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Home My WebLink AboutAGENDA REPORT 1993 1201 CC REG ITEM 10AMOORPARK 799 Moorpark Avenue Moorpark, California 93021 (805) 529 -6864 -1 1 OFFICE OF THE CITY CLERK M E M O RtA N D U M TO: The Honorable City Council FROM: Lillian E. Hare, City Clerk DATE: November 23, 1993 SUBJECT: SENIOR CENTER ADVISORY COMMITTEE Applications from the following persons have been received for the Senior Center Advisory Committee. The complete applications are attached and are being provided for your review as you will be considering this item at the City Council meeting of December 1, 1993. 1. LOIS BRUSVEN 2. MARY JANE MITCHELL 3. ALAN STEINHARDT cc: Steven Kueny, City Manager c: \wp51 \citycler \931123.01 PAUL W. LAWRASON JR. SCOTT MONTGOMERY PATRICK HUNTER BERNARDO M. PEREZ Mayor Mayor Pro Tem Councilmember Councilmember L JOHN E. WOZNIAK Councilmember Phried an RecycW Paper 1p A pp I i r: i t. i c w. t c : r -SW. W ��/7 14Dvl �?e_ ' (2�!.i�niny t /C�- S ID � - t - R 2 X993 CITY OF MOORPARY, O` Ju BOARD, COMMISSION, AND COMMITTEE APPLICATION N { MpOCpax SUBMIT TO: ::it.y Clerk G�tiy Q 799 Moorpark :,venue Moorpark, Cai.forni.a 143021 Please print or type answers to all questions and place N/A in those areas that do not apply_ A separate, signed application must be completed for each Board, Commission, or Committee. raArlE : ! — - -- HOME PgiCB S ~.,Zf- Z ? Y (last) / (first) WORK PHCYIE ADDRESS : -4-1 -Z � �_'_ �c %� /� � ! / z -- T. -'it i! f / (city) `(v ate) ' (zip code) OCCUPATION: BUSINESS: (city) (state) (zip code) Education (highest school year, ,degrees, etc.): YES ND Are you a Moorpark resident? Date of residency 6ZC •G Are you a registered voter in the City of Moorpark? X Do you have relatives or members of your household who — are employed by the City of Moorpark, or who are currently serving on the City Council, or who are presently serving in a City appointed position? x If yes, please explain: Do you serve on any County of Ventura appointed board, commission or committee? If yes, please explain: List relevant employment, training and experience, certificates of training, licenses, and professional registration: �1L, %i( C� �l•t'f, °l,�i�� /�5 ��U� %�/y � / /'lJ �rc' /: •' �F ,l ��F'��'�� /I `• �l u%l /��;' ��f ��7/ BCC Application (Rev 04- 09 -92) Page 1 of 2 BOARD, COMMISSION AND COMMITTEE: APPLIc-ATION 1. How did you learn .about the board /commi-;sion /committee for which you .ire applying? Community Group Newspaper ( spc cr f y) Place of Employment _ Cable TV Other (specify) _-r fl,l �,,ta; :C�r, — - - -_ -- 2. Describe your involvement in community activities, volunteer and civic organizations other than partisan polrt :coil activities. 4 /1"tj�/`G�� ,.�;%��yf' i � /-li'Y �•''J' .� � r � /. ' ;/ j, . �v, E^, -. �- ; TG�j ,� �GI �•- � �"'�. r F I 3. What is it about this position that interests you? , —I -7'1 4. What work and /or volunteer experience position-.> have you had that relate to this I have considered the duties, role anti t rme appointment and request that you consider me for �e % � Signature - -- - - -. - -" - -- Return to: City Clerk 799 Moorpark Avenue Moorpark, California 93021 BCC Application (Rev 04- 09 -92) commitment i.nvolved in this appointment.. Date Page 2 of 2 Apt>licataon }()t /Y0jIT—& ._ woo RE ' 2 �gg3 CITY OF MOORPARK NO • O �y�a(� BOARD, COMMISSION, AND COMMITTEE AI'PI..ICATION SUBMIT TO: City Clerk 799 Moorpark Avenue Moorpark, California 930211 Please print or type answers to all questions and place N/A in those areas that do not apply. A separate, signed application must be completed for each Board, Commission, or Committee. NAME: ; l %. } �1 'L'{:�1j1 1. i r HOME PHONE (last) (first) WORK PHCYZE S L c f ati, ADDRESS: �� j �lt.ci fir' L!