HomeMy WebLinkAboutAgenda Bill 4.A-Kirks 11/15/2010L
R �"
P -k`
aa� [ 7� ` Y:hsrb�a. �'-� • F 1 °� � n�® x
I1fv �® z i
A +S.q^R Rif 1
�. yNA y
��4 4 City B, Commossion�anc9 Committee Applic ` on'
Instructions:' Use this form to apply to serve on any of the City of Petaluma, Californ � ords,
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 o
Petaluma, I I English Street, Petaluma, CA 94952. All applications'are reviewed by the City Council.
'rr, ""d mo'"""'w 0 ° a i �•
� '� R 'a't
��w�4.7�F4.APSi•:"^.:« � £ i e1� �,. i �` �;., a`� �.i�._'s"?r' ..A:it•.1v7T .n � .. "Sv..f�. T a= :sF � �3 s.a•sT uf� �'�' an:,,'" 1.�-. 'S', -." r�l. l€_':. ,., A.
Susan E. Kirks
ygt ��n $�iay�.._ r� „ � . ��y i � . 7 � 1 4' r .i? , i • a11L Z S �},�:� J'�" `�"L`tli y� .t� �''. ^� I�r� �gy�' .l�°� 1�b 5 M' � � ` ? "J 5 �' ._,� S``i' "� �+}�� �,uF'Y4���� { L 3''�+ f <! �' x - ,f ro ����a'�( K �'�'
�; HorneA►ddres R CrtyState and ZipCode�: i 1 a �1 �
}
-?a9., �i+��S4,1*'d , :✓;:.. �h: mw ��^ Yi',:.. - +r.Al� .F±�?twm .'�fiG3',tuS�i4 1� � FzM...,,.=,+n". �` m , �, P F w.,u��?,;�a
,245 Paula Lane
Petaluma, CA 94952
Mail: P.O. Box 2903, Petaluma, CA 94953
of'.c° �.[ ✓spray bR : °n i� it 9.+�1 P^d(n2ke> n.ti - ,,fin �f r`:.¢^ o
aPPointed doyouwant thsYl
S 1 �ks5ks yS" S $'r�::fi - err*s't'
�, v�� �.� : �f x x
, Ho�mePhone (If
�number be ravailabletoythe public?t r
�"= ,_ � 2
A `I, 3 A }d'
T7c �x rY w
�1 •. �{ �` Y 'fir` yy . - ' I CY h. '��L✓ (r' E3., ^`^ �fR �i
s'�.,
7 s '� `:1` "w
��gg �, pp�,
.p
'1'SM �,..'1F��,+v'�"[�T.�'�: S -,�.� �'M1�fa � -..r•„ .. s�.KX _.'�a�, ,aaY�:
707 773 _ 3215
707 241 _ 5548
+a�w,-
,t j
^^f 1N } , -4�
I • A�."�. 1fi � i+ _�� . '.
- r *4;.:u f�. -.: ,.,.
�AAci I (If�a d do youwant , +this address to ,g
E l IJ Po►nte ( u,.
Iti ^ rtyr'+`tlr�,�,
�
.� rA'.K. P .`�^t54 ' t (t a
beV- vatlable ;tofthe ®AYES, a O -
K,'A �?
_
susankirks @ sbcglobal.net
ou'a a oter "in'Petalu 4 '
�ie� istered i"m c
:If so;
a k a
® NO
10 years
. ®✓ 5 ^ YES
e - � � # m � tl..q �.� ' -b� { � �� %� �SStR� -� � a;
SMART Station Area Planning Citizens Advisory Committee (this is a new committee)
"Note: To serve on the Senior Advisory Committee, you must be age 55 or above.
'rP y�.S£� .�P � ,$. i -.: f9 ��
Have you crftend a meeting of this .
a.,..,,12 �1..�� W 4 . ��1E���r
Have you�servd`d n ed °r op for
>
�y J�'�� '�
E intervrve
th�skbodY$previously,�.�
��
9n w z �. h c „r . ,,z
{w
E �._*� s _�, b � 4„ .. _..
® YES ✓1 ,NO
® YES Rl NO
KIRKS, SUSAN
710
10
�� $� � G � �b �e � r� -, q,�y� rr �•^�rt s � 7�° fi �m � y ,� z n� "may ...... �� � .,�,k.�:�a � s re� _ 1 ,� u� �,s ,:.° ,� ..�. N , a �,�'Y'�e s5 ���� '�5� `: r v�
Self
R sfo{n`3�r�i �sv rn�34 +ss; r <1�% i �
x ..k�.�..
