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Staff Report 6.B 07/03/2017
Agenda Item #6.B A L Uv Y85$ DATE: July 3, 2017 TO: Honorable Mayor and Members of the City Council through the City Manager FROM: Claire Cooper, City Clerk SUBJECT: Resolution Appointing Individuals to City Boards, Commissions, and Committees RECOMMENDATION It is recommended that the City Council adopt the attached Resolution Appointing Individuals to City Boards, Commissions, and Committees. BACKGROUND Terms are expiring June 30, 2017 for members of various City Conunissions and Committees. Additionally, there are unexpired terms on the Senior Advisory Committee, Youth Commission, and Building Board of Appeals due to resignations. The composition of the Historic and Cultural Preservation Committee was revised on January 9, 2017 via Resolution 2017-016 N.C.S. and makes this a stand-alone committee consisting of five members, one of whom may be recommended by the Petaluma Museum Association/Heritage Homes and Landmarks of Petaluma Committee for a one-year term. Formerly separate entities, Heritage Homes of Petaluma merged with the Petaluma Museum Association in May 2016 and is now called the Heritage Homes and Landmarks of Petaluma Committee. The remaining four committee members are to be citizens of Petaluma who have demonstrated interest or competence in, or knowledge of historic preservation. The enabling legislation for the Youth Commission was revised on June 5, 2017 via Resolution 2017-088 N.C.S., increasing the number of youth members from 14 to 25, 5 of which are to be non-voting members. The Commission has recommended 7 individuals for appointment as youth members at this time, and are continuing to recruit for other members from all schools in the area. Additionally, in order to establish or reestablish staggered term -ending dates, some appointments will be for partial terms on the Historic and Cultural Preservation Committee, Tree Advisory Committee, and Transit Advisory Committee. With respect to the Transit Advisory Committee, three (3) positions were due to expire on June 30, 2016 but were not filled at that time due to anticipated changes to the enabling legislation. Although their "official" appointments ended on June 30, 2016, the enabling legislation allows expired members to retain their seats until replaced. Under the enabling legislation, these individuals termed -out June 30, 2016 but were available and continued to serve on the Committee. The enabling legislation requires a year to pass before Committee members who have termed out can be appointed to the Committee again. Proposed changes to the legislation, which.are anticipated to be brought to the City Council in early Fall 2017, would extend terms from two (2) years to four (4). Also to be recommended is the removal of the term limit provision. DISCUSSION Press releases were sent to the Petaluma Argus -Courier and Press Democrat. The attached "Get Involved" flyer was distributed at City Hall, the Petaluma Community Center, and the Petaluma Library. Information was posted to the City's website and Facebook page, and on NextDoor. Announcements were sent through the City's Listserve. Email notices were sent to current members with terms expiring June 30"', encouraging them to apply for reappointment, or appointment to another body. The deadline for applications was Monday, June 26, 2017, at 12:00 p.m. The Petaluma Area Pilots Association (PAPA), Petaluma Arts Council, and Petaluma Museum Association/ Heritage Homes and Landmarks of Petaluma Committee were asked to provide letters recommending an individual for appointment as their representative to the Airport Commission, Public Arts .Committee, and newly -reconstituted Historic and Cultural Preservation Committee, respectively. Those letters are attached. Additionally, the Youth Commission has submitted a list of recommended student appointees, also attached. Finally, seven individuals have applied for four seats on the Transit Advisory Committee, one of whom is one of the members discussed in the Background section of this report. Given the pending changes that will be recommended to the enabling legislation in the near future that would extend term lengths and eliminate term limits, and that a year has passed since his "official" appointment ended, the Council should consider this individual as eligible for appointment among the field of candidates. This individual has indicated his interest in continuing to serve on the committee. FINANCIAL IMPACTS Costs are limited to staff time to prepare materials for the recruiting of volunteers, and are contained within the operating budget. ATTACHMENTS 1. Press release sent to the Petaluma Argus -Courier and Press Democrat. 2. "Get Involved" flyer. 3. List of vacancies. 4. List of applicants. 5. Alphabetical List of Applicants with First and Second Choices RN 6. Applications, and letters of nomination from Petaluma Area Pilots Association (PAPA), Petaluma Arts Council, Petaluma Museum Association/ Heritage Homes and Landmarks of Petaluma Committee, and the Youth Commission. 