'of Oualifcakions/interest-(continu on,b,ack-if necessary)-- - CCI, 4 . .L ✓ � , ks.• " PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 `` F�' nA Local residents who are'qualified to commeni' n your capabilities (preferably not a relative or someone con acted N Ith the City of Palm Desert) 7y2' 1 velar �. >�oo�3y S Names Address '_ Telephone;No. Name !- 'Address Telephorie�No"''' APPLICATIONS CAN BE RETURNED TOr a` Cltyof Palm•Des 3if i Attri:Special Programs Department 73-510- Fred Waring Drive ., Palrri©esert;�CA�92264�k" ' ._ . IF YGU!;HAVE°ANY QUESTIONS-REGARDING THE COMMITTEE, PLEASE CALL;, 346,461 ,E XT '425s t ,:t, r ., Thls'application will remain on file fore period of one year. FOR OFFICIAL USE ONLY Date Received b/q11. Date Reafff T- l Comments APPrD9NTED M ON 15 - �' a, 0h-3 �_ IIIV N PHIM NMI 73-510 FREI) V✓'ARING DRIVE t PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6Fx FAX: 760 340-0574 6ryha11@d.pa1m-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Emily Goldstone 48891 North View Drive Palm Desert, Claifornia 92260 Dear Miss Goldstone: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II R CITY OE P0IM OESERI 73—c rn Fuan W+o Pef / 578 TEL info December 14, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Emily Goldstone, who currently serves as a member of the Palm Desert Youth Committee. Emily joined the Committee in September 2011, and served as an alternate member until May 2013, at which time she was officially appointed to the Committee by Palm Desert City Council. During the time that Emily has served on the Committee, she has demonstrated maturity and dependability through her participation with several community projects and events. Emily is always willing and eager to assist when and where needed and her enthusiastic participation with the Youth Committee's Anti-Bullying Campaign has been integral in bringing awareness on the subject to the youth of our community. What I find most remarkable about Emily is that the Palm Desert Youth Committee is only one facet of her active community and academic involvement. Over the past several years she has managed to be one of the Youth Committee's most participatory members all while juggling her other activities with ease. In closing, I have no doubt that Emily will be successful in all of her future endeavors and affiliations and that her outstanding qualities will bring positivity to any college community she chooses to attend. She has been a valuable asset to the Palm Desert Youth Committee and to the community. If you have any questions regarding Emily or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, Amy l_ rence Former Palm Desert Youth Committee Advisor Emily Goldstone •� PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 — www.cityofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL& ACTIVITY PARTICIPATION AUTHORIZATION AND RELEASE IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE AND TRAVEL IN CONNECTION WITH ACTIVITIES RELATED TO THE PALM DESERT YOUTH COMMITTEE, THE UNDERSIGNED AGREES TO THE FOLLOWING: 1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE THE CITY OF PALM DESERT, ITS ELECTED OR APPOINTED OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS (hereinafter referred to as "releasees") from all liability to the undersigned, his or her personal representatives, assigns, heirs, and next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releasees or otherwise while the undersigned is participating in a City activity or using any City facilities of equipment in connection with the activity. 2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees (including attorney fees to establish the releasees right to indemnity or incurred on appeal) resulting from involvement in this activity whether caused by any negligent act or omission of the releasees or otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE while upon City property or participating in the activity or using any City facilities and equipment whether caused by any negligent act or omission of releasees or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by California law and that if any portion thereof be held invalid, notwithstanding, the balance shall continue in full legal force and effect. In the event of any type of injury or illness, whether life threatening or not, your signature on this form will authorize, in your absence, medical treatment as deemed necessary by a licensed physician/surgeon/dentist. PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 The undersigned hereby authorizes the City of Palm Desert staff to inform any licensed physician/surgeon/dentist to proceed with any medical treatment as seen fit or prescribed by a licensed physician/surgeon/dentist, to the minor named below. Any expenses and related costs generated by these treatments, medications, x- rays, anesthetics, or procedures shall be paid by the undersigned. I ACKNOWLEDGE THAT I HAVE READ THE FOREGOING and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City of Palm Desert, its elected or appointed officials, officers, agents, employees, or volunteers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made. IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT. I HEREBY WARRANT THAT I AM THE CUSTODIAL PARENT OR LEGAL GUARDIAN OF 611 Zo both ��j l (PRINT-PARTICIPANT'S FULL NAME) WHO IS A MINOR, ON MY OWN AND SAID MINOR'S BEHALF TO THE TERMS AND CONDITIONS OF THE FOREGOING AGREEMENT. Participant or Parent/Guardian (print) J /7 a Signature 4 lam' / �� " `� Date Home Address: Street City Emergency Contact Relationship Home Phone Work Phone Mobile Phone _V/o -rtvv Tv A;lnS EIIV of PREh1 DESERT y, 73-510 FRED WARING DRIVE t [ PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 76o 346-o6xx info@cityofpalmdesert.org November 6, 2015 Miss Emily Goldstone 48891 North View Drive Palm Desert, California 92260 Dear Miss Goldstone: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:glm cc: Deborah Schwartz Glickman, Recording Secretary CITY QF PPl M 01 1 R I 73-510 PRED WARING DRIVE PALM DESERT, CALIFORNIA 9 2 260-2 5 78 TEL: 760 346-o6i i info@ciryofpalmdesen.org September 17, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Emily Goldstone, who currently serves as a member of the Palm Desert Youth Committee. Emily joined the Committee in September 2011, and served as an alternate member until May 2013, at which time she was officially appointed to the Committee by Palm Desert City Council. During the time that Emily has served on the Committee, she has demonstrated maturity and dependability through her participation with several community projects and events. Emily is always willing and eager to assist when and where needed and her enthusiastic participation with the Youth Committee's Anti-Bullying Campaign has been integral in bringing awareness on the subject to the youth of our community. What I find most remarkable about Emily is that the Palm Desert Youth Committee is only one facet of her active community and academic involvement. Over the past several years she has managed to be one of the Youth Committee's most participatory members all while juggling her other activities with ease. In closing, I have no doubt that Emily will be successful in all of her future endeavors and affiliations. She has been a valuable asset to the Palm Desert Youth Committee and to the community. If you have any questions regarding Emily or the Palm Desert Youth Committee, please don't hesitate to call me or the current Youth Committee Advisor, Deborah Schwartz Glickman, at (760) 346-0611. Sincerely, Amy L nce Former Palm Desert Youth Committee Advisor CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby 'acknowledge �that as a volunteer for the City of Palm Desert in the capacity of -.P P —�{�'" wrn I am not an employee of the City, but that I am/covered under,the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: -I — 1 r I o Signature: e • L Print Name:_ �n,:l t• GrK,(cls,�v�� Parent or Guardian Si nature if minor): Witness: IIIV f P 0 1 M 91 1 P I 73-5to Faeu WARJNc, DRIVE PALM Dismi'r, CALIFORNIA p26o-2578 TFL: 760 346-o6i i PAX: 76o 140-0574 u[yIuJ IV,is.ncnum.nm Or v ( P ur 'rur MNl'ult February 26, 2014 Ms. Emily Goldstone 48891 North View Drive Palm Desert, California 92260 Dear Ms. Goldstone: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary AWL CITY 01 PHIM 0 M P I 71-S IU FRED WAR ING DRIVE PALM DRXI°R'I', CALIFORNIA giAo-2578 TEL: 76o i46-o6i I FAX: 760 i40-O574 nrLnllu,x.netwmsum OFFI(.I', OF 'I III MAMA February 14, 2014 Ms. Emily Goldstone 48891 North View Drive Palm Desert, California 92260 Dear Ms. Goldstone: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary E • pPALM DESERT YOUTH COMMITTEE APPLICATION ` Name Last First Middle Home Address �W( Polm N(,,1 6l 5AA6() _ �o Street No. City State ZIP Telephone Number(s) I(76G) $37 9Q 66 I(AGO) J 67, Email Address ' kJ4he Grade School P-ilm Lsrrl �{arjrr �);oI d IP L 77 - La✓n School Activities/Clubs 1 n 7�" a re d e- ."1 1401 i VI of v a vl i p f G E4 ��asf• �✓P mrP�RrP�Q avn� �i hP SOIc{ Gts SGtilol +�Inllrais. na. g5 veil Gs I.06714ina ITC CgeA dl( • For fY , MPIr VC hip \r� CUo�;Ps CGI�Iir C(kl S.I( 7011 Giro (7A A'Ie P�' /Iaef'f 1 Other Activities/Clubs M c( fa%el✓' (7 4 4(I N r l f ( r lc �igi � CaGC{Wt/ �(✓ICiNq• GI UIJ, � 1 441CP -I-i �( -F�WIPf PGG`7 �W(Q�I �71��� elli0\/ Ae '' ff. ree o� II � (-*e� 'tilti. If T frvi6in4 �� Mm-/ 0- )II T Gtlr c!'d T f RR, yl7E pralrowl Q n�'1nvlP aH q ��ctiP��G�Pl�, e Your Personal Statement of Qualifications/Interest (continue on back if necessary) pgr4r�T (Q 1fj(rSkR Urlivi 02 A im4 51601 aild r-ommCX-11.4-1 � c,rl�uPlGil�h a d Itarnni G u�' oti r (� u U r lmP � r�' II QrJf �'P r hel e �ndfrSf�, Thf G1UI �Lo111dH�( r� Ghc( fu.11 tielf me .Fc,,Jher AejCIO f VAJ IlI'drrShi 5A;Ilf_ ✓/� J3fl D �n� u bye >D , JJ 1 l9J d J/ySj 'a; 41ry qvi)T/ sl , pots 0 3 - a s- Prof-gip 'rid 5)tgj i .. - r. , 1` 4 . . ri- - r= PALM DESERT YOUTH COMMITTEE APPLICATION' PAGE 2 Local residents who are qualified to comment on your capabilities_ (preferably not a relative or someone connected with the City of Palm Desert). Mri$ ms '1'2 -I50 yahpcI- / 3��'1- w�oe V)1a&vrum 6 dnc pan W&t6, 192,210 l�l00 of"1 Name nit, Address Telephone No. ss Lay,- Comb C- d Q'hn�ohinkon �ano4,a 'M �dGry�, cr'Z23r� �ag •�32� Name Address V Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760)346-0611, EXT.425. This application will remain on rile for a period of one year. FOR OFFICIAL USE ONLY Date Received '(tea 1 Date Reaffirmed Comments ^+'h G, V;.6 a r'C'3 a" r d_ ('. rr�...l�p � .... E tr ,y-._-^ it: J,Uf? 1-;v .. .rt- n fS� I�,.:.�iC;i✓� �.tC, �iS3_�i61.': 1}� .C;uuvl . .�r_� i>1_-Y'Gc l",v � t rgf r:� l r,�yy � a.\• rth u, bepw �:�i e, VW t:1( (�...i ACL4�. i�,lkA f.'� .. .�iffitl�Z3 .l,..r C;. I � l� .,.t � touki t'1. U�(^�iA.� r'L Lfi. :i•(J11Fr, CC7t1:1,�!;i�"C',� 'AI(}) Ir14? ._:Ij.r'� art ';:F��C'J 1�4',:'£il.l� ot! i3s"..-!r: ".1�i^ tF[4, . 'ic I rc tf 1r•i{. 1 ..;7i r�(';;L .:37d7.11•, ::IG_Ei1-�.;(�� ll47{ �i b�l'. - :v: ,•u D F 2E.o'_AU" H. ''"Ja•.. :->_., 'E-E- t:r-.i h_ i.UOsh CITY Of PRIM 0 1 S I P 1 73-510 FRED WARING DRIVI- PALM DESERT, CALIFORNIA 922.60-2578 TEL- 76o 346—o6n FAX:760 340-0574 inroC�paLn-dcscroarg GENERAL TRAVEL/,A �C ,T .I / j V �I .TY AUUTTORIIZ�.IATION/RELEASE give permission for my/our child, _C2I II� l".f�IUS��, who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: ��I 1UDY 1 i D . C1 Na a Address Phone# '��(� 43 CAq(p(p Signature J Date Name Address Phone# Signature Date Contact in case of an emergency: � (214of `� 15 5 q� �5 Name Phone# .,. newmmnwre ! 6 Lawrence, Amy From: Emily Goldstone [emily.e.goldstone357@gmail.com] Sent: Monday,April 01, 2013 10:45 AM To: Lawrence,Amy Subject: Canceled flight. Hi Amy! I will not be able to make it to the meeting tonight because my flight leaving Maui has been canceled and I will not get back to Palm Desert until Tuesday. Sorry for then inconvenience. Emily Goldstone 1 ' 1 [ lily Of PRIM 0H [ PT 73-5Eo FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o61 I FAx: 760 340-0574 ci ty hal l @ci.p al m-de sc n.m us OFFICE.OF THE MAYOR May 14, 2013 Miss Emily Goldstone 48891 North View Drive Palm Desert, California 92260 Dear Ms. Goldstone: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 9, 2013, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2013, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, September 9, 2013, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ?f"��!A� JAN C. HARNIK MAYOR JCH:rg cc: Frankie Riddle, Director of Special Programs ,/Amy Lawrence, Recording Secretary PALM DESERT YOUTH COMMITTEE APPLICATION Name QII Me Last Firdt Middle l Home Address Street No. Cyr State ZIP rn Telephone Numbers) i L�6G) g3]• qQ 66 I(AGO) 5�7f P� Email Address J qOIJ54 he Grade R School kdd l e 7PLP-600 School Activities/Clubs In 7 ' arad e 7 /1 Jcf s i h AO vav)i v6' reeds' L� �„/P rP af��Q ffP al S�ti , �viti Ui ; 675 'l t( Ce5 I>arhirla 1fe CSSPNt •AlI f • For PYarrWII tr eD a6OPr14'e�a LG -�Pdcoo ,4 L � � _ OtherActivities/Clubs ? C1 M ci F(w(P✓ 4 4e I✓,wJ Femik fica[ emk Fol(Ihq 61 (rJ, i ehGe +i I( �;Mej CrO gjrel' god I ehio�/ �tiP ���ree/�oAn +e( �Ih- 1c I�� �r��cih� • J� {��,/ d 1 �)� Gt fnaFcC 4h ?R ybE �r�v�l�, nU nn4,rod oh 6140,4P��°(DPP/. Your Personal Statement of QualificationsAnterest(continue on back if necessary) �� exOcrrfweP a� P.R Y (7 E �rt��-Pd cn i��fPs-� r-h wie �o /101ei t 1 � c ers �L4 U�jiJl'�f'<S a� kmti �ikogf and GdWI(NIGt,p 'T`r � � Q1 4.et 1iLi(/U+iNa i'n ah� 1tarniny Glheu� drnr (drab 4oV'Pr�I GIIF' . rr iI hey e ander5l Ae �'/ Iin�LO) 0d '14A { rlf M( fej1her rAeJejep 01 114drfShi wj. ✓ I f _ 1 1 i _ U. ' > rn �y t WZ15 dj�l — -ril - 112 I i PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities(preferably not a relative or someone connected with the City of Palm Desert). mr1tms '7'R-131 %Ajpq_ waw Aa --d'-M .rti was 192.21D 660, Name 'Jo n�ft Address Telephone No. 5S Lie conAD C-sd, h0obihfsan r"�a^rj ,a % iV'alG, 4227W 24 Name Address V Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-610 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760)346-0611, EXT.425. This applicaBon will remain on Me fore period or one year. FOR OFFICIAL USE ONLY Date Received 01 vr2 Date Reaffirmed Comments APPOINTED TO VC)U N ( i,✓nmiJee 1 Lawrence, Amy From: Emily Goldstone [emily.e.goldstone357@gmail.com] Sent: Tuesday, February 25, 2014 5:58 PM To: Lawrence, Amy Subject: Technology Night Hi Amy! I won't be able to make it to the Technology Night on March 1st! Sorry about that! - Emily Goldstone 1 PALM DESERT YOUTH COMMITTEE .