Licensed Acupuncturist, State of California
' R:.,:'' Ts���"'; 3t"`*a,
' ac rC`. b yS ; ; ,'.• ts �,�.G ,, , .r�u ,.;. - Y
Prev�ousG' overnmentalBodpes %ElectrveOffices,youhaveserved \ ,Position /Office 3Hel,d,andN 4 ,
!�"tt
���,
D ates: n� E 2 a t
...�r3�.,_. A
2nd District Representative, Citizens Advisory Committee, 2008 -10, Sonoma Co. Agricultural
Preservation and Open Space District
� � s *i r''g#,. i � es+s..4tyey".,`��..�pi��y L#"s^ '�.a:���:,� "•�my�k"r ,: :H � T ^V. �
i rCevcc : : orC harrtable 'Organ�atwn b ,osrtion /OfficeHeldand'A
Dotes: s'd�au �nn €�€ .s
,3j nt5� .si Mn, •[cr. sa....?..;.kw. a#.t_.if.4J K::.A;...: s'""r>•a:..•_ia`4 _en.�C _!a ::,J(" i n.. .�.., tz:+;:.
Co- Founder & Chair, Paula Lane Action Network (P.L.A.N.), 2004- present
Vice President & Member, Board of Directors, Madrone Audubon Society 2010 - present
Membership Chair & Member, Board of Directors, Madrone Audubon Society, 2008 -10
Member, Board of Directors, Rebuilding Together Petaluma, 2009- present
Docent, Petaluma Wetlands Alliance, active 2007 -09, less active 2009-present
rtp,Fj x "s
'4X� L 3 1 i d $ M } ,:C N 3' 4x' trv " F4 � ' rF,v� J
4
���P' �i tY' ��� � �' �y"���x�� �� �.��7�,:?`�:�',{.�i•&. �" ?.,_. " r,�±�.�
�1Nhat�Spec�al�ln %Sk�lls/Tclentsr,wo�ul bnngto�this '�Boar�d;Comm�ssoon;�or Co
- resident of West Petaluma and NW Petaluma area /interest in Corona Station
- familiarity with Central Petaluma Specific Plan & downtown Station
- ability to work collaboratively with consultants and committee to create best area stations with
appropriate amenities, within context of protecting and enhancing environment
- familiarity with Petaluma General Plan and Sonoma Co. General Plan (including West
Petaluma Specific Plan) /participated in all public workshops for both (except for 1)
- familiarity with businesses in NW Petaluma as well as planned'Petaluma Health Care Center,
Jr. College presence, and diverse and various populations in this area
- strong background in community service, including, underserved residents of our community,
and interest in providing access and service to all
- nonprofit background ;in land use /environmental review, strong conservation values and
ongoing education in the area of climate change
T" ,
e�w�34 '� p ,j ;r m<` r'�li' ��' t om . - ' ` 4: ° r bi�'' -. r$a' �I. f
.7 A•`•'5� Ldp.''- ax'��F
E College; Professional 1/ocatdonalxSchools,A #ended (Motor Sub,ect Dates,jVegree /Date) -
ti m
mA�vP-
Master's.degree, Traditional Oriental Medicine, Emperor's College of Traditional Oriental
Medicine', Santa Monica, CA, 1'998, Summa Cum Laude.
Part -time graduate study 1989 -92, 1992 -95, American College of Traditional Chinese
Medicine /San Francisco, and 2 graduate programs in Hawaii /Maui and Big Island
Continuing education in internal medicine, orthopedics and traditional healing arts (ongoing)
Master of Science, Communications, Newhouse School -of Communication, Syracuse
University, 1977, Honors, Teaching Assistantship
Bachelor of Arts, Speech - Communication, N.C. State University, 1976, Honors
�"RS :Y %h,f,•q "y, gc ,�r P.„ d.;; 4T I ,, . 'x, M3e) . W ym' ,u L r< a:kA 3' j_pj e ]ti::.Xf aS 5,'� Ytreytyui!`lt' .i
.. s :. =it.5
.�4b a:'!�..,� �e- '-,',�:
4Special AwardsorRecognrtion Received., 4C
4,�d"
Nominated for Environmentalist of the Year, Sonoma Co. Conservation Council, 2008
Academic: Outstanding Senior`Woman, N.C.S.U., 1976; Outstanding Senior, School of
Liberal Arts, N.C.S.U., 1976.
2nd degree black belt, Aikido, Japanese martial art; 1 st degree provisional black belt, Go -Ju
Kai Karate Do.
-I ���� � Ql R <,'.e��_a�t'a f� 4 ����r�� h ����� � �. 6 "�r ��i � ., �� � 4� e � �`;��i�� �a ;a ��u�` x '���s���
r'�Ple ,se state reasons, why,you want fo be co mera member this Board Commission or _
Co'mmrttee includmgwhat specrficob�ectives.you'would be wo "rkrngtoward `asc;'mer�ilierof
,�, a t = '7uy� fi
this adviso bod -� '
• J" y `� 4l`�; '-1� a7 ,✓ Y AE t 3.
I would appreciate being considered for a Community /Nonprofit,group representative or as a
Citizen "at-Large ron the committee. SMART station area planning for the 2 stations in
Petaluma will be an exciting and challenging task. Citizen and advising input can be valuable
in helping to see the planning process the public's point of view - helping to optimize
each station location to fit in well with each area and also be connected to each other.
I was a community volunteer and.did outreach for the SMART rail ballot measure.
My personal transit experience includes high speed rail and train in Japan & Canada, along
with bus, rail and BART in the San Francisco Bay Area.
a - .w'V '�,,t
'y •' f t ?m � it . v. n $ , p 3 ir9 ruv ; '4� "{ �^yr s $".. XNvl .. .7.
Istherecany` other, information be usefulto the;City Council,rnrevlew�ng
e*
�I'3 ; •S a$';ut'g �� Prz s'w" t�T ,y F x , # '�'
PLAN is a nonprofit headquartered in West Petaluma with keen awareness of the
environment, community and businesses in NW Petaluma in particular.
am goal oriented and feel quite positive about the consulting group chosen to guide
Petaluma through the planning process for the SMART stops /stations in Petaluma.
In NW , I believe a. sensitivity to the area and its history, natural resources, and
mixture of`residences and businesses will be helpful in planning -for the Corona "station.
(1
g r�,:`� "M"4 fi ;:.i � 1� 8� _ � �ys�., $ �� t.y �,. v'fe wx '� ' y,w y x ,',4ys is �o.. S; t.' t - c �'.'ru -w t � aF'" � � •r' �" " r
w acv ca r m � 1 x g r e N
��Co {lege; P�ofessional��Voc�tionalSchools�Attended�( Ma�orySubte'ct,�Dates,�"De� /Date): � �,�� ~_
Master?s degree, Traditional Oriental Medicine, Emperor's College of Traditional Oriental
Medicine; ,Santa Monica, CA, 1998, Summa Cum Laude.
Part-time graduate study 1989 -92, 1992 -95, American College of Traditional Chinese
Medicine /San Francisco, and 2 graduate programs in Hawaii /Maui and Big Island
Continuing education in internal medicine, orthopedics and traditional healing arts (ongoing)
Master of Science, Communications, Newhouse School of Communication, Syracuse
University, 1977, Honors, Teaching Assistantship
Bachelor of Arts, Speech - Communication, N.C. State University, 1976, Honors
'pl ,� 6. Hr✓� i8 ?': .r �3 'g"� Kz' .e T� z �3 Yt ,+ g ?'
Ssecial�viiai iis o'r Recd` nito Recerved`� "'
g
Graduate, Inaugural Leadership Academy, Center for Ecoliteracy, Berkeley, 2010
Nominated for Environmentalist of the Year, Sonoma Co. Conservation Council, 2008
Academic: Outstanding Senior Woman, N.C.S.U., 1`976; Outstanding Senior, School of
Liberal Arts, N.C.S.U., 1976.
2nd degree black belt, Aikido; 1st degree provisional black belt, Go - Ju Kai Karate Do.
Please state�reasons�why,�you�,want to�becomea� member, of F thes�Bocrd;�Commission�or�� �-�
. CommatP�ee�mcludmg `cfives�y would�be workmg�toward�as�a member of"
4 � 1 . T 9- fir; . .E��yrics,+� {iv. � ti. P21d A °• - 1 51 1".Y �> 'Y d .zF' d d� Z 4� '� 'k ?T i. �''� U"�' �kF ;„ :. ^i`4 �.II , �s h� K '��` {" t. L `"� ,{
.'�L..aa..','�'ad,�'..,,.z �� 3�1,3r�' L..� .t� - :r' *;w G � � . -� v . �, �•..�� s . _� &'� .`�'3 3�` f -W � _ � `l � ; 5' x r v . �
.➢r,_.. AeR..u. =. .�t.�' e,.�.k .�. �3'4iv � �?3..4�a. M t..��"+.`^.. J,i, :fit 'ufn. s"K
I would appreciate being considered for Community /Nonprofit group representative or as a
Citizen -at -Large on the committee. SMART station area planning for the 2 stations in
Petaluma will be an exciting and challenging task. Citizen and advising input can be valuable
in helping to see the planning ,process from the public's ,point of view - helping to optimize
each station location to fit in well with each area and also be connected to each other.
I was a community volunteer and did outreach for the SMART rail ballot measure.
My personal transit experience includes high speed rail and train in Japan & Canada, along
with bus, rail in Boston and New York and bus, rail & BART in the San Francisco Bay Area.
"V d" - ti „f I, re'a'
v_. `?';�ArUSS ,r iA A�4,! "�" "a° ;9 W`, .,�z,� t, iG..''Y �`'(� .,..a �"�+��'k i�r u- � �, •�i„ptlF C "_`k, � S • 'V r ' ". �w a s�`�5
Isthere anyotherrnformation that,you,feel�wouldbeusefulto the,Ciiy Councilmreviewing'
�r.xs:
x yourapp6catton�F , ` R 4, ' ff,
�. s,.},'�+� 'hr��'r+ - `� � �'.' .Z �, � s d s f � � �, 'r .t•,��s� }4 9� { "4a �� ��€ �
; Ng a F ... ,r > FU:•' } L �., . . 5, r x. 3 :
PLAN is a nonprofit headquartered in West Petaluma with keen awareness of the
environment, community and businesses in NW Petaluma in particular.
I am goal oriented and feel quite positive about the consulting group chosen to guide
Petaluma through the .planning process for the SMART stops /stations in Petaluma.
In NW Petaluma, I believe a sensitivity to the area and its history, natural resources, and
mixture of residences and businesses will be helpful in planning for the Corona station.
.&" ...a ^7'kxi`it�t"r �. U GR R a+t 7n - v n °r ne
14, Ids . f:;Y` ` � y'.'< .r, g. ,. „
Are edEwrth any Organization /Emp oyment that might be deemed a�conflict'of=
jnterestanperformirig your duties rts appointed to this „posh one
��jPSr� c” �{
® YES M
i `� ur 5r6.� - `�` `; r �S * ,.., F ; �a� M � 1' - ,s � q j ..3 �R�,.•.a�i�' � � ? � tcF L. �i rq '� 4h '� 4 d rr,�fi` '�Y � t ` d
If�yes pledseYstate,,,name ;. of� .Organizationit:mploym"ent , n
R P
`tg' �+ fl k�' �°i
/a M rc = � x F� �o-r �'S+'rJ a, d' Zs* �y A: 2q � 3 f, � �`Y� Y' '?+'Y� s� 47 41. a �`�'J�y � ,���._�; �tb .;
. �, ^ 4h 1 . E-k. i'� 9 ' �
nCrty policy M1 directstall appomtod, advisory body membeis4not�t rote on wafters where there
, potential ;conflict�ofmterest�:�W,ould your b�e�will�, ngFto�abstain�from ,votuigrrf�such6a�����, r � x
y �r s `+�✓ 7+6 X� ������.��, �`�.`7t ""��qa � �?+�, r x d� s .�-q', r� � 8 �`� Iv Fx Pk . , � z s � l +, s ,v�, �3.+y a SP�' tt4 y- t 1. ;
®✓ YES ® NO
`'7'
tliowkdid ou hearab ut thls'O ., eriin t r1 .t'a`�' thj
W ^ � $ q ;
��'�, �.��i��9,ae'��t��'�'�. fnib3 tr'�H.:,b ,�a. �;�Y�: ,`+€sN '�h, <aw, a•��,.,�� .,# .fir . .,�'f�t'�k���i��,u.�'t.
Attended meetings for consultant presentation /selection, then followed process -City web site
�
x�..t
Applicant s ignc
S ture ' �Dcitez
`
n .��rsi"��:4��s3, �;� - : �,�.� ...t; "',r5;s�.�� �'�t�4:.,�1i�t�S.,zs4�'�aa �n,9'�,�.,�,� :F,��." ., r- �w,�°.���r'•� -'s r ,��'`�i ° , H '��� €e� �»
10124/2010
Revised August 12, 2008