HomeMy WebLinkAboutAppointment - M. Russo �� .; �..,r� COMMITT�E/COMMISS{ON �i,���f , �iON
PALN DESER��CA �
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CITY OF PALM DESE�MAR 2 f AM Ip: 23
73-510 Fred Waring Drive
Paim Desert, California 92260-2578
,
1. Indicate which of the following committees or commissions on which you are most interested in
serving. please mark no more than three, and number them in order of your first. second. and third
choices onlx(#1 for first choice, #2 for second choice, #3 for third choice).
Architectural Review Commission Marketing Committee �
Art!n Public Places Commission Parks and Recreation Commission
Building Board of Appeals Planning Commission
EI Paseo Business Association Project Area Committee
Historic Preservation Committee Public Safety Commission
� Housing Commission Rent Review Commission
Investment and Finance Committee
Library Promotion Committee
2. Name: ��t..�� NCi�`�� M
Last First Middle
' ,. Residence Address: `� C.��hr�.ni I�a C�-- P�rn�� c� �aa�c ���Ig��a��
� Street No. City Zip Cc�de Telephone No.
4. BusinessAddress: `�ao��5 �A��inc�,r� `� 1�,��1 �Pr� C�`�2�rll �b�����5��1
Street No. City Zip Code Tefephone No.
5. Education: �5. US�1 �`_-:� �� �� � - �. C -
���- _��� ` ,
6. Current Occupation: ��1� ��C���,,-��IC�f,YI� � �� �.��C��' Ct�lY� �`,�(.,Q�ICr t�kl�1(��u
7. Job Ex rience(be inning with present or last osition):
�`'C� - � st��� � � '� ��r i� � i � � ��,� �q- �re_5 e__n�
Firm &Ad ress Title Em foyment Dates
_ � � r C4J �1S 1� � - I�;�J Q.��
Firm�&Address Ti e ` Employment Dates
Firm &Address Title Employment Dates
8. Members of the Planning Commission and Rent Review Commission must be registered voters
in Palm Desert.
I have been a Palm Desert resident since: `vt''V ��`�C:�U(�
{ have been a registered voter in Palm Desert since: N�v � ��
9. Local residents who are qualified to comment on my capabilities(preferably not someone
co►inected�v��ith the City of Patm Des rt):
�('1 C�11 CCt��Le�(Yl� ���� � �'11 �n S� �(c�� -�� 3r��,C�
Name Address Telephone No.
�,1� -� � J�-� 1� , �� Z� - �'' � ' J JO�
Name Acldres� � Telephone No.
10. YOUR PERSONAL STATEMENT�F QUALIFICATlONS(add attachments if necessary):
�-- ��L`�. �'�Xl i� �11`l� �r�x;ll�'..��lq '�}��sl�Y1 �r ol�er .
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11. Have you ever rve�on any City committee or commission before? If yes, describe:
��C � .
Thls appllcaffon wlll remain on file for a period of one year.
FOR OFFICIAL USE ONLY
Date Received: Date Reaffirmed:
Comments:
C:1wp5 l�cmtes�app.pm5
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� C �t of Paim Desert
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J � ,
����~'�" w Committee/Commission
-,
�
--e � � '" ' � Membership Questionnaire
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1 . Please�provide your name, address, and telephone number(s):
�� � .
(1'1 � , , �
� - _ .-Q 5
. � �
2. I attended meetings of the ��-�l`�W ���5�1��
(Name of Committee/Commission)
on the following dates: �� F� ,�� ���1 �( , �C�'"1
3. I am still interested in serving on this committeelcommission: �Yes _ No
a) If yes, please go to #4.
b) If no, please go to #5.
4. Please give your general impression of the committee/commission after
attending its meetin s:
� `'S � �rYl ` ��l
CA l�l.-(l ��lc� � 1 �r
�r�e��e �Q- � 1:�,�,� .� � � , u �� .
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(over)
''City of Palm Desert
CommitteeiCommission
Membership Questionnaire
Page Two
5. Is there another committee/commission in which you are interested?
Yes ___.�__ No .
a) If yes, piease indicate the dates of the meetings for this
committee/commission that you attended and give your general
impression of the committeelcommission:
.
b) If no, the City of Palm Desert thanks you for taking time to apply for
membership on the various committees and commissions. If you decide
in the future that you would again like to be considered for membership,
please contact us for a new application form.
6. After attending meetings and completing this questionnaire, please return it
along with your Application for Committee/Commission Service to:
Office of the City Clerk
Community Services Division
City of Palm Desert
73-510 Fred Waring Drive
Palm Desert, CA 92260-2578
If you have any questions, please call Assistant City Manager Sheila Gilligan or
City Clerk Rachelle Klassen at (760}346-0611 .
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