� 73-510 Fred Waring Drive ^ Palm Desert, CA 92260 (760) 346-0611 -www.cityofpaImdesert.org I APPLICATION NAME S U F)-U PC),iJP-- ADDRESS -133SO Cal I)cxQr, Street ParrDeseyP CA 12-Z60 Street City State Zip PHONE NUMBER C76UJ67y- 97/L• [76o) 77 +/- 6395 1_Home Cell EMAIL ADDRESS S h ad e V e 1 c V2- ��rn PARENT NAME/PHONE NUMBER AW Nai le, (76q)77 So(1S Name Phone Number SCHOOL Palm Desert High School GRADE11 GRADUATION YEAR2016 ACTIVITIES/CLUBS Youth Advisory Council California Scholarship Federation Key Club PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) I have experience in particpating in a youth council because I have been a member of the Youth Advisory Council for 3 terms. One term of which I was parliamentarian. Using the skills I have gained by becoming parliamentarian and an active member of a youth council, I can contribute significantly to the Palm Desert Youth Committtee. I enjoy taking part in helping my community and representing the youth. In Palm Desert High school, I am an ASB represnetative for my class. v , . , _ _ �_ - ,. -, y ,� �� . r - -, '; ,. ; r: � ., PALM DESERT YOUTH COMMITTEE= APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Kathy O'Hara 7608981412 neighbor Name Phone Number Relation Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for three years. FOR OFFICIAL USE ONLY Date Received 0,911E l IS Date Interviewed Discussed during interview: What is the Youth Committee? ❑ Appointed versus alternate member ❑ How to become an appointed member ❑ Meeting schedule ❑ Meeting requirements ❑ Brown Act ❑ Subcommittees ❑ Events ❑ Communication ❑ Letters of Recommendation ❑ PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 ^� `y (760) 346-0611 — www.cityofpalmdesert.org CITY OF PALM DESERT—VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert (City) in the capacity of the Palm Desert Youth Committee, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: Print Name: O 1 'rU r1 Ai Parent or Guardian Signature (if minor): Witness: _> . . .� • � .. :,, , ., � . . i i ,.. i - i � �/ PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 —www.cityofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL AUTHOIIRIZATION/RELEASE I give permission for my child, �oCv, ���/A 1)-e— , who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transportation to and from Palm Desert Youth Committee activities I agree to hold the City of Palm Desert, its elected or appointed officers, agents, officials, employees, and volunteers harmless from any and all claims, demands, actions, or suits arising out of or in connection with the above. Parent/Legal Guardian's signature denotes acceptance of the terms of this permission to transport. Parent/Legal Guardian 4A 1, 4a �6 0 77 �/ S-C 9 Name Phone No. IRV Desu+ -7 3 350 6a,I It a A�r�A S}. p CA Cl ZZ 6 U Address City/State Zip Code Signature Date Emergency Contact Information k(a ��7 O ` �&-f 760 9gJL112 Name Phone No. Name Phone No. Schwartz, Deborah . To: ahaile@aol.com Subject: Palm Desert Youth Committee Application Attachments: YC_ApplicationFILLABLE2014.pdf Hi: Thank you for your interest in the Palm Desert Youth Committee. Per your request, attached is an application, which can be completed and returned to my attention at Deborah Schwartz Glickman, City of Palm Desert,73-510 Fred Waring Drive, Palm Desert, CA 92260. Please note,our next Youth Committee meeting will be held on Monday, March 2,2015, at 6:00 p.m., in the Administrative Conference Room at Palm Desert City Hall. You are welcome to join us at the meeting and submit your application then as well. If you have any questions, please call me at(760)837-1664. Thank you again for your interest in the Palm Desert Youth Committee. Sincerely, Deborah Deborah Schwartz Glickman City of Palm Desert, Management Analyst II 760-837-1664 www.palmdesertart.org I.A Be Green! Please don't print this e-mail unless you really need to. 1 r :,. PALM DESERT YOUTH COMMITTEE APPLICATION Name Ile,ZW\jOQ (act _ Last I First Middle Home Address 790,9 Palm Gesz-t CA 92260 _ Street No. City State ZIP Telephone Number(s) C�co� 4y`I-Ol k Email Address IGe ve e,2k'�uo,@amuil.com Grade KI School MON School Activities/Clubs The. JL1s L irIic.ii)cAe— 1I1, 111rducle Sunshine Circle, mod kci s R101en , nnc) GS F ( Cn)JOInic�1 Sckdc14�n Other Activities/Clubs Y C.J L prL)c I-cj M o Your Personal Statement of Qualifications/Interest (continue on back if necessary) i Icxx, mU communj1w onj eyea-cl6rip }o dre-i I G7arly L glle— I.,)ucJ< lu if I, , conlrjLi dwcj wkcx L Gcin. hlsv, +u 6U2 an Imr)QGl on My soue)� < anc� 41 order L achieve �6ay Qoga , I nPeCA �u 0J I rnUoivej. as rni ch cts I co" PALM'DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Maa�i ���t�ri�L G`d 160 F.spgAa tAo Cokhe Q CIL 9223y C7GU� 1;�3-000G Name I Address Telephone No. aji Yeaae� 19 G S p -� Dr. I�anc�n lMcraae q2��G ��GU� 9�-Q8 80 Name Address Telephone No.' APPLICATIONS CAN BE RETURNED TO: -City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive - Palm Desert, CA 92260 ' IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received Date Reaffirmed Comments Glickman, Deborah From: Glickman, Deborah Sent: Wednesday, October 07, 2015 3:26 PM To: 'tim.fitz830@gmail.com'; 'taciemarie@verizon.net'; 'yael.hezkiya@gmail.com' Cc: 'kimfitzpatrick4@gmail.com' Subject: Palm Desert Youth Committee Alternates Attachments: PDYC Travel Release-3-5-15.doc Hi Tim,Tacie, and Yael: Since you have all attended two Youth Committee meetings,you are eligible to become alternates. There isn't much that you need to do to become an alternate, but I need for you to have your parents sign the attached General Travel and Activity Participation Release. Please have them sign the paperwork and then return it to me at 73-510 Fred Waring Drive, Palm Desert, CA 92260,or at bring it to the November 2 Youth Committee meeting. If possible, I would like to meet with the three of you at 5:40 p.m.just before the meeting in November to give you your notebooks and your shirts. Please let me know if you can make that time. Thank you, and welcome as a Youth Committee alternate. Best, Deborah Deborah Schwartz Glickman City of Palm Desert, Management Analyst 760-837-1664 www.palmdesertart.ora F.A Be Green! Please don't print this e-mail unless you really need to. 1 i r ' Fi ' PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive Palm Desert, CA 92260 ., (760) 346-0611 —www.cityofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL&ACTIVITY PARTICIPATION AUTHORIZATION AND RELEASE IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE AND TRAVEL IN CONNECTION WITH ACTIVITIES RELATED TO THE PALM DESERT YOUTH COMMITTEE, THE UNDERSIGNED AGREES TO THE FOLLOWING: 1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE THE CITY OF PALM DESERT, ITS ELECTED OR APPOINTED OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS (hereinafter referred to as "releasees") from all liability to the undersigned, his or her personal representatives, assigns, heirs, and next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releasees or otherwise while the undersigned is participating in a City activity or using any City facilities or equipment in connection with the activity. 2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees (including attorney fees to establish the releasees right to indemnity or incurred on appeal) resulting from involvement in this activity whether caused by any negligent act or omission of the releasees or otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE while upon City property or participating in the activity or using any City facilities and equipment whether caused by any negligent act or omission of releasees or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as, permitted by California law and that if any portion thereof be held invalid, notwithstanding, the balance shall continue in full legal force and effect. In the event of any type of injury or illness, whether life threatening or not, your signature on this form will authorize, in your absence, medical treatment as deemed necessary by a licensed physician/surgeon/dentist. 1� l PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 The undersigned hereby authorizes the City of Palm Desert staff to inform any _ - licensed physician/surgeon/dentist to proceed with any medical treatment as seen fit or prescribed by a licensed physician/surgeon/dentist, to the minor named below. Any expenses and related costs generated by these treatments, medications, x- rays; anesthetics, or procedures shall be paid by the undersigned. I ACKNOWLEDGE THAT I HAVE READ THE FOREGOING and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City of Palm Desert, its elected or appointed officials, officers, agents, employees, or volunteers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made. IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT. I HEREBY WARRANT THAT 1 AM THE CUSTODIAL PARENT OR LEGAL GUARDIAN OF Yad Nezkioc� (PRINT PARTICIPAN S FULL NAME) WHO IS A MINOR, ON MY OWN AND SAID MINOR'S BEHALF TO THE TERMS AND CONDITIONS OF THE FOREGOING AGREEMENT. 11 I Participant or Parent/Guardian (print) bona 1"�cd io Signature f >-:.- Date 11- I-1s Home Addressr �y6a9 S[Mwplower Cir, Pam OCSC4 Street - City. .. . Emergency Contact " Relationshi : „" .Home Phone Work Phone Mobile Phone _..,nano I lezk� o el = (7Go�3'il 6 zs' C70) ` 9 9-$�s 3 - -- 5osot1 NeAiv a TcAef N43q 1=6 61 (760) N49-8759 CITY Uf P H I M DESERT 73-5to FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346-0611 FAX: 760 340-0574 dtyha11@ci.pa1m-dcscrt.ca.us wta.,lzLl 5�l q-�S OFFICE OF THE MAYOR May 18, 2015 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst 11 1 CITY OE P H I M DESEI � 73-5I0 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2 5 7 5 TEL: 760 346—o6iL info@cityofpalmdesert.org May 5, 2015 Mr.Yung Kim 44 Sutton Place Palm Desert, CA 92211 Dear Yung: The City of Palm Desert would like to thank you for your years of service on the Youth Committee. Mayor Weber attended last night's Youth Committee meeting to hand out the enclosed certificate and plaque. We missed having you at the meeting, but wanted to make sure that you received your recognition. Please make sure to stay in touch, and congratulations on your graduation. Best, i Deborah Schwartz Glickman Management Analyst ��roium on n¢Rnm rnEn CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunt er for the City of Palm Desert in the capacity of lb ���, I am not an employee of the City, but that I am covered under y, workers'compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: ID 1I2— Signature: Print Name: Parent or G di an S' nature (if minor): Witness: l� CITY Uf P 0 1 M DESERI 75-510 Fern WAklNt. OhUVI- PAI_M ( sivlt'I', I:AI IPnIt Nl,t q ` (u ,yry TEL: 760 346—o611 PAX: 760 1,110-0574 c ityhAlt.'ix.nvn nm.... Uoru.c: or 1*111 MArne February 26, 2014 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CIIV 01 P 0 1 M DESERT 74-51u FHFI) WARIN<, DRIVI! PAi ni DFscur, CAPAFORNIA 1)22611 IS 'rei.: 76o 346-u6i i FAX_ 761, i.W_.057_1 uyliallisnr,nnn.unv uFFIRA Ilr '1'111% MANOR February 14, 2014 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CITY 0 [ P0LM OESERI 73-510 FR[u WAR ING Delve PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 TEL: 760 346—o6ri infi3Oroilpul'palnxlcun.ur� December 17, 2013 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: This letter is in response to your request for the Mayor to excuse your third absence from Palm Desert Youth Committee Meetings in 2013. After thoughtful review of your request, the Mayor has excused your absence on the condition that you are reminded of the attendance policy. In accordance with City policy for all its Committees and Commissions, appointed members of the Youth Committee are only allowed two absences per calendar year; a third absence constitutes an automatic resignation. On occasion, an appointed member of a City Committee may request that the Mayor excuse a third absence, generally for an emergency or illness. The City Council recognizes the time constraints Youth Committee members face with regard to serving their community while attending school and participating in other extracurricular activities, which is why they allow two absences and alternates to serve on the Committee. As you know, the only differences between serving as an appointed member and an alternate member are the attendance policy and voting rights. Alternate members may still participate with events, serve on subcommittees, and receive letters of recommendation based on their service. Therefore, while the Mayor has excused your absence from the December 2013 Meeting, we'd like to remind you that you can still serve as an alternate should you decide that you are not able to attend the monthly meetings as outlined in the attendance policy. The attendance requirement begins again starting in January 2014, with two absences being allowed for the year; the third constituting an automatic resignation. Please let your staff liaison, Amy Lawrence, or me know if we can answer any other questions you may have. Sincerely, RA ELLE D. KLASSEN, M CITY CLERK akl cc: Amy Lawrence, Recording Secretary Grace Mendoza, Deputy City Clerk CJ nuu a.namor.n a� PALM DESERT YOUTH COMMITTEE APPLICATION Name K m Y1AAA 5 u Last First" Middle Home Address �� � � �'IaG2, t7asi- Pe im De so-r-t , e A qa�11 _ Street No. City State ZIP Telephone Number(s)►Horn-76o-6RQ-3o9-9,ctoA -"16D-44q-gD49,6on24 716D-S4I`I b'1 Email Address YL4� k'm 22 @ 9mai 1,Gc M Grade School pale^ tM-J,dtz- sc, +ao I School Activities/Clubs 1 eton ('n vti'vek i n Podnn Des t C_�o,,A(' Mtdd1e_ 5oaool5 eig-',j 61roLdjL.- MaA4A +e..e,,M a - elso ihvolvek iA CaIikrnicA Tanio.r Sc_," lAr-slnie F-ederc,+i oA (c5s r- ). Other Activities/Clubs I a 44fA o{ Koko s Uhoo ) , 1 was on c- YMGA 6r H.ea(-5, 1 oL+4eno 5knda4 Sc In oo 1 a :5+, "rew i-I M Do-e. CT o n Cc,, o d i c Your Personal Statement of Qualifications/Interest (continue on back if necessary) Z AaVe, been 5e_)ec+a a % S•ludenfi- OF ko�+ o,11 3 Li a a -s or- m;d d L s fi�,o o l . T 've, a o�. dro,i i �- 's io r -At- Pae 4 3 H ex,.rs. PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). q sec, F WMI ' 0 -b30 7QrrA�;a R . D�IM112ser�,CA 9226o 760—;y/--77,7 Name Address Telephone No. fuFe Feowae i 400 50 gr A,4I Dr, 10r=Vt fe 4 ,(A 9.2a-60 76 v— .z72 — `7 36 ) Name Address Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. ' f FOR OFFICIAL USE ONLY Date Received I r7 Date Reaffirmed Comments C9IY 01 P 0 1 M 0 SORT 73-510 FItr.D WARINc. Dslvl± a FAI.m Drsl!wr, CALIFORNIA 92260-2578 FAX: 760 340-0574 in I1,101):dm-desert.org GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth'Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: CkArk VIM ��{ $[t��uh FL, E. F.Im Deserf,U4,Cizail (-r&d)4[1$_J9d'r E Name Address Phone# Signature Date S k Kim ply Sythr. &X, qa�!l (r76Z) 6y9-3nzq Name Address Phone# i --4* Signature Date Contact In case of an emergency: Name Phone# (''ronownnmm�n .�... � IIY Of PRIM 0ESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9226o-2578 TEL: 760 346—o6ri FAx: 760 340-0574 infoCNpxlm-deseruorg ' October 4, 2012 To Whom It May Concern, It is a privilege to write this letter of recommendation for Yung Kim, who currently serves as an appointed member of the Palm Desert Youth Committee. Yung joined the Committee in April 2011, and served as an alternate member until May 2012, at which time he was officially appointed to the Committee by the Palm Desert City Council. Yung is an eager and dependable member who is willing to pitch in and assist when and where needed. In addition, he has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. If you have any questions regarding Yung or the Palm Desert Youth Committee,.please contact Amy Lawrence at (760) 346-0611, ext. 425. Sincerely, Arankiedle Director of Special Programs akI SJ nnn000 unaiorun CIIY 0f P9 M DESERt 73-510 FABD WAKING DRIVE +i PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346-061I FAX: 760 340-0.574 dtyha11@d.p3lm-desert.ca.us OFFICE OF THE MAYOR May 15, 2012 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 10, 2012, appointed you to the Youth Committee to fill the vacant position. Therefore, your term .will run through December 31, 2012, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Youth Committee, which is scheduled to meet next on Monday, September 10, 2012, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rg cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary Ci xxixno ox nevnmrxnn ' C11Y 91 PRIM DESERT 73-510 FRED WARINO DRIVE g' PALM DESERT, CALIFORNIA 9226o-2578 TEL: 760 346—o6i I FAX: 760 340-0574 dryha11@d.pa1m-dcserr.ca.us OFFICE OF THE MAYOR February 15 2013 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: It is with great pleasure that I write this letter officially notifying you,that at its regular meeting of February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is' invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, JAN C. HARNIK MAYOR JCH:gim cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary S,rnxnoon xrnam rxrEx CITY OF PRIM DESERT 73-5 to fueu WANINU DRIVE. PALM DaseRr, CA1AFORNin g226o-2-578 TU 760 346—o6it into" eilyulpalmdexn'I urg November 12, 2013 Mr. Yung Kim 44 Sutton Place Palm Desert, California 92211 Dear Mr. Kim: Just a friendly reminder that our records indicate that you have missed two Palm Desert Youth Committee meetings this year. In accordance with City policy, you are only allowed two absences. A third absence will be recognized as your automatic resignation. The City Council is very aware of the time constraints its Committee/Commission members have with regard to serving their community. Each member of the Council sincerely appreciates the time and effort you expend each month for the success of Palm Desert's Youth Committee program and would regret losing you as a member of this important board. They also recognize, however, that your own school obligations must be your first priority, and if you should miss another meeting, they would encourage you to reapply in the future when your schedule permits. Please feel free to call me if you have any questions or if you need clarification of this policy. Sincerely, RACHELLE D. KLASSEN, MMC CITY CLERK RDK:gIm cc: Amy Lawrence, Recording Secretary M CIIV 01 P H I M 01 1 R I ' 73-510 FRE:D WARM, DRIVE PALM DESERT,CALIFURNIA 9226o-2578 Tef.: 760 346—o6i i inGn ri1 Yfpalmdrsrn.arg xx nN t October 1, 2014 To Whom It May Concern, It is a privilege to write this letter of recommendation for Yung Kim, who currently serves as an appointed member of the Palm Desert Youth Committee. Yung joined the Committee in April 2011, and served as an alternate member until May 2012, at which time he was officially appointed to the Committee by the Palm Desert City Council. Yung is an eager member who is willing to pitch in and assist when and where needed. In addition, he has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. One specific project that he played an active role in over the last couple of years was helping to plan some of the Youth Committee's car wash fundraisers which have benefitted local non-profit organizations. If you have any questions regarding Yung or the Palm Desert Youth Committee, please feel free to contact me at (760) 346-0611, ext. 425. Sincerely, Amy L rence Youth Committee Advisor CIIV OE P 0 1 M OESERI 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6I i FAX: 760 340-0574 ci tyhall FFci.palm-dese,t.ca.us dvto,i(td 5' 0111CC 01 TIEL MAYOR May 18, 2015 Miss Jessica Kozlak 44821 Santa Ynez Palm Desert, California 92260 Dear Miss Kozlak: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst II Gi rmneasru+nionm � ln� r � TI PH UESERI 73-5 I O FIt IiU WAKING DRIVE t PALM DESERT, CALIFORNIA 9 2 260-2 5 78 TEL: 760 346—o6ii info cityoIpalmdesert.org January 13, 2015 To Whom It May Concern, It is a privilege to write this letter of recommendation for Jessica Kozlak, who currently serves as an appointed member of the Palm Desert Youth Committee. Jessica joined the Committee in May 2011, and served as an alternate member until May 2012, at which time she was officially appointed to the Committee by the Palm Desert City Council. Jessica is an eager member who is willing to pitch in and assist when and where needed. In addition, she has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. Some specific projects that she played an active role in over the last few years include planning car wash fundraisers to benefit local non-profit organizations, assisting seniors to a designated seating area for the Palm Desert Golf Cart Parade, and bringing awareness about bullying to elementary school students. If you have any questions regarding Jessica or the Palm Desert Youth Committee, please feel free to contact me at (760) 346-0611, ext. 425. Sincerely, Amy Lawrence Youth Committee Advisor t. CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge qat a vplwnte��r City of Palm Desert in the capacity of ln�G._ I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.6. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: q la Signature: Print Name: Parent or Guardian Signature (if minor): Witness: ZZ / �" CITY 01 P 0 1 M 91) 1PT 73-51O FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 x TEL: 760 346—o61 I FAx: 760 340-0574 ciryhall@ci.palm-desert.m.= OFFICE OF THE MAYOR October 17; 2012 Ms. Jessica Kozlak 44821 Santa Ynez Palm Desert, California 92260 Dear Ms. Kozlak: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of October 11, 2012, appointed you to the Palm Desert Youth Committee to fill the aforementioned vacancy. Therefore, your term will run through December 31, 2012 at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Youth Committee, which is scheduled to meet next on Monday, November 5, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERTA. SPIEGEL MAYOR RAS:rg cc: /Amy Lawrence, Recording Secretary �,Oi4Yl00x Yf[Yfp01A111 CIIV Of PHIPI DESERT 73-510 FRED WARING DRIVE A= PALM DESERT, CALIFORNIA 92 260-2 5 7 8 TEL: 760 346—o61 x FAX: 760 340-0574 cityhall@c i.pal m-desett.ca.us OFFICE OF THE MAYOR February 15, 2013 Ms. Jessica Kozlak 44821 Santa Ynez Palm Desert, California 92260 Dear Ms. Kozlak: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, C?i a4c�) JAN C. HARNIK MAYOR JCH:glm cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary 00 rnnnoounmorerEr PALM DESERT YOUTHCOMMITTEE APPLICATION Name t\OZ\ ',�� �(D '- ca Last �rst Middle. Home Address yy ai \m((�/�e 5er 'c A gaaCoc� Street No. City State ZIP Telephone Number(s) Email Address he\er\CcG O ho\me\\•Grade_$_ School PQC-MS School Activities/Clubs T C\.rn C g ar r P, Y-\',\y \ e c\ v-\ (�\u\rj, Where I AL-j (_L.)YY\rY\LA1--\ \ SPr ./'\ Ce S �aSN PrUcy' Gw\ j, C \1G\\ergc�eC\ C \ C\ ren O.r')C\ erCc�vrGC�e �herv, ao GjC . r, C.or-,k\der`ce. Other Activities/Clubs o.rr o.\S o \ r\-,i o\.i e c\ \r c. 5<hoo\ c\u\-) r C\,\\e "mc' r, Ceam c\c:> -q'Inrk nr\ \GQ\C. GrC\ rGGSQr\\r�G • At_ \�\�C\� w\nrn\r\n rr�r\o�ar�CPr for \he \CA5\ TWO �\PCar� carC\ 1 C-'re G 5ft w\8e LOr\e5\ c-a\\ec\ Ulnere \r \he wOr\c\ \s jes5\�c Your Personal Statement of Qualifications/Interest (continue on back if necessary) I be \\eye 1 (S.rr` r,�a\\� \Pc\ \o hP �� �\•\P �lou\h LUmrc�i\\ee. leer r�.\�e 1 erN4-)N c\u\,\\C Ser ' \ C e uu r ( C)rnrr\u n\\y , Carr\ jrjC)r\C\Yn C. w \\h Othe-rS- I \cr\Ovj 1 \r�caV e C' \O\ -\o oA �er Pa\m DeSer\ �lou ' `� See b C,C.\< • tiaaS-a �\ v,,. t� L � � �. tr, ol� av, t• ao � � � a \ a a t ��• �,.,.�.,. 0 7 a � f � o t o •O C � v � a c� o f \� a`o rn .�,o} B O O\ 1 \� t , ur, uru.aC) v � \� an � onv ., aG �� uaz �.t �.� \• aara � � � tvotaoc\va �. \C)o��S t� � a\boa\ o au.aC) \ yJaaraS sod a2tt Wv �O � PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with theCity of Palm Desert). �Pa r`�'1L insert Ca r)(00 Name Address Telephone No. JV`IYI���G �(�rl)� aQm oE'( �Ut ��2a1G0 '+6-6 -4) 52+7-(�) Name J Address Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. r1 FOR OFFICIAL USE ONLY Date Received i7 d �I Date Reaffirmed Comments April 21, 2011 City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert,CA 92260 Re: Jessica Kozlak W TO WHOM IT MAY CONCERN: I am pleased to write this letter of recommendation on behalf of Jessica Kozlak, and submit it as a part of her application for the Palm Desert p Youth Committee. O I have known Jessica for the past year and a half, and was fortunate to have Jessica as a student in my 7th Grade Humanities class at Palm Desert UCharter Middle School, in 2009-2010. Jessica is currently working in my Qn classroom this school year (2010-2011) as a Teacher's Assistant, and is l trustworthy and honorable in that capacity. Therefore, I can, `LJ unequivocally, state that Jessica is an outstanding young lady in every conceivable way. Not only is she an excellent student, she is articulate Q and thoughtful, as well. One character trait of particular note is Jessica's cis compassion and caring nature. She is mature beyond her years, considerate toward others, and always has a pleasant demeanor, exhibited ,o through her warm, engaging smile. In other words, she is absolutely a perfect candidate for your program, and I give her the highest of U recommendations. i Please do not hesitate to contact me should you seek any further information. con Sincerely, tJ.J J j � h Mindy McLaurin, 7 Grade Humanities mar aret.mc auxin dsusd. �01�e6u��d "Be a Proud Panther" 74200 Rutledge Way, Palm Desert, California 92260 Phone: 760-862-4320 Fax: 760-862-4327 CIIV Of PUM DESERT 7i SIi- FIR I'.I) WAR IN6 UIIIV II I�AINI I)I ti I.It I, (.A I I I I I It N IA 'r1:1 760 146-o6I I r �: -6,. ; 1,� , 5 1 1 ii,lullmn aril m.. .ow 0111( 1: OF 'fill! MAYOR February 26, 2014 Ms. Jessica Kozlak 44821 Santa Ynez Palm Desert, California 92260 Dear Ms. Koslak: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary IIIV Of PHIM DESERI 71 511) FREI) WARINU Du IV I, PAI ea DI SHRr, CnI_WORNIn 1)2z611 1578 'II:L: 76" 346—o61 I PA%: 76o j_{o o57,1 .utL.iilo i .nrn nm ,nm OFFII F Op 'FHM MAYOR February 14, 2014 Ms. Jessica Kozlak 44821 Santa Ynez Palm Desert, California 92260 Dear Ms. Koslak: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CITY 01 P 0 1 M 01 1 q I 73-510 FRED WARINc, DRIVE PALM DESERT, CALIFORNIA 92260-257.8 TEL: 760 346—o6i1 FAX: 760 340-0574 info@palm-cl sert.org GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, 5:SgcA Ko21ak who is'under the age.of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: nl KO�c � (?0. P (01o�1PD, ����' 9'1o0 - fo3(6 Name Address Phone # Signature Date Name Address Phone# Signature Date Contact in case of an emergency: P.FR Name Phone# `^f nonoonunmonm CIIy Of P 0 [ M OESERI 73-5io FRLu WARINO DRIVE PALM DESERT', CALI FORNIA 92 260-2 578 TEL: 760 346—o6I I FAX: 760 340-0574 dryha11@ci.pa1rn-dcserr.ca.us OFFICE OF THE MAYOR May 18, 2015 Miss Jozanne Murphy 71335 West Thunderbird Terrace Rancho Mirage, California 92270 Dear Miss Murphy: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst II ��rwxrzoox avxw ow,x tIIV 01 PRIM 01 1 R T I r9 73-510 FRED WARING DRIVE - PALM DESERT,CALIFORNIA 9226o-2578 TEL; 760 346—o6ii inf6<,k1dryofpalmdesen org October 15, 2014 To Whom It May Concern, It is a privilege to write this letter of recommendation for JoZanne Murphy, who currently serves as Chair of the Palm Desert Youth Committee. JoZanne joined the Youth Committee in 2010, and served as an alternate before being appointed as a voting member by the Palm Desert City Council in May of 2011. During the time that JoZanne has served on the Committee, she has demonstrated leadership and dependability by organizing the Committee's participation with community events and has consistently shown maturity in working with others. She is always willing and eager to assist when and where needed and her inquisitive nature has been a great benefit to the Committee as a whole. One of JoZanne's major contributions to the Youth Committee has been spearheading the anti-bullying subcommittee. In addition, she was appointed by her peers to serve in one of two youth liaison positions on the Palm Desert Sister Cities Foundation Board of Directors. JoZanne's strong leadership and dedication with these projects is truly commendable. In September 2014, Jozanne was elected by her peers to serve as Chair of the Youth Committee for the 2014/15 school year. By serving in this position, JoZanne will gain additional knowledge of Parliamentary Procedure and California's open meeting laws. So far, she has proven to be focused and poised through her ability to guide meeting discussions and provide input on the group's activities and assignments. What I find most remarkable about JoZanne is that the Palm Desert Youth Committee is only one facet of her active social involvement. Concurrent to her work with the Youth Committee, she is/has been affiliated with several impressive groups and her list of volunteerism (both locally and internationally) is exceptional. Despite her busy extracurricular schedule, she has managed to maintain an outstanding GPA and is in the top percentile of her graduating class. In light of the above, I feel that JoZanne has many great qualities to contribute to a college community. I have no doubt that she will be successful in all of her future endeavors and affiliations and that she will continue to have a positive impact on the world around her. She has been a valuable asset to the Palm Desert Youth Committee, her community, and to the many other organizations that she's been associated with. If you have any questions regarding JoZanne or the Palm Desert Youth Committee, please do not hesitate to contact me at (760) 346-0611, ext. 425. Sin ely, Amy L in Palm Desert Youth Committee Advisor CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowled a that as a volunteer for the City of Palm Desert in the capacity of I am not an employee of the City, but that I am covered un er thJe City's workers' compensation plan since the City has- adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: �%Wf/}1/(Q Print Name: Paren r Guardian Signature (if minor): Witness: J L /�" CIIY Of P 0 [ M DESERT 7;-51u FRIED WANING DRIVE PALM DIi54 CALIFORNIAA 9zz6(Y—z57R 36 TEL: 760 4 —oG1 I FAX: 76o 340-0574 ' citYhnllm ix.neuam.aam OFFICE OF THE MAYOR February 26, 2014 Ms. Jozanne Murphy 71335 W. Thunderbird Terrace Rancho Mirage, California 92270 Dear Ms. Murphy: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CITY Of PHA 0HI91 73-5 w Flu a WAItING DRIVE PALM DI:SI(11'1', CAI.IFOIINIA 9226o-2578 TEL: 760 346-o6t: I FAX:' 760 340-0174 I.ityhallw ia.nrn am. om Of19I IE of '['III: MA)OR February 14, 2014 Ms. Jozanne Murphy 71335 W. Thunderbird Terrace Rancho Mirage, California 92270 Dear Ms. Murphy: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CIIY Of PfllM DESERt 73-510 FHI!U WARING DRIVE PALM DIisEirr, CALIFORNIA 9226o-1578 TEL: 760 346—o61 I FAX: 760 340-057.1 ci Iph:JI Foci.palm-rlcecn.cn.us OFFICE OF TII F. MAYOR January 27, 2012 Ms. Jozanne Murphy 71335 W. Thunderbird Terrace Rancho Mirage, California 92270 Dear Ms. Murphy: It is with great pleasure that I write this letter officially notifying you that the Palm Desert City Council, at its regular meeting of January 26, 2012, reappointed you to the Youth Committee for 2012. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:mpl cc: Amy Lawrence, Recording Secretary CJxnneuuanmw [ illy Of PHIM 01HRT 73-51 O FRED WARING DRIVE x ' PALM DESERT, CALIFORNIA 92260-2578 ,F TEL: 760 346-061I _ FAX: 760 340-0574 ` dryha11@d.pa1m-dcscrt.ca.us OFFICE OF THE MAYOR , May 18, 2011 Ms. Jozanne Murphy 71335 W. Thunderbird Terrace Rancho Mirage lifornia 92270 Dear Ms. urpho It is wi h great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 12, 2011, appointed you to the Youth Committee to fill the vacant position. Therefore, your term will start immediately and run through December 31, 2011, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Youth Committee, which is scheduled to meet next on Monday, September 12, 2011, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely JEAN BENSON MAY JMB:rg "e4 � cc: Amy Lawrence, Recording Secretary 60 eoxrzo oxmmmvuu .. ..�, CIIY PHLM DESERT r'h 73-5 Fa I o in RI) WANCi DRIVE I Ali �' I PALM Dl?sma, CALIFORNIA 9'??60-3578 M( TEL: 760 346-o6it FAX: 760 340-0574 i n G d�palm-dcxcrt.n rg PALM DESERT YOUTH COMMITTEE APPLICATION Name Mur-OVI �147�nn2 G�nlrl�,�lcat�(lE? 4�� I fit Last ' First Middle Home Address Street No. City State Telephone Number(s)_ Email Address Grade 8 School Vfi 0^ cAY'A� School Activities/Clubs.. Other Activities/Clubs mck(1 o`r l n £=r: l/ ��revrr Gl r��rt�lnl4e ��',�n� -Va l ei Uo ( �)Hh f'"k I IQCX(-" 1�t1►no, to �n�t�TJ��er, Q1,11cal 26 f to i 4eCrj Your Personal Statement of Qualifications/interest (continue on back if necessary) rnn��T-0 kc),4- 1,L,-)c 'rio t z I aim anrk NCB ( oA-lancl C!na4n-yu Lpwk 9-1 Ll'll (IYYY��S11�C,C �.�� vf�5h�yld�ft� �K1C P{� cf� r•rl 7+h i GN PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Name address Telephone hlo. Name Address Telep—No.' This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received 1 D Date Reaffirmed Comments APPOINTED TO ON city Of PRIM W191 COZY OF PH M DESERT 73-510 FRED WARINU DJUVI; PAIN Ursrs'r, CALIFORNIA 92260-2578 'nuz 76o 346—o6u t FAX: 76o 340-0574 i n l i t C•"pa I nrd eu r t.n rg GENERAL TRAVEL/ACTIVITYAU(TO�RIZATION/RELEASE ° I give permission for my/our child, 3 t �( iU who is under the age of 18, to travel in a vehicle or on public transportation for the (lowing reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. o PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF .THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: 1 / D L.5A7% M, Me j S_ 71335 p m -'Add Nae -'Addre s _ Phone# `Ivt V�GYtf� M rC( ei 7(o -3 R. -3 ao '- ' D � - a ign ture t Date Name AaWess Phone# � ,10 3 4 5—L ao latuPe Date � Contact in case of an emergency: l In14i4 e, murphkl 760 ­3 3 3-3 17 2 Name Phone# br)ruimrconnwomu .. � � 1 � . I _ � l� -. CITY 01 PH1M OESERI 73-5 to FRED WARIN6 DRIVE PALM DIftiF CALIFORNIA )22C)0-257A 4 FAX: 760 340-0574 info0�palm desert.nrg PALM DESERT YOUTH COMMITTEE APPLICATION Name _Uuf- )A)� JoDone. 6)nS�-onoe 4a AA LastFirst Middle Home Address T533 �4.-Thu(l& bwd Cia- f i c Mxin&e IA, 9Z210 Street No. City State Telephone Number(s) Email Address 7/le1P'IPY4 111LP i'111111VY1 Grade 8 School QC'�e JJ M\CC �� �Jc!na0� School Activities/Clubs. am k"\In\\)�A Other Activities/Clubs - aKO- WeeK1 NIQf1c�01C'In I ('�/1`i rv �m �N(VaAe � cAf' C -3,6 lien Up �A ylak lean 1\QIna 1Yl 5h I(V�n�n - �i`Yl( ;a C Your Personal Statement of Qualifications/Interest (continue on back if necessary) l_l�L�`�9Sk\c\oa-leC� ��f1 .fir No;E�ot�,� ler�de�\T C'or��erencC �o� �c�o �r5 rloc;� _ 1 o,ur\ �c�Ark o� Nct_ -NaktarYal O)aikku Leaqu-Rd o,�)d W Away (� - c,S l�Qsh ��c,�c��� CWIO P'c Sri ,��� . ar 7 V) "tro - 1 Was \r CVn\hc, Gca Lk)C1S (C,r 1 CHIN (C�la4x�1 ISSueS Ne���rrV�, PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). 6mb� )t&"j( q�l_ -_.l9 _N V\ Lni/✓ K�m�iir�b4 n. (oM Name Address Telegone N . ernG1\ PaW CI'flbolJ rn?,b (irP lbw-i2 Ono (y)) ?((( - ')RR6 Name Address Telephone No. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received gi� 0 Date Reaffirmed Comments 111Y Of PHIM OHIR1 O rnmoomma anv ... CITY OF PRIM DESERI � 73-5 Io PRED WAKING DIi1Vl _ PALM DESERT, CALIFORNIA 92260-2S78 TEL: 760 346—o61 L FAX: 760 340-0574 info@pilim-desert.org November 2, 2012 To Whom It May Concern, It is a privilege to write this letter of recommendation for Jozanne Murphy, who currently serves as an appointed member of the Palm Desert Youth Committee. Jozanne joined the Committee in December 2010, and served as an alternate member until May 2011, at which time she was officially appointed to the Committee by the Palm Desert City Council. Jozanne is an eager and dependable member who is willing to pitch in and assist when and where needed. She is inquisitive and intelligent and has taken the lead in the Committee's ongoing anti-bullying project. In addition, Jozanne has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. If you have any questions regarding Jozanne or the Palm Desert Youth Committee, please contact Amy Lawrence at (760) 346-0611, ext. 425. Sincerely, (4rankie Riddle Director of Special Programs akl CITY Of PRIM DESERT 73-51 O PRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 LJOPF TEL: 760 346—o611 FAX: 760 340-0574 ` cit},hRll@ci.palm-dcscrt.ca.us ` 01TICL or THE MAYOR January 27, 2012 Ms. Jozanne Murphy 71335 W. Thunderbird Terrace Rancho Mirage, California 92270 Dear Ms. Murphy: It is with great pleasure that I write this letter officially notifying you that the Palm Desert City Council, at its regular meeting of January 26, 2012, reappointed you to the Youth Committee for 2012. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, /S;4 ROBERTA. SPIEGEL MAYOR RAS:mpl cc: Amy Lawrence, Recording Secretary �wxixnooxnu¢uornEn , CIIY 0f P 8 1 M OESERI y'' L 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9 2 260-2 5 7 8 TEL: 760 346-0611 FAX: 760 340-0574 cityha11@d.pa1m-desert.ca.us OFFICE OF THE MAYOR February 15, 2013 Ms. Jozanne Murphy 71-335 W. Thunderbird Terrace Rancho Mirage, California 92270 Dear Ms. Murphy: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, JAN C. HARNIK MAYOR JCH:glm cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary C,VIIXIFOOMPF(YIIf01RIFR a .:1`.h Pa y° }.{ -?� .n t +.. w„ f ,wki*r ;'e•'.4. �� t e�.r,ty.. , Lawrence, Amy From: Jozanne Murphy Uozannemurphy@gmail.com] Sent: Monday, March 03, 2014 3:53 PM To: Lawrence,Amy Subject: Monday Meeting Hi Amy, I just wanted to let you know that I will be unable to attend the youthcommittee meeting tonight. I have to assist with a ballet class. I'm sorry for the late notice! Thanks, Zannie Sent from my iPhone i ° j11`ni� CITY 0 PflIM DESERT 73-5 10 Pueu Wnlflrvc, UnIVI: HALM DESF11'1', CALIFORNIA 9226o-2578 THL: 760 346—o6ii �4, - -t}lr inlinu..rilynfpalmAaxcrLorg QIrI1i4i1� October 1, 2014 To Whom It May Concern, It is a privilege to write this letter of recommendation for JoZanne Murphy, who currently serves as Chair of the Palm Desert Youth Committee. JoZanne joined the Youth Committee in 2010, and served as an alternate before being appointed as a voting member by the Palm Desert City Council in May of 2011. During the time that JoZanne has served on the Committee, she has demonstrated leadership and dependability by organizing the Committee's participation with community events and has consistently shown maturity in working with others. She is always willing and eager to assist when and where needed and her inquisitive nature has been a great benefit to the Committee as a whole. One of JoZanne's major contributions to the Youth Committee has been spearheading the anti-bullying subcommittee. In addition, she was appointed by her peers to serve in one of two youth liaison positions on the Palm Desert Sister Cities Foundation Board of Directors. JoZanne's strong leadership and dedication with these projects is truly commendable. In September 2014, Jozanne was elected by her peers to serve as Chair of the Youth Committee for the 2014/15 school year. By serving in this position, JoZanne will gain additional knowledge of Parliamentary Procedure and California's open meeting laws. So far, she has proven to be focused and poised through her ability to guide meeting discussions and provide input on the group's activities and assignments. What I find most remarkable about JoZanne is that the Palm Desert Youth Committee is only one facet of her active social involvement. Concurrent to her work with the Youth Committee, she is/has been affiliated with several impressive groups and her list of volunteerism (both locally and internationally) is exceptional. Despite her busy extracurricular schedule, she has managed to maintain an outstanding GPA and is in the top percentile of her graduating class. In closing, JoZanne's many positive attributes have made her a valuable asset to the Palm Desert Youth Committee and I am confident that she will excel in all of her future endeavors and affiliations. If you have any questions regarding JoZanne or the Palm Desert Youth Committee, please do not hesitate to contact me at (760) 346-0611, ext. 425. Sincerely, myZ nce Palmrt a Youth Committee Advisor Activity List JoZanne Murphy Palm Desert High School(CA) COMMUNITY LEADERSHIP Palm Desert Youth Committee(PDYC) (Member:9, 10, 11, 12;4-8 hrs/mo) The Palm Desert Youth Committee serves in advisory capacity to the Palm Desert City Council.PDYC addresses wide issues that affect programs ranging from transportation,public safety and local legislation to educational facilities,environmental issues,and anti- drug/smoking programs.A PDYC member attends monthly city council meetings to give committee updates. CHAIR of Palm Desert Youth Committee(12t6) ■ Elected by committee • Conduct every meeting by Robert's Rules of Order • Assist and help coordinate all of the activities/projects CHAIR(11,12),Anti-bullying Subcommittee(9, 10,11, 12) Formed by the request of the PD City Council. ■ Spearheaded efforts to create a presentation to educate local elementary students about bullying • Coordinated with local school officials to implement the presentation; Expanded committee members • First person to be chair of the subcommittee. Nominated by the Youth Committee Advisor,Amy Lawrence, and elected by the subcommittee. LIAISON.Palm Desert Sister Cities(11, 12) (3hrs/mo) Palm Desert Sister Cities is a foundation funded by the city of Palm Desert that works with its sister cities in Gisborne,New Zealand and Ixtapa-zihuotonejo,Mexico to encourage global interactions in our community and promote economic development • Appointed by PDYC as one of the two liaisons for Palm Desert Sister Cities • Provide feedback on community projects(McCallum Theatre Aesthetic Education Program, Firefighter Training Program, and Annual Golf Tournament)and inform the PDYC PRESENTER, Melanoma Awareness Project of the Desert(MAP)(9, 10, 11, 12;5 hrs/mo) MAP was founded in 2008 to raise awareness about types of skin cancer and the dangers of UV radiation from the sun. MAP has educated over 12,000 students In the Coachella Valley and annually visits 13 middle and high schools. desertmap.org • Give PowerPoint presentations (50 slides, 1 hr long) on the dangers of the three most common types of skin cancer: Melanoma,Squamous Cell Carcinoma, and Basil Cell Carcinoma - Presentation locations included: Rancho Mirage Rotary Club, College of the Desert,and West Dermatology, Palm Desert High School,Xavier College Preparatory High School, Marywood Palm Valley High School,Cathedral City High School, Raymond Cree Middle School, Indio High School, Shadow Hills High School, La Quinta High School,and Palm Springs High School. • Teach students how to prevent, identify and spot skin cancer ORGANIZER, Project"GongZhu"(12)for Bao'an Orphanage in China Gong Zhu means princess in Chinese.I Initiated this project to help enrich the lives of Chinese orphans through dance. • Designed poster, made drop boxes to gather ballet shoes from three local dance studios and from Palm Desert High School's dance team • Collected 50 pairs of donated ballet shoes, brought to Bao'on Orphanage where children used the shoes to practice simple dance moves that I taught with traditional ballet music HIGH SCHOOL ACTIVITIES TEAM MEMBER(1 of 4),Academic WorldQuest Team, PDHS ' Activity List JoZanne Murphy Palm Desert High School(CA) Approximately 15 teams in Southern California participate in a competition that tests knowledge on S specific topics pertaining to global issues chosen by the World Affairs Council. Topics in the past have included:cybersecurity,global environmental issues, current events,and Global Economic Realignment. ■ 3rd Place,Southern California region (11) • 5th Place,Southern California region (10) ACADEMIC COORDINATOR(12),Junior Classical League, PDHS(9, 10, 11, 12) • Coordinates peer tutoring-matches Latin I's and 11's with tutors from Latin Ill and AP Latin • Organizes any peer mentoring needed • Presents the JCL program to the Latin I class • Participates in all of the JCL activities,fundraisers, and events CO-PRESIDENT(11,12)-National Latin Honors Society, PDHS(10, 11, 12) • Coordinate the annual LHS Induction for freshman • Plan weekend activities for LHS Members—i.e. Picnics, lunch meetings,and field trips ■ Work with the JCL President to come up with fundraisers and joint events VOLUNTEER/WORK IN CHINA VOLUNTEER,Bao'an Orphanage,Sunshine Academy Summer Camp,Shenzhen, China located in the Guangdong Province • Taught music and dance,depending on children's ability.Worked with severely handicapped children to supervise and help them with camp activities.Children with better physical abilities were able to benefit from the ballet shoes I had brought(Summer 2014). • Supervised a group of about 20 students,working with the most mentally and physically disabled group (ages 7-12);Assisted with art, music, physical movement, cooking and English classes (Summer 2013). INTERN,LianCheng Fisheries, Parent Company.Luen Thai, CHINA (Summers 2014-15) LianCheng Fisheries is a seafood company that owns 72long line fishing vessels that fish in the Central and Western Pacific Ocean. The boats are licensed by developing notions such as Cook Islands,Republican Marshall Islands.Company's customers include: Bumblebee,Chicken of the Sea,Red Lobster,and a host of major U.S.Supermarkets. • Reviewed the English version of financial statements, polished English-written agreements and contracts;Assisted in editing the industry marketing videos; Gave feedback on the English version • Assisted with designing the company's booth at China's major,annual seafood exposition in QingDao • Visited several processing plants in Yantai and Qingdao,where I learned how whole fish are processed into edible,consumer products BALLET BALLERINA, The Valerie MahabirAcademy of Ballet and Performing Arts(9, 10, 11,12,5 hrs/wk) o Adult Ballet Class(11, 12) o Royal Academy of Dance (RAD): Grade 3 and 4(9,10) Grade 3 Examination: Passed with Merit(9) ASSISTANT TEACHER, Royal Academy of Dance Pre-primary Grade(10, 11, 12) • Help teach a class of 15 girls with ballet technique; Demonstrate different dances/exercises EDUCATION Activity List JoZanne Murphy ✓ ' Palm Desert High School(CA) Palm Desert High School (PDHS),Palm Desert,CA Class of 2015, Expected Graduation: May 2015 Distinctions/Awards: ■ Top ten, National Honor Society(9, 10, 11) • High Honor Roll(9, 10, 11) • PDHS Student of the Month (11) ■ Social Studies Department,Student of the Month (10) • Math Department,Student of the Month(9) • AP Scholar with Distinction Award(From AP Tests 10-11t6 grade) Northwestern University-Online Classes(6 hrs/wk) ■ Honors Chinese III (11),grade:A ■ Honors Chinese 1 (10),grade:A ciIy of P 0 [ M 0ESERr 73-510 PRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—oo6I I FAX: 76o 340-0574 cityhall@ci.palm-de crt.ca.us Kt.al`Ltd OFFICE OF THE MAYOR May 18, 2015 Mr. Donavon Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Mr. Sandoval-Heglund: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst 11 CITY RF P H I M DESERT Ja 73-510 FuEu WANING DuIVE PALM DESERT,CALIFORNIA 92260-2578 TEI.: 760 346-06ri mfto,cilyofpalmdrxrrLurR rnnnstut" June 18, 2014 Subject: Letter of Recommendation for Donavon Sandoval-Heglund Student ID: 110002159 To Whom It May Concern, As the advisor to the Palm Desert Youth Committee, I have had the privilege of working with Donavon Sandoval-Heglund since he joined the Committee in April 2011. In May 2012, in recognition for his commitment and dedication to the Youth Committee, the Palm Desert City Council officially appointed Donavon to serve as a voting member. During Donavon's tenure on the Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with several community events. More specifically, for the past three years Donavon has helped plan the Youth Committee's annual car wash fundraisers; the most recent of which raised $1,000 for a local non-profit organization. He is also very involved with the Anti-bullying Subcommittee which plans and provides interactive presentations to elementary school students on the topic of bullying. Additionally, while some Committee members simply "attend" the required monthly Youth Committee meetings, Donavon actively participates in these meetings by providing suggestions and thoughtful input on discussion topics. What I find most remarkable about Donavon is that in addition to serving on the Palm Desert Youth Committee, he is involved with several other impressive social groups and still manages to thrive academically. Based on my personal knowledge of Donavon's many contributions to the Youth Committee, I am pleased to submit this letter of recommendation on his behalf for scholarship consideration. He is a valuable asset to our organization and I am confident that he will excel in all of his future endeavors and affiliations. If you have any questions regarding Donavon or the Palm Desert Youth Committee, please don't hesitate to call me at (760) 346-0611, ext. 425. Si ely, y Lawr e Palm Des Youth Committee Advisor June 18, 2014 Subject: Letter of Recommendation for Donavon Sandoval-Heglund StudentlD: 110002159 To Whom It May Concern, As the advisor to the Palm Desert Youth Committee, I have had the privilege of working with Donavon Sandoval-Heglund since he joined the Committee in April 2011. In May 2012, in recognition for his commitment and dedication to the Youth Committee, the Palm Desert City Council officially appointed Donavon to serve as a voting member. During Donavon's tenure on the Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with several community events. More specifically, for the past three years Donavon has helped plan the Youth Committee's annual car wash fundraisers; the most recent of which raised $1,000 for a local non-profit organization. He is also very involved with the Anti-bullying Subcommittee which plans and provides interactive presentations to elementary school students on the topic of bullying. Additionally, while some Committee members simply "attend" the required monthly Youth Committee meetings, Donavon actively participates in these meetings by providing suggestions and thoughtful input on discussion topics. What I find most remarkable about Donavon is that in addition to serving on the Palm Desert Youth Committee, he is involved with several other impressive social groups and still manages to thrive academically. Based on my personal knowledge of Donavon's many contributions to the Youth Committee, I am pleased to submit this letter of recommendation on his behalf for scholarship consideration. He is a valuable asset to our organization and I am confident that he will excel in all of his future endeavors and affiliations. If you have any questions regarding Donavon or the Palm Desert Youth Committee, please don't hesitate to call me at (760) 346-0611, ext. 425. Sincerely, Amy Lawrence Palm Desert Youth Committee Advisor I t IV 0f P 0 1 M OESER � . 7 3—5 1 o FRED WARING DRIVE r• PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o611 FAX: 760 340-0574 dtyha11@ci.pa1m-desert.ca.us OFFICE OF THE MAYOR May 15, 2012 Mr. Donavon Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Mr. Sandoval-Heglund: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 10, 2012, appointed you to the Youth Committee to fill the vacant position. Therefore,.your term will run through December 31, 2012, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness•to serve your community. .We know that your talents will be very valuable to the Youth Committee, which is scheduled to meet next on Monday, September 10, 2012, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rg cc: Frankie Riddle, Director of Special Programs Amy Lawrence, Recording Secretary �,�reiuno ou earmo.nn , CIIY Of POEM OESERI 73-5T0 PRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 J TEL: 760 346-061 I FAX: 760 340-0574 cityhall@ci.pal m-desert.ca.us OFFICE OF THE MAYOR February 15, 2013 Mr. Don Sandoval-Heglund 46-285 Washington Street La Quinta, California 92253. Dear Mr. Sandoval-Heglund: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of_February 14, 2013, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for 2013. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your service is invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, JAN C. HARNIK MAYOR JCH:glm cc: Frankie Riddle, Director of Special Programs p Amy Lawrence, Recording Secretary ��rumoouunuonm �_a CIIY 01 P 0 [ M OESERI 73-51` [ II11) WAR INt, ORIVI PALM 6o 346—o6i T, Cnl lrnuNln y. 6„-257� FAX: 76o ;40-0574 ril l'Ita I Irr ix.nrvam.rnm OFFIcF OF THE MAYOR February 26, 2014 Mr. Don Sand oval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Mr. Sandoval-Heglund: Subject: Correction of Term Expiration It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December 31, 2014. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary CIIIf Df P 0 1 M DESERT fern W:uwm' Ue IV PA ni Ih a ui, III f.eNIn 9 , '(`25]$ 11 L: 76n ;q6-u01 1 r.)X, 16,. ;.I.. .'5 I I n,hnlla,.. u,....... ..nu ()PFu.I OP 'III MAYOR February 14, 2014 Mr. Don Sandoval-Heglund 46285 Washington Street La Quinta, California 92253 Dear Mr. Sandoval-Heglund: It is with great pleasure that I write this letter officially notifying you that at its regular meeting of February 13, 2014, the Palm Desert City Council, by Minute Motion, reappointed you to the Youth Committee for a one-year term. This term will be for the period January 1, 2014, through December31, 2015. On behalf of the entire City Council, thank you for your continued willingness to serve your community in this capacity. Your expertise and service have been invaluable. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:wjm cc: Amy Lawrence, Recording Secretary ��L.,R.A............ PALM DESERT YOUTH 'YOUTH COMMITTEE APPLICATION Name5G ,) - 1" YYJ U T1 osro Last 0 II First iddle. Home Address W6z1?5 WceS 1 0h 51, Lac)(111flin Street No. City State ZIP l ` I Telephone Number(s) 1- 760— k4q— 617 `// Email Address ,r►m ' ,Cd��Grade School rca 6a,-� School Activities/Clubs /VI !Ga _- �TS�T Z6050 Ws4-n�, k6ho,- P6 \\ 1T4zz CoMbO Other Activities/Clubs Your Personal Statement of Qualifications/Interest(continue on back if necessary) W Jr) I1 �,, �,, Y",A in 1 "� mu H c� �_ 1 � -. -�_ J I i� 1 i 1_ r _ G \� ' , �' - r PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). (PD,,y'i 79w Au Name' Address Telephone No. f i nd y Alur& r y3'J4�0 1." A - kim 160 - 534-52 q'i Name I ii j Address I p,,<.,� Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received ' Date Reaffirmed Comments CIIy 0r PH M OLSERI 73-510 PRL•D WARINc, Diuvr Yni.w Dessrr, CALIFORNIA 92260-2578 TEt: 760 346—o6u rAx: 760 340-0574 inlitC'p;Jm-drttrt.nrg GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS,OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: Name Address Phone# Signature Date AN Name Address Phone# Signature Date ball7, Contact In of an emergency: M Name Phone# g^j nomonntnnonne CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of �� �xtyk�-�✓af-1 1,J , I am not an employee of the City, but 97 that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. Asa volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: .?.G1Z Signature: Print Name. Parent or G ardian Signat (if minor): f Witness: ,rrn��, , lnlf�l���fG1+I CITY DE P0IM DESERT 73-510 f'NF:II WANING DRIVE Ki.m DESERT, CALIFORNIA 922(0-2578 TO: 76o 346—o6ii mfou,cityofpalintivs rt.orN ru�rnm�'1`s41} October 13, 2014 To Whom It May Concern, As the advisor to the Palm Desert Youth Committee, I have had the privilege of working with Donavon Sandoval-Heglund since he joined the Committee in April 2011. In May 2012, in recognition for his commitment and dedication to the Youth Committee, the Palm Desert City Council officially appointed Donavon to serve as a voting member. Additionally, in September 2014, Donavon was elected by his peers to serve as Co- Chair of the Youth Committee for the 2014/15 school year. During Donavon's tenure on the Committee, he has demonstrated leadership and dependability by organizing the Committee's participation with several community events. More specifically, for the past three years Donavon has helped plan the Youth Committee's annual car wash fundraisers; the most recent of which raised $1,000 for a local non-profit organization. He is also very involved with the Anti-bullying Subcommittee which plans and provides interactive presentations to elementary school students on the topic of bullying. Additionally, while some Committee members simply "attend" the required monthly Youth Committee meetings, Donavon actively participates by providing helpful suggestions and thoughtful input on discussion topics. What I find most remarkable about Donavon is that in addition to serving on the Palm Desert Youth Committee, he is involved with several other impressive extracurricular groups and still manages to thrive academically. Based on my personal knowledge of Donavon's many contributions to the Youth Committee, I am pleased to submit this letter of recommendation on his behalf. He is a valuable asset to our community and I am confident that he will excel in all of his future endeavors and affiliations. If you have any questions regarding Donavon or the Palm Desert Youth Committee, please feel free to call me at (760) 346-0611, ext. 425. Sincerely, Amy L rence Palm Desert Youth Committee Advisor What three words best describe you and why? Creative: I always try to approach my challenges and problems in new or creative ways. My methods in solving problems, whether they be calculus questions or organizing group projects, are usually original and interesting. Helpful I always go out of my way to help others. If there is a band concert at 6:00 PM, I arrive at 5:30 to help set up. I'm the last one to leave at my community service events. In calculus I help confused peers with topics they don't understand. Driven Once I have a goal, I pursue it with diligence. If I experience a setback, I' use it to push myself forward. I really discovered how driven I was during cross country. I wanted to prove to myself and others that I could succeed in a sport and I pushed myself to my limits. I started track my Junior year with a personal record in the mile at 10:30; after cutting that down to 5:56 during track, I joined cross country this year and can now run 3.1 miles in 19:46. Extracurricular Activities Activity Position Held 9 10 11 Wind Ensemble 2nd Chair French Horn x Jazz Band Principal (1st) Trumpet x x x (played trumpet since 3rd grade) Junior Statesmen Secretary x x x x of America Track and Field JuniorVarsity x x Junior Classical Vice President x x x League California Scholarship -Treasurer x x x x Federation Cross Country Junior-Varsity (tentative x Varsity) Triathlon Club Member x Community Service Organization Type of Service 9 10 11 12 Palm Desert I attend monthly meetings and help Youth Committee out at community events such as x x x x (serving as Co- the Golf Cart Parade. (started in Chair) 8th grade). I was the chair of the subcommittee that organized a carwash that raised $1000 dollars for the Jill Grant Memorial Scholarship. • Also attended 1 year of the Johns Hopkins Center for Talented Youth summer Chemistry program, and attended COSMOS last summer in the "Genes, Genomes, and Biocontrol," cluster. I was able to have a hands on experience in the biology labs, working with nematodes and going through the RNA sequencing process. • I am an AP Scholar with Distinction 9 Received the Rotary Youth Leadership Award Have you overcome any obstacles in your life? My parent's divorce in 2nd blew away my self-esteem. I joined band in 3rd grade, and it helped me to restore my lost self-esteem, as well find a group of friends. Because of a genetic condition, I had 8 surgeries to correct eye problems throughout my childhood. Instead of frightening me, this sparked my interest in medicine. What are your plans after high school? After graduating from high school, I plan on attending a 4-year university or college ; I hope to combine my love of Biology and Mathematics and majoring in Bio-mathematics. Then, I plan on attending medical school. Will you need financial aid to attend college? Yes, I will need financial aid, my mother is my primary provider as an elementary school teacher and my dad offers minimal financial support. The financial aid packages I am eligible to receive will be a large factor in determining where I go to college. Overall GPA*: Cumulative Unweighted 4.0000 11462 Cumulative Weighted 4.7778 101452 Cum.DSUSD Weighted 4.9333 131452 *as of 2nd semester Junior year Any additional information? In addition to school, I enjoy playing my trumpet in the Jazz Ensemble. I started playing the trumpet in 3rd grade and was accepted into the state honor band in 7th and 8th grade. Currently I'm the Principal Trumpet player (1st chair) in the Jazz Ensemble. My passion is for biology and mathematics, and my favorite part t - of my AP Biology class was the lab work, specifically their hands-on nature. CITY 0f P H I M 01 1 N I 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 s TEL: 760 346—o611 FAX: 760 340-0574 ciryhall@ci.palm-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Haley Schmidman P. O. Box 10383 Palm Desert, California 92255 Dear Miss Schmidman: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rIm cc: Deborah Schwartz Glickman, Management Analyst II �J nurzr onnnneo urn Glickman, Deborah From: Haley Schmidman <haley.schmidman@gmail.com> Sent: Thursday, May 26, 2016 7:55 PM To: Glickman, Deborah Subject: Re:Youth Committee Letter of Resgination and Fundraiser Reminder - Please resond! Hi! I would like to thank you as well as the city of Palm Desert for all of the opportunities I was given through Youth Comittee. However, I intend on resigning due to the fact that I am graduating from high school and then moving to San Luis Obispo for college.Thanks again and best of luck to you!! Warm Regards, Haley Schmidman >On May 17, 2016,at 5:32 PM, <dglickman@cityofpalmdesert.org><dglickman@citvofpalmdesert.org>wrote: >just needs to say that you intend on resigning due to graduation 1 l� CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of to[C Y SC h M I mCl V3 , I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: l Signature: / Ic1Y PrintName: He ley SC(/lY�'I ICQ YYICCl� Parent or Guardian Signature (if minor): Witness: CITY Uf P0IM DESERT �✓ 73-510 Place WARING DRIve PALM DPSF:R'1', CALIFORNIA 92 26o-257K TEL: 760 346-o6ir �OV'C cS FAX: 760 340-0574 Q-O - '�0K�vp���� inl64paten-dcscrc.url; '��\,�\\ �eSN\�L��a��� PALM DESERT YOUTH COMMITTEE APPLICATION Name SGhm i(. w)ck✓1 Haley I-`/ ten - Last First Middle Home Address W;1 S60 Cctrdf�� Strttf Palm OCSC0 CA gaDl I I Street No. City State ZIP Telephone Number(s) 7 6 0 - 6 S 6 - I H 70 Email Address Ha I ey 0) D c . r r. CO 01 Grade CL_ School P 1) H S School Activities/Clubs Assoc atecl S to G e n f 60J cA C IC,t S S Poe i denf , mem her o� Tanior, clo ssica I eaaI �e ( TCL ) , and a. higin termer roll � f(id n+, LCA' 0 Honors Socie +u CLI-ls Mernner Other Activities/Clubs n Q-+I o na l ( l')CP r,'t9 l eu j e- (AIC L ) ar)(j caachella Valley PC+ Aes (r,te TnISsio ►� yoIun fCer� -Mcals On wheels uo Iantee� Your Personal Statement of Qualifications/Interest (continue on back if necessary) �- pcF�50 Ctjj � feel + ha+ z quahT(4 +v heck mein be nf I he Pal M Df5(fI'+ juct f h ComnY] Jfee beCausc. c)JF r►/) L� Sf6 ye and r J-- CL rrCnfIy help jhiS ConnmttnifY 0 (A + b �j -Ff-equ(fnfIy Vol unt(ferih9 a� IoccAJ CV�Cerf + es c,, s per ) as I-ec�cllhg Mq crcus bj being +he assoeiafecQ -y4-a Genf bC)dg P(,CsI°Cle,r) ty r �'eej fhaf fDe l r)5 Cx p pf C) p fhe Palm © eSer+ Sou + h Corte (V) i ++ e (f M 41me a. rict I f erg f i0 f0r +h ) s Wonct er-fu l commuo i f (,� , PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Tracg6rauv� 7glesMon�esertnoCir�le �ncllccnweIISA , a10 Name Address Telephone No.76063666 X-1 Ciaci Hat iiguo 79701GrANeGfan� 8 ffMX)O, DgnfS Gaaoi Name Address Telephone No. 7bOM5-66bd APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Date Received Date Reaffirmed Comments CITY OE PO M OESERI 73 Sio I:Ro-n WARING I)Riw PAi M DI-NI R'l', CAI.IPURNIA g226o ZS78 'rr•U 760 346—o6u IAN: 76o 340 0574 intro^palm de.orr.ur� GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, NU.I If Y S C I'1 M((AMU 0 who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities, I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: Q �)'C a' 55 Name Address Phone# Signature Date Name Address Phone# Signature Date Contact In case of an emer ency: Name Phone# q,j ineu�urtniorwr Lawrence,Amy From: Haley Schmidman [Haley@dc.rr.com] Sent: Friday, May 16, 2014 5:45 PM To: Lawrence,Amy Subject: Re: Carwash Cory and I have to film an English project tomorrow morning so if we finish early we will come! Thank you! ! ! Sincerely, Haley Schmidman Sent from my iPhone > On May 16, 2014, at 11:18 AM, <alawrence0cityofpalmdesert.org> wrote: > Hi Haley! Yes. . .I will send out an email with details and also post to the Facebook page. Probably right around 1 to 2 p.m. > > Thanks for checking in! ! > Amy Lawrence > City of Palm Desert > 760.346.0611 Ext. 425 > -----Original Message----- > From: Haley Schmidman [mailto:Haleypdc.rr.com] > Sent: Friday, May 16, 2014 11:12 AM > To: Lawrence, Amy > Subject: Carwash > Hi Amy! Are you going to send an update on the car wash? Have a good day! > Sincerely, > Haley Schmidman > Sent from my iPhone 1 1 CLIV Or PO M ULjLRi 73-51 O FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6i i FAX: 760 340-0574 ciryhall@ci.palm-descrl.ca.us OFFICE OF THE MAYOR May 18, 2015 Mr. Jack Shannazarian 45155 Sunberry Court La Quinta, California 92253 Dear Mr. Shannazarian: At its regular meeting of May 14, 2015, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, Susan Marie Weber Mayor SWM:rlm cc: Deborah Schwartz Glickman, Management Analyst 11 CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of 5C(� 0r711 zc, I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has { adopted a resolution extending workers' compensation coverage to certain volunteers in 'k specified categories pursuant to Labor Code Section 3363.5.f. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any r injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, 'officers, agencies, other volunteers and officials. Date: 3 3 I S Signature: Print Name-.. d�k SVrgl�lylc,2�%, o Parent or Guardian Signature (if minor): Witness: l � J 7' • C1IY Of PN1O1 OESERT !' } •'l}, 71-510 PRI-U WARWI: DRIVI- ' PAI KI DI-S Irr, CALIPORNIA gzzGo 2578 i •n%: 76o 346—o6n "AN: 76o ;qo- 0574 .. inliWpahn dcwn.urR GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: Name Address Phone# Signature Date Name Address Phone# Signature Date Em77 act in case of an emergency: e - -- ---- -- - - Phone# - - - j rNlrftYllllllM. r L '"PALM DESERT YOUTH COMMITTEE APPLICATION Name JI tlnq za p ae S(�x Last First le // �/-t� Middle. Home Address gsis ��mi a l- of;ntr�, Lj �22�3 Street No. City State ZIP Telephone Number(s) i ��O -70z--q L? ( (76o) 772- - 7S Email Address Vic; ,;hwgzar;ari nGrade School RIL7 School Activities/Clubs Q&V Cr 7 1P�,��q IXCeV'1,'7 . � LI Qo ) Other Activities/Clubs Bzq= L 1" ' CA SCE I ef&�= re4Mri"� d1d �s ; rslj�f ea;� ; 116$ Z jk!� �� - rympe,�, I b� u��, ; �, c�rr G,�( Lu�f-A cc�rnp„�r�. Your Personal Statement of Qualifications/interest (continue on back if necessary) L a w M Ea*tt; / bAW bO-'W a&FfCf, in fi-f-- �jn?inW yCOf �/ /✓Nci LL 1 I' C®vI� 6C. a Qjk .rt ajdelrto-n ]�t:�' e:n PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or so ee coCisnr�nected with.the City of Palm Desert). PIGS nheo� llo� 7mlid qZ� ahz - ti34x� Name V Address Telephone No. Loyd, M kw- �I8zc) YLUg l Q�-0)3r 0 — Name Address eiv&, V uw Telephone No. APPLICATIONS CAN BE RETURNED TO: City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611, EXT. 425. This application will remain on file for a period of one year. FOR OFFICIAL USE ONLY Da Avv te Received Date Reaffirmed vkt Comments PALM DESERT HIGH SCHOOL A CALIFORNIA DISTINGUISHED SCHOOL 74-910 Aztec Road Palm Desert, CA 92260 (760) 862-4300 It is with sincere pleasure I write this letter of recommendation for Jack Shannazarian. Living life to its fullest is Jack's "mantra". He is a student who quietly makes his way through his. day making his mark,not asking for anything in return. At the end of the day we all stand back"wowed" with all he has accomplished and the professional and committed way in which each project and task was handled.Jack is one of those students who come along once every ten years. There is nothing that he hasn't accomplished or is dreaming of conquering. He continues to be strong in his academia and extracurricular activities. Teachers talk about Jack's contribution to their classroom with enthusiasm. He's a forward thinker, creative, insightful and detail oriented. He doesn't judge, listening to all sides of an argument. It's not unusual for him to be the voice of reason in a lively discussion. He has strong leadership skills, takes initiative and uses good judgment: Jack's resume is impressive.Jack's latest adventure was earning his Eagle Scout. He is proud of his project of putting together 170 backpacks filled with school supplies for students who were unable to buy the materials for themselves. He partnered with local businesses for donations, interviewed teachers to make sure the contents were appropriate and organized the distribution. The filled back packs were then delivered to La Palmitas in Mecca. Jack's contribution to the scout program has been ongoing. Summer time he commits to being a camp counselor at a scout camp in the Sierras. For the past four summers he taught the campers survival skills in an alien environment and many older camp enthusiasts have sat in his classes to get his "tips". After school tutoring keeps Jack busy during the school semester. He is popular among students because of his quiet but direct approach to teaching math and science concepts. He never belittles but encourages his "tutorees" to ask questions and share back with Jack what they are learning so it is validated in their learning process. Jacks contribution to the community continues to grow. He is very quiet about his contribution and unless you askfor details he's humble about all he does. Encapsulating Jack in a few paragraphs is impossible. There is so much more to him than this quick synopsis. He is moral,'honest, intelligent, empathetic and kind. He's a very special person who doesn't shy away from a challenge. He is the "poster boy"of the person we trust to represent us in any activity or endeavor. He's one of those rare students who appreciates to the fullest everything others do for him. He has success written all.over him. I am quite confident of his ability to shine in an Internship and appreciate the whole experience. He will not disappoint. Sincerely, "M. Counselor .� CITY OF PRIM DESERT 73-5 I O FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 5 7 8 ' TEL: 760 346-o61I FAX: 760 340-0574 cicyha11@ci.patm-deserr.ca.us OFFICE OF THE MAYOR June 21, 2015 Mr. Andrew Olson 39903 Cricket Cove Palm Desert, California 92211 Dear Mr. Olson: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere. regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEGEL� MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II ��vnnnooxvarnm rrry Committee Member Name Ana-it v-/ o n Rank your top 4 Committees/Commissions with 1 being your first choice. Architectural Review Commission — 2"d and 41h Tuesday at 12:00 p.m. Art in Public Place Commission — 2nd Wednesday at 9:00 a.m. Audit, Investment & Finance Committee — 4th Tuesday 10:00 a.m. k , Citizens Sustainability Committee — Quarterly on Mondays at 2:00 p.m. Cultural Resources Preservation Committee — Last Tuesday at 9:00 a.m. El Paseo Business Association Board — 3`d Thursday at 8:00 a.m. 3 Housing Commission — 2"d Wednesday at 3:30 p.m. Library Promotion Committee — 3`d Wednesday at 3:00 p.m. Marketing Committee — 3`d Tuesday at 2:00 p.m. Parks & Recreation Commission — 15t Tuesday at 8:30 a.m. Planning Commission — 151 and 3`d Tuesdays at 6:00 p.m. Public Safety Commission — 2"d Wednesday at 3:30 4- -aj 44 �. Andrew Olsen ' PALM DESERT YOUTH COMMITTEE 73-510 Fred Waring Drive vl ," Palm Desert, CA 92260 (760) 346-0611 — www.cityofPalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL& ACTIVITY PARTICIPATION AUTHORIZATION AND RELEASE IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE AND TRAVEL IN CONNECTION WITH ACTIVITIES RELATED TO THE PALM DESERT YOUTH COMMITTEE, THE UNDERSIGNED AGREES TO THE FOLLOWING: 1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE THE CITY OF PALM DESERT, ITS ELECTED OR APPOINTED OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS (hereinafter referred to as "releasees") from all liability to the undersigned, his or her personal representatives, assigns, heirs, and next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releasees or otherwise while the undersigned is participating in a City activity or using any City facilities or equipment in connection with the activity. 2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees (including attorney fees to establish the releasees right to indemnity or incurred on appeal) resulting from involvement in this activity whether caused by any negligent act or omission of the releasees or otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE while upon City property or participating in the activity or using any City facilities and equipment whether caused by any negligent act or omission of releasees or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by California law and that if any portion thereof be held invalid, notwithstanding, the balance shall continue in full legal force and effect. In the event of any type of injury or illness, whether life threatening or not, your signature on this form will authorize, in your absence, medical treatment as deemed necessary by a licensed physician/surgeon/dentist. 1• PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 The undersigned hereby authorizes the City of Palm Desert staff to inform any licensed physician/surgeon/dentist to proceed with any medical treatment as seen fit or prescribed by a licensed physician/surgeon/dentist, to the minor named below. Any expenses and related costs generated by these treatments, medications, x- rays, anesthetics, or procedures shall be paid by the undersigned. I ACKNOWLEDGE THAT 1 HAVE READ THE FOREGOING and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City of Palm Desert, its elected or appointed officials, officers, agents, employees, .or volunteers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made. IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT. I HEREBY WARRANT THAT I AM THE CUSTODIAL PARENT OR LEGAL GUARDIAN OF Aokcej MiACLJ 0150n (PRINT PARTICIPANT'S FULL NAME) WHO IS A MINOR, ON MY OWN AND SAID MINOR'S BEHALF TO THE TERMS AND CONDITIONS OF THE FOREGOING AGREEMENT. Participant or Parent/Guardian (print) AnAf6� 0 1son Signature ( 7,�� �� Date Home Address: 3d9 03 cr ckci" (0%Je Pctlrn Deser-" Street City "Emer enc Contact :-Relationship 'Home''Phone' ",. 'Work Phone ,.'. _ .Mobile Phone I.iSa Olsonmo��,eo✓ --�' 760'9134S-6Z M.Ai el 01500 -G�ht r — `�'_" g►.$- g7a-3600 CITY OF PALM DESERT SPECIAL PROGRAMS DEPARTMENT STAFF REPORT REQUEST: Accept Letter of Resignation from Victoria Delapaz and Appoint Andrew Olson to the Palm Desert Youth Committee SUBMITTED BY: Amy Lawrence, Administrative Secretary DATE: November 13, 2014 CONTENTS: Letter of Resignation Recommendation By Minute Motion, accept letter of resignation from Victoria Delapaz and appoint Andrew Olson to the Palm Desert Youth Committee Discussion As a result of Miss Victoria Delapaz' resignation from the Palm Desert Youth Committee, staff recommends that alternate Andrew Olson be appointed. Fiscal Im pact There is no fiscal impact related to this request. jSub ' By: Department Hea .ince Fa ie Rid e Administrative Secretary Director of Special Programs Reviewed: ZiQ CITYCOMCII.ACr ON Rud Acosta APPROVED.�.�.��DLrPi1LrD�.� Assistant City Manager RECEWW-- —.---- OTHER.r�,�r,�.,,. MEET ODA .�f'� Ap roved: ^9 - n' nI1 �Pa J NOES: ABSEN'h ABSTAINS Jo M. Wohlmuth VERIFIED BYt t Manager r Original on File with City Cierk'a Office CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowledge that as a volunteer for the City of Palm Desert in the capacity of THE PALM DESERT YOUTH COMMITTEE , I at not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is covered under the City's workers' compensation plan, I expressly agree and acknowledge that workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that I cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: Signature: Print Name: Anli5 ✓ O/S019 Parent or Gua di nature (if minor): Witness: C 1 e PALM DESERT YOUTH COMMITTEE -^� 73-510 Fred Waring Drive Palm Desert, CA 92260 _ 3 (760) 346-0611 —www.cityofpalmdesert.org 4` • tl:: ^+ntntr.:4 APPLICATION NAME Olson Andrew M Last First Middle Initial 39903 Cricket Cove Palm Desert CA 92211 ADDRESS Street City State Zip NA 760-413-8862 PHONE NUMBER Home Cell EMAIL ADDRESS AndrewMichae101son@hotmail.com SCHOOL Palm Desert High School GRADE 10 ACTIVITIES/CLUBS PDHS varsity football team PDHS freshman baseball team Junior Classical League volunteer at Habitat for Humanity PERSONAL STATEMENT OF QUALIFICATIONS (continue on the back if necessary) As a relatively new member of the community (I moved here in 2011), 1 have fallen in love with the City of Palm Desert. I appreciate the friendly, relaxed atmosphere, the great parks and public spaces, and the excellent schools. When a relative of mine became a member of his local city council, I realized how much impact one person can have on his or her community. I would like to help Palm Desert continue to be a wonderful place to grow up by giving a young person's perspective on the activities and facilities the city has to offer. PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert). Joe Cervantes 760-406-3225 football coach Name Phone Number Relation Michele Jones 909-702-0646 teacher Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL (760) 346-0611. This application will remain on file for one year. FOR OFFICIAL USE ONLY Date Received / tE7(1a Date Interviewed Comments C Vd /M '/a s CITY 0 PRIM 10ESERT 73-510 FRED WARING DRIVP gz: q;y 1'4 1 I)PSIMI', CALIFORNIA n2260--2578 Tr.1- 60 7 346-o6n PA\:760 340.-.0574 .. inro p ini dmen.urR GENERAL TRAVEL/ACTIVITY ALITORIZATION/RELEASE I give permission for my/our child, XX�rP-3 0)Son who is under the age of 18, to travel In a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert,its Council,employees,agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: Q saa Css c-ka+ Cole PD/ CA 9 D l I 7Go -`113--5 5(aa Name Address Phone# SignSign ur� Date &,.k,T (d✓- P)), CA Mil 8)6—B�9-3,�00 Name r Address Phone# Mictior-) I i> -01 Signature Date Contact in case of an emergency: L'sa O � �,Q� 7�0- yI j - JSba Name Phone# 6d tmnovaomau :... h AOL IIIV OE PH [ 01 OESERI I tiII) Peru WAJUN❑ ORIV1' I'n l nl u l o l $I 1, (.A l l I(I Jy J'vp „6 15'8 'i'ii.: 76o ;.{6-u6i i I AN. UP I'll.I'. OF fill! MANIM November 18, 2014 Mr. Andrew Olson 39903 Cricket Cove Palm Desert, California 92211 Dear Mr. Olson: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of November 13, 2014, appointed you to the Palm Desert Youth Committee to fill the vacant position. Therefore, your term will run through December 31, 2014, at which time you will be eligible for reappointment. On behalf of the City Council, thank you for your willingness to serve your community. We know that your talents will be very valuable to the Palm Desert Youth Committee, which is scheduled to meet next on Monday, December 1, 2014, at 6:00 p.m. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, VAN G. TANNER MAYOR VGT:rim cc: Amy Lawrence, Recording Secretary CITY pf P 0 1 M DESERt 5. 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 9226o-257$ TEL: 760 346—o611 FAX: 760 340-0574 c1cyha11@d.pa1m-desert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Abigail Sanford 73487 Grapevine Street Palm Desert, California 92260 Dear Miss Sanford: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEGEL MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II omnarn rrn PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 The undersigned hereby authorizes the City of Palm Desert staff to inform any licensed physician/surgeon/dentist to proceed with any medical treatment as seen fit or prescribed by a licensed physician/surgeon/dentist, to the minor named below. Any expenses and related costs generated by these treatments, medications, x- rays, anesthetics, or procedures shall be paid by the undersigned. I ACKNOWLEDGE THAT 1 HAVE READ THE FOREGOING and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City of Palm Desert, its elected or appointed officials, officers, agents, employees, or volunteers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made. IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT. I HEREBY WARRANT THAT I AM THE CUSTODIAL PARENT OR LEGAL GUARDIAN OF (PRINT PARTICIPANT'S FULL NAME) WHO IS A MINOR, ON MY OWN AND SAID MINOR'S BEHALF TO THE TERMS AND CONDITIONS OF THE FOREGOING AGREEMENT. Participant or Parent/Guardian (print) �(}r l �C)anF06 Signature 486�— Date Home Address: 23-V v;r&--, ',�fi & 0L<<r+ Street City Emergency Contact u Relatiorishio' Home Phone-.° -: Work-Phone Mobile Phone CIIY OE P H I M HESERI 73-510 Paco WAGING DRIVI_ PALM DIS1 R1, CALIFORNIA 9226o-2578 T'FI: 76o 346—o6n FAX: 76�, 341�-0574 qu dtyh:dlClci.palm, desert-ca.us I OFFICE OF THE MAYOR May 18, 2015 Miss Abigail Sanford 73487 Grapevine Palm Desert, California 92260 Dear Miss Sanford: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 14, 2015, appointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31, 2015, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to serve your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, Susan Marie Weber Mayor SMW:rIm cc: Deborah Schwartz Glickman, Management Analyst 11 ,r �vl PALM DESERT YOUTH COMMITTEE APPLICATION Name� � TZ ( l��(��1 H Last o iK /M'iddle. /t n Home Address 72-�{ p7. �a`(}���, c vG q&0 Street No. City State ZIP Telephone Number(s)�� �, Email Address QD6 (Grade�L School �J,S School Activities/Clubs �!a��J�1�1I 11U�1odS �cieEt-V .(�nb Cn`,-frxn;a mr,� 1Pu �� Other Activities/Clubs oral � f�� Your Personal Statement of Qualifications/Interest(continue on back if necessary) 0V0AJnIVg Yelp 06� w* ks( %e C,0111m1mi s; PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected with the City of Palm Desert).Name Ad ess Telephone No. Nau -15-AS Nel pn \one � ))m w Name -Address • ' 'Telephone No. Na ae6o�(� (AV) 42 APPLICATIONS CAN BE RETURNED TO: - City of Palm Desert Attn: Special Programs Department 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE COMMITTEE, PLEASE CALL (760) 346-0611 EXT. 425. This application will remain on rile for a period of one year. q FOR OFFICIAL USE ONLY Date Received / °) Date Reaffirmed Comments a . M CITY OF PALM DESERT VOLUNTEER PROGRAM ACKNOWLEDGEMENT OF WORKERS' COMPENSATION I hereby acknowlledge`that as a volunteer for the City of Palm Desert in the capacity of �M t' / i7 �VY1YYlA , I am not an employee of the City, but that I am covered under the City's workers' compensation plan since the City has adopted a resolution extending workers' compensation coverage to certain volunteers in specified categories pursuant to Labor Code Section 3363.5. As a volunteer who is'covered under the City's workers' compensation plan, I expressly agree and acknowledge that,workers' compensation is my exclusive remedy for any injury suffered while performing said volunteer duties, and that 1 cannot and will not seek to bring any other claim or actions of any type whatsoever against the City, its employees, officers, agencies, other volunteers and officials. Date: 6- Signature: Print Name: / I�jCjCQ11 Y(� Parent or Guardian Signature (if minor): Witness: CITY Of POLIO OESERI 73-510 Faen WARING DRIVE. PALM Drsurr, CALIFORNIA 92260-'2.578 ml- 76o 346—o6ii rnx: 760 340-0574 inroW'P:dm desert.org GENERAL TRAVEL/ACTIVITY AUTORIZATION/RELEASE I give permission for my/our child, / nuitir a/t- " A who is under the age of 18, to travel in a vehicle or on public transportation for the following reason(s): Transporting my child to and from Palm Desert Youth Committee activities. I agree to hold the City of Palm Desert, its Council, employees, agents, and volunteers harmless. PARENT/LEGAL GUARDIAN'S SIGNATURE DENOTES ACCEPTANCE OF THE TERMS OF THIS PERMISSION LETTER TO TRANSPORT Parent/Legal Guardian: 7,MV 6I ra r� 9 ►� 6c�)�g5 - z�s Name Address ;'p`m Phone# Sign at a Date Y Same- ove- L76 's , �Soq( Name Address Phone# — 44 6_ � +( Signature Date Contact in case of an emergency: Nnn i v� (7601 -.5 k Name Phone# A nmu®omurnrp C1TY 01 P 0 1 M OESERT 7 3-5 10 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 , kmad"'IF TEL: 760 346-o61 r FAX: 760 340-0574 chyha11@d.pa1m-dcsert.ca.us OFFICE OF THE MAYOR June 21, 2015 Miss Cloe Wood 49 Payson Palm Desert, California 92260 Dear Miss Wood: At its regular meeting of June 9, 2016, Palm Desert City Council accepted your resignation from the Youth Committee with very sincere regret. We thank you for taking the time to serve your community. On behalf of the citizens of Palm Desert, the City Council would like to wish you well on all your future endeavors. We all know the extra effort it takes to be involved in civic affairs, and your service to this board has been very much appreciated. I hope you will not hesitate to call on us if we can ever be of service to you. Sincerely, ROBERT A. SPIEG r—'�-w MAYOR RAS:rlm cc: Deborah Schwartz Glickman, Management Analyst II --�� IIIV 01 P 0 [ M 0 1 S I P I 73-510 FRED WARING DRIVE FALL DESERT, CALIFORNIA 92260-2578 TEL: 760 346—o6ii FAx: 760 341-4564 info@paim-desert.org January 13, 2016 To Whom It May Concern, It is a privilege to write this letter of recommendation for Cloe Wood, who currently serves as an appointed member of the Palm Desert Youth Committee. Cloe was appointed by the City Council to the Committee in May 2015, and served as an alternate member for three months prior to her appointment. Cloe is an eager committee member who is willing to pitch in and assist when and where needed. In addition, she has shown a willingness to provide input on various activities and assignments and has actively participated in general discussions by the group. She regularly volunteers at community events such as the City of Palm Desert's annual Relay for Life, Golf Cart Parade, and Wreath Lighting, and Sustainability Party among other and is the Youth Committee liaison for the City's Library Promotion and Legislative Review Committees. Her status as liaison to the other City committees requires that she attend those two committees' meetings to give input on their subject matter and provide them with information about the Youth Committee activities. If you have any questions regarding Cloe or the Palm Desert Youth Committee, please do not hesitate to contact me at (760) 346-0611, ext. 664. Sincerely, Deborah S. Glickman Palm Desert Youth Committee Advisor Cloe Wood / PALM DESERT YOUTH COMMITTEE a . 73 510 Fred Waring Drive Palm Desert, CA 92260 >' (760) 346-0611 — www.citVofpalmdesert.org CITY OF PALM DESERT GENERAL TRAVEL& ACTIVITY PARTICIPATION AUTHORIZATION AND RELEASE IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE AND TRAVEL IN CONNECTION WITH ACTIVITIES RELATED TO THE PALM DESERT YOUTH COMMITTEE, THE UNDERSIGNED AGREES TO THE FOLLOWING: 1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE THE CITY OF PALM DESERT, ITS ELECTED OR APPOINTED OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS (hereinafter referred to as "releasees") from all liability to the undersigned, his or her personal representatives, assigns, heirs, and next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releasees or otherwise while the undersigned is participating in a City activity or using any City facilities or equipment in connection with the activity. 2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees (including attorney fees to establish the releasees right to indemnity or incurred on appeal) resulting from involvement in this activity whether caused by any negligent act or omission of the releasees or otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE while upon City property or participating in the activity or using any City facilities and equipment whether caused by any negligent act or omission of releasees or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by California law and that if any portion thereof be held invalid, notwithstanding, the balance shall continue in full legal force and effect. In the event of any type of injury or illness, whether life threatening or not, your signature on this form will authorize, in your absence, medical treatment as deemed necessary by a licensed physician/surgeon/dentist. PALM DESERT YOUTH COMMITTEE APPLICATION PAGE 2 The undersigned hereby authorizes the City of Palm Desert staff to inform any zxlicensed physician/surgeon/dentist to proceed with any medical treatment as `§I�en fit or prescribed by a licensed physician/surgeon/dentist, to the minor named below. Any expenses and related costs generated by these treatments, medications, x- rays, anesthetics, or procedures shall be paid by the undersigned. I ACKNOWLEDGE THAT I HAVE READ THE FOREGOING and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City of Palm Desert, its elected or appointed officials, officers, agents, employees, or volunteers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made. IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT. I HEREBY WARRANT THAT I AM THE CUSTODIAL PARENT OR LEGAL GUARDIAN OF (PRINT PARTICIPANT'S FULL NAME) WHO IS A MINOR, ON MY OWN AND SAID MINOR'S BEHALF TO THE TERMS AND CONDITIONS OF THE FOREGOING AGREEMENT. Participant or P nt/G n (print) Signature Date Home Address: LIG Payson C:trcl� Po.\gym 1�eSQv—E Street City Einer enc Coritact . .�:�°Relationshi , ,= >,Home;Phone=�,,,F , ;Work.PFione°:,� gr;Mobile Phone Rv��1� Poo le C�Yp�V1C� �55�1) ag74735 L957) 573-067S ��os5`Fi �`��� 7�ozoZ6�77 (005r S-Log C11V 91 P 0 1 M 6ESERT 7 3-5 1 o. FRED WARING DRIVE PALM DESERT, CALIFORNIA 92 2 60-2 578 TEL: 760 346—o61I FAX: 760 340-0574 ciryhafl@ci.palm-dmOxa.w OFFICE OF THE MAYOR May 18, 2015 Miss Cloe Wood 49 Payson Palm Desert, California 92211 Dear Miss Wood: It is with great pleasure that I write this letter officially notifying you that the City Council, at its regular meeting of May 14, 2015, appointed you as a regular member of the Youth Committee. This term will begin immediately and run through December 31, 2015, at which time you will be eligible for reappointment. On behalf of the entire City Council, thank you for your willingness to sere your community in this capacity. I hope you will feel free to contact me or any member of the City Council if we can ever be of assistance to you. Sincerely, Susan Marie Weber Mayor SMW:rIm cc: Deborah Schwartz Glickman, Management Analyst 11 Schwartz, Deborah To: mairapretty99@yahoo.com; cloe.wood23@gmail.com L.— Subject: Palm Desert Youth Committee Hello Maira and Cloe: It was nice to see both of you last night. Both of you are now eligible to be an alternate for the Youth Committee. As such, I would like to set up a meeting with you to go over how the committee works and answer any questions that you have. Can both of you come to the next meeting, March 2, at 5:30 p.m. so that we can talk before the meeting starts at 6:00 p.m.? Please let me know. Thank you, Deborah Deborah Schwartz Glickman City of Palm Desert, Management Analyst II 760-837-1664 www.palmdesertart.org 1j Be Greeni Please don't print this e-mail unless you really need to. 1 l I'�o1 and '�I2�i. PALM DESERT YOUTH COMMITTEE TY- 1 ✓T-S a 73-510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611—www.citvofpalmdesert.ore r 1 APPLICATION NAME ADDRESS HR Pa�Sop L,IYG� �alw� �egcra C{� 9ZZll Street i AAII ri City State Zp PHONE NUMBER RA �5S°�� ( 7(,-TX66 Home Cell EMAIL ADDRESS GOe (1J00�23 °C q N�aa f oWl PARENT NAME/PHONE NUMBER (6t+bty W ooa CC59) 676'G07? Name Phone Number SCHOOL VbL\m l lr S e.va�rlanM GRADEGRADUATION YEAR 2L r„ ACTIVITIES/CLUBS CoVKwt�,..rci car e. C,S F PERSONAL STATEMENT OF QUALIFICATIONS(continue on the back if necessary) JMlrovq� Y Vioru w:}h Cowl„wLVI:4� Ser�c� Clubs �a�e aeJvelo�,eC ler,�ler S K;\�s and he\ (V� •nn hbleekP4�n e � ?�s siavi Kor co�,w�uh-,-7. " rove for gF%VL y ,jc its e'er 0.Y\� h�au�h a °� eobi+�vQ �M�qa,} oh �-bt2�r lives. Woru�n� WIC \t)CCA 1161cre.S ko5 hekgea, M4? Yecogv�AZe, k-6 he\p (S �'P-YS A.n� beusrne oh � erXe��ive leader: I have devZkc fec� an excellevl+ wort.,, o r\d �hc,i r\�-a.'%r� 0. y-g 6r?A . 1 6,6 WY,0A t\1 er W A WGeS Aco aC)v\e7\v2 yh esgeciau�,j inner, kMr \j OLrP -\o Ine\v &rvlers. REFERENCES: Local residents who are qualified to comment on your capabilities (preferably not a relative or someone connected "with the City of Palm Desert). Name 113hone Number Relation Name Phone Number Relation APPLICATIONS SHOULD BE RETURNED TO: City of Palm Desert Deborah Schwartz Glickman 73-510 Fred Waring Drive Palm Desert, CA 92260 IF YOU HAVE ANY QUESTIONS REGARDING THE YOUTH COMMITTEE, PLEASE CALL(760) 346- 0611. This application will remain an file for three years. FOR OFFICIAL USE ONLY Date Received Date Interviewed Discussed during interview: What is the Youth Committee? o Appointed versus alternate member o How to become an appointed member 0 Meeting schedule o Meeting requirements o Brown Act o Subcommittees o Events o Communication o Letters of Recommendation 0 i . , i �I � � i I i i ,I ��