►- �r l_ ! f�J`' '� ,It t/C "i'3 c'? / (city) (state) (zip code) OCCUPATION: � r }' 7 BUSINESS: (city) (state) (zip code) Education (highest school year, degrees, etc.): = N3 Are you a Moorpark resident? X Date of residency j • Are you a registered voter in `ae ty of Moorpark? J Do you have relatives or members vi your household who are employed by the City of Moorpark, or who are currently serving on the City Council, or who are presently serving in a City appointed position? If yes, please explain: Do you serve on any County of Ventura appointed board, commission or committee? If yes, please explain: 1V L List relevant employment, training and experience, certificates of training, licenses, and professional registration: �j'i t�, f � ! U� /y' /� a 1 i� <i L� r4',4 �t ✓� ' ,., l !t' t t � f' t �l � `L� �. '�.`� � }�Aj •Y 8CC Application (Rev 04- 09 -92) Page 1 of 2 S • F. BOATID, COMMISSION AND COMMITTEE APP!.!<'ATION 1. How did you learn about the bOa7- d /Co,,rUl,lt >31on /committee for which you are applying? Community Group Newsp,�per (spec)fy) _ Place of Employment Cable Tv other 2. Describe your involvement in community ,activities, volunteer and civic organizations other than partisan poll' :cal activities. 3. What is it about this position that interests you? Z IL 4. What work and /or vol .,-per experience have you had that relate to this position? I have considered the duties, role and t,,me commitment involved in this appointment and reqtest that you consider me for appointment. Signatu e / " - - - -- -- - - - —�- Uate Return to: City Clerk 799 Moorpark Avenue Moorpark, California 93021 BCC Application (Rev 04- 09 -92) Page 2 of 2 A Applicat-iun for �.��.t�Yt�'t!r��7z�= — RECEIVED woo NOV921993 - CITY OF Mc�RI'ARF BOARD, COMMISSION, AND COMMITTEE APPLICATION City Of moorpark SUBMIT TO: City Clerk VV 799 Hoot-park Avenue Moorpark, California `a 1021 Pl.eaae print or type answers to all questions and place N/A in those areas that do not apply. A separate, nigned application must be completed for each Board, commission, or committee. NAME: 42 17 L' J /14 L7 IK) E Pf otzE �k� (last) i� ( f i r�s WORK ORK PHCNE I ADDRESS : Z � J ( /`' U r t �l // is C, ic'.L �C C ; f/ a (city) (state) (zip code) OCCUPATION: r.- L- 7 BUSINESS: (city) (state) (zip code) Education (highest school year, degrees, etc.): YES ND Are you a Moorpark resident ? C V S Date of residency ,} - 1 J Are you a registered voter in the City of Moorpark? t- _ Do you have relatives or members of your household who are employed by the City of Moorpark, or who are currently serving on the City Council, or who are presently serving in a City appointed position? If yes, please explain: Do you serve on any County of Ventura appointed board, commission or committee? If yes, please explain:____ N t( .__ List relevant employment, traininq and experience, certificates of training, licenses, and professional registration: BCC Application (Rev 04- 09 -92) Page 1 of 2 BOARD, COMMISSION AND COMMITTEE: APPLICATION 1. How did you learn about the board / -orrLni,.;!.ion /committee for which you are applying? CommunLty Group Newspaper ( pE<ify} _ Place of ;mp;oyment. Cable Tv - -- Other (specify)`!:;' _fL�1eL= �'� /�1` f�' C/J /E�� 2. Describe your involvement -n com•nunity activities, volunteer and cLVLc organizations other than partLSan i>01it.IC31 activities. OL v` /y % c= c. lam. /� l /I is t�: c /y c !� r' w / c N 7 /C j .. f/ C/ /3',t 7:,, c: %c y C. s ,� 2 (/ f 3. What is it about this position that interests you? 4. What work and /or volunteer experience/ ha, ,�: -)u had that relate to this position? T/- `� /L C/ /` ( lr V 7 T r /f�� r /C ✓- w L irc T // li [ f !� C Y f !l� / /L y /// %' 1,2 AC I have considered the dut -tes, role and time commitment involved in this appointment and request that you consider me for appointment. Sig ature -- Date Return to: City Clerk 799 Moorpark Avenue Moorpark, California 93021 BCC Application (Rev 04- 09 -92) Page 2 of 2