7. Draft resolution appointing individuals to boards, commissions and committees. Lei David Glass Mayor Chris Albertson Teresa Barrett Mike Healy Gabe Kearney Dave King Kathy Miller Councilmembers City Clerk 11 English Street Petaluma, CA 94952 Phone (707) 778-4360 Fax (707) 778-4554 E -Mail: cityclerk a cipeialuma. ca. its Attachment 1 CITY OF PETALUMA POST OFFICE BOX 61 PETALUMA, CA 94953-0061 PRESS RELEASE June 12, 2017 City of Petaluma Office of the City Clerk 11 English Street Petaluma, CA 94952 (707) 778-4360 cifyclerk@ci.pefaluma.ca.us DEADLINE TO APPLY EXTENDED! ANNUAL APPOINTMENTS TO THE CITY OF PETALUMA BOARDS, COMMISSIONS AND COMMITTEES Applications are now being accepted for the City of Petaluma's boards, commissions, and committees! Petaluma encourages residents to become involved in their local community. One way to do so is to serve on one of the following boards, commissions, or committees: Airport Commission, Animal Services Advisory Committee, Building Board of Appeals, Groundwater Advisory Committee, Historic and Cultural Preservation Committee, Pedestrian and Bicycle Advisory Committee, Planning Commission, Public Art Committee, Recreation, Music, and Parks Commission, Senior Advisory Committee, Technology Advisory Committee, Transit Advisory Committee, Tree Advisory Committee, and Youth Commission (Adult Members). Additionally, an individual is being sought to represent the City on the Marin - Sonoma Mosquito and Vector Control District Board of Trustees. Application forms and full descriptions are available at the City Clerk's Office, City Hall, 1 1 English Street, Petaluma, CA 94952, by calling the City Clerk's Office at (707) 778-4360 or by visiting cifyofpefaluma.nef or www.facebook.com/cifyofpefaluma. Applications must be submitted to the City Clerk's Office by Monday, June 26 2017 at 12:00 noon The City Council will review the applications. Appointments will now be made at the Monday, July 3 2017 6:45 p.m. City Council Meeting, Council Chambers, City Hall, 1 1 English Street. City of Petaluma Office of the City Clerk 1 1 English Street Petaluma, CA 94952 4 ALU CITY OF PETALUMA, CALIFORNIA BOARDS, COMMISSIONS, AND COMMITTEES Applications are now being accepted for the following: Attachment 2 J1 �. �■ r 1 `I .; t • 2 full-term vacancies Meets the 1st Thursday of each month Directs and makes recommendations to the City • 4 -year terms at 6:00 p.m. in the City Council Council regarding the operations and facilities of • Terms expires June 30, 2021 Chambers, City Hall. the Petaluma Airport. • 1 full-term vacancy Meets quarterly on the 1st Its mission is to protect, promote respect for, and • 3 -year term Wednesday of the month at 6:30 p.m. enhance the well-being of all animals in the • Term expires June 30, 2020 in the Council Chambers, City Hall. Petaluma Community. • 2 vacancies Meets at the pleasure of Council. Hears and decides appeals of decisions of the • Serves at pleasure of Council Chief Building Official relative to application/ interpretation of the Uniform Building Code, etc., adopted by the City. • 1 full-term vacancy Expected to meet every other month; Advises Petaluma Valley Groundwater • 2 -year term schedule to be determined. Meetings Sustainability Agency Board on Groundwater • Term expires June 30, 2019 in Petaluma. concerns of residents. • 4 full-term vacancies Meets the 2nd Tuesday of each month Reviews applications to modify existing structures • 2 4 -year terms at 4:00 p.m. in the Council Chambers, with local landmark designation or within a • 2 3 -year terms City Hall. designated historic district. Advices City Council • Terms expire June 30, 2020/21 on historic/cultural preservation of the City. • 1 partial -term vacancy Meets the 2nd Wednesday of each MSMVCD protects the health and welfare of the • 2 -year term month at 7:00 p.m. at MSMVCD communities it serves from mosquitoes and • Term expires Dec 31, 2018 Headquarters, 595 Heiman Lane, vector-borne diseases by utilizing cost-effective, Cotati. environmentally responsible integrated vector management practices. Board members are appointed by cities or a county at large. • 1 full-term vacancy • 4 -year term • Term expires June 30, 2021 • 3 full-term vacancies • 4 -year terms • Terms expires June 30, 2021 • 2 full-term vacancies • 4 -year terms • Terms expire June 30, 2021 • 3 full-term vacancies • 4 -year terms • Terms expires June 30, 2021 • 4 full-term 2 -year vacancies • Terms expire June 30, 2019 • 1 unexpired term • Term expires June 30, 2018 • 3 full-term vacancies • 2 -year terms • Terms expire June 30, 2019 • 3 vacancies for 2 -year terms* • 3 vacancies for 1 -year terms* • Terms expire June 30, 2018/19 • 2 vacancies for 2 -year terms • 2 vacancies for 1 -year terms • Terms expire June 30, 2018/19 • 3 full-term vacancies (adults) • 2 -year terms • Terms expire June 30, 2019 • 1 unexpired term, expires 6/18 Meets the 1st Wednesday of each Makes recommendations for bicycle and month at 6:00 p.m. in the City pedestrian facilities using Transportation Manager's Conference Room, City Hall. Development Act (TDA) Article 3 funds. Meets the 2nd and 4th Tuesdays of Studies the needs of the City concerning the each month at 7:00 p.m. in the Council establishment, modification, uses and change of Chambers, City Hall. zones or districts. Meets the 4th Thursday of each month Reviews and approves public art applications and at 6:00 p.m. at the Petaluma Arts Cen- related materials for any public art project on ter, 210 Lakeville Street. public property. Meets the 3rd Wednesday of each Studies the needs of the City in all such matters month at 7:00 p.m. in the Council pertaining to recreation, cultural arts, music and Chambers, City Hall. other entertainment. Meets the 2nd Thursday of every other Advises the City on issues and programs for month at 8:30 a.m. at the Senior Cen- seniors and active adults including the operation ter, 211 Novak Drive. of senior facilities. Meets the 4th Wednesday of each month at 7:00 p.m. in the Council Chambers, City Hall. Meets the 1st Thursday of each month at 4:00 p.m. in the Council Chambers, City Hall. *Note these may become 3 and 4 years. Meets the 3rd Wednesday of each month at 3:30 p.m. in the Council Chambers, City Hall. Assists the City in making efficient, economical, and productive use of technology. Reviews critical issues related to the City's transit operations and the regional bus and rail operations within the City. Charged with duties and matters pertaining to the management of tree resources within the City. Meets the 2nd and 4th Tuesdays of Develops/expands mentoring programs, each month at 6:30 p.m. at the substance abuse programs/prevention, and Community Center, 320 N. McDowell provides recreation activities. Boulevard. HOW TO APPLY: Applications and full descriptions are available at the City Clerk's Office, City Hall, 11 English Street, Petaluma, CA 94952, by calling the City Clerk's Office or by visiting the sites below. Applications must be submitted to the City Clerk's Office by Monday, June 26, 2017 at 12:0 Noon. The City Council will review the applications and make appointments at the Monday, July 3, 2017, City Council Meeting, Council Chambers, City Hall, at the 6:45 p.m. Evening Session. VISIT US ON WWW.FACEBOOK.COM/CITYOFPETALUMA CITYOFPETALUMA.NET (707) 778-4360 CITYCLERK(@CI.PETALUMA.CA.US M Vacancies on City Commissions and Committees as of June 30, 2017 \IJ Body Vacancies Term Expiring Notes Airport Commission 2 full-term 4 years 6/30/21 (Citizen Member) Airport Commission 1 full-term 1 year 6/30/18 (PAPA Representative) Animal Services Advisory Committee 1 full-term 3 years 6/30/20 i Ali z ` Building Board of Appeals 2 At pleasure At pleasure �u of Council of Council Groundwater Advisory Committee 1 full-term, 2 years 6/30/19 HistoricandCultural Preservation Committee (Petaluma Museum Association/ Heritage Homes and 1 full-term 1 year 6/30/18 Landmarks Committee Representative) Historic and Cultural Preservation Committee 2 full-term 4 years 6/30/21 'To establish staggered term ending dates. 2 partial -term' 3 years 6/30/20 (Citizen Members) Going forward, all terms will be 4 years. Pedestrian and Bicycle Advisory Committee 1 full-term 4 years 6/30/21 Planning Commission 3 full-term 4 years 6/30/21 Public Art Committee 2 full-term 4 years 6/30/21 Public Art Committee 1 full-term 4 years 6/30/21 (Petaluma Arts Council Representative) Recreation, Music, and Parks Commission 3 full-term 4 years 6/30/21 4 full-term 2 years 6/30/19 Senior Advisory Committee 1 unexpired term 2 years 6/30/18 fi s, Technology Advisory Committee 3 full-term 2 years 6/30/19 M Body; Term Vacancies Term Expiring Notes t SNot a City body, but one to which the City 2No appointments were made to this Council may appoint a representative. 3full-term 2 ears y 6/30/19 committee in 2016 in anticipation of revised ' District (MSMVCD)5 enabling legislation. All members' terms have r Transit Advisory Committee2 new appointees to serve a two-year term. If now expired. that person is subsequently reappointed, it t� .€ 3To reestablish staggered term ending dates. ti t 3 partial -term 3 1 year 6/30/18 Legislation may be adopted changing regular Fo term length to 4 years. If so, these will become 4- and 3 -year terms. t ' Tree Advisory Committee 2 full-term 2 years 6/30/19 4To reestablish staggered term -ending dates. 2 partial-term4 1 year 6/30/18 Going forward, ail terms will be 4 years. 3 full-term 2 years 6/30/19 SRevised enabling legislation for the Youth Youth Commission (Adult Member) Commission was adopted 61517 7 by Resolution 1 unexpired term 2 years 6/30/18 2017-088 NCS. The Commission may now have up to 25 youth members, 5 of whom will be Youth Commission (Youth Member) 7 full -terms 2 years 6/30/19 non-voting members. Outreach and recruitment for additional members is now underway. Additionally: Body Vacancies Term Expiring Notes SNot a City body, but one to which the City Council may appoint a representative. Marin -Sonoma Mosquito and Vector Control 1 partial-termb 2 years 12/31/18 6Prior term expired 12/31/16, The former representative, Steve Ayala, has indicated he District (MSMVCD)5 no longer wishes to serve. MSMