HomeMy WebLinkAboutAgenda Bill 4.A-Jann 11/15/2010JANN, BRADLEY
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®f'Petalua, C'�al�
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City'i3oard Corvtirvoission and Committe,'e Appii
Instructions: Use this form to apply to serve on any of the City of Petaluma, Coliforn $?
Commissions, or Committees. Please fill out the form completely. If a question does not apply,
write N/A in the space provided. When completed, please forward to the City Clerk's Office City of
Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council.
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Name•
Y ' } f�.' .l
I
Bradley Jann, DPM
Home Address,iCtty, State and Zip
946 QUARRY ST, PETALUMA, CA 94954
Home Phone. (!f appointed do you Want this
number to be available to the pub6c2J
1Nork Phone
�.
❑✓
T
❑ , YES ;iVO
707 789 _ 9851
( 415 461 _ 5995
appointed do.yov. <warit #his address to
FAX':'
s ; .
to the'public ?) YES ®.. NO
_be,available
bradjann @ gmail.com
Are >you a,regastered voter alum aT
mgPet
If so, for how iong� :."
. ,T
❑✓ YES ® NO
4 years
Board(s), Commiss�on(s), or Committee(s), of Interest* ,
SMART Station Area Planning Process Citizen Advisory Committee
*Note: To serve: on the Senior Advisory Committee, you must be age 55 or above.
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Have you attended a eneetilh �bf this
Have you ontervlevied or appiied for
b oaypr evs
❑ YES ❑✓ NO
® YES ❑ NO
JANN, BRADLEY
go
Bradley Jann, DPM
Self employed
Job Title ..
Podiatrist, Chronic Wound Consultant
Previous Governmental Bodies /ElectwefOffices y er
ou hav�e5svetl ,Positeon /Office`Held and
.:
dates q ki 1 �aY i a
Northpoint Homeowners Association, Santa Rosa, CA
Neighborhood Landscaping Committee Chairman
2003 -2005
`.Y' > , j°3sr
�Ciwc or Charitable Org ®niaa on to arhich you,have be_ Iongetl,�Posihon /Ofticej Held, and .
} E
N/A
tAt � ��`
16th Special Interests /Skiiliftalents;would y bnng to,th�s Boartl; Comrmssion', or Commiitee? ;
Living in Sonoma county for 10 yearn and Petaluma for the last 4, 1 have seen how business
development has conflicted and complimented in different transit hubs around the west bay.
The ability to anticipate possible, business opportunities and pitfalls, from my earliest days
working in my father's independent pharmacies and Baskin Robbins ice cream parlor to
creating an unique multi - disciplinary clinic in an area 'lacking attention in the San Francisco
medical community has made me want to make a difference to ensuring the strength of our
loca6 economy and peace in neighboring communities, especially in these challenging times.
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College, Professional, Vocafiional SchoolsAtterided (fiAaj'or Subtect, Dates, Degree %Date).
California College of Pediatric Medicine, 1988 -1992, Doctor of Podiatric Medicine, 1992
University of Southern California, 1984 -1988, Bachelor of Science, Biology, 1988
:
Special Awards or ecognition Received
,r
N/A
Please state reasons why you wan b6 come a member of.this Board,4Commission;or
Corvtenrttee, including what specific objectives you would be�working tb*drd as a.member of
Ensure sustainable noncompeting businesses sourcing their supplies from the local
community to help the Sonoma County economy to endure these difficult economic times.
Working in the medical field in Marin county, over 50% of`the support staff resides in Sonoma
County, I want to be sure the transit system will "work" for those are the foundation of the
local community. Create standards and requirements is to insure safe access and movement
for pedestrians and motorists alike.
My medical practice is primarily composed of retirees and average to low income seniors, I
talk to them about all aspects of their lives including transportation; I will include their voice in
this committee.
n
*Is there informatioriAhat you feel would be useful to the�CityfCouncil, in reviewing`<
�
your. `dPplication? F q x
1
Commuting into Marin and San Francisco, I have a vested'nterest in the success of the
SMART system. I am a proud property owner in Petaluma that wants his city to prosper
safely and as equitably possible.
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Are you ass Organizat oon /Employment�thathmight,be �deerned a confloct of
interest in >perforening- your if appoented to this posdion� �
® YES NO
If Ayes,piea"sebstate"naene OrganAZation /Employment
# of
L :.
N/A
Citypolicy directs all appointed; aarivosorybody;mernbersknot tavote on matters where there
exists apotential- contfl ct of interest IA- ould4you�bewiilieig <abstainfrorii voting if.such a
confeict aPises� 4 e a r
..
k d,
.J> . -^.� 1'� r✓a _. ej _ �} ..;- J�A _ :. ;N. �i .. :_ YEAr.L _ j g
LLJ YES ® NO
liowr did you hear about this : z
Website: www.petaluma360.com
Appl-cant's Signature
Date
<r,
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A
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Revised August 12, 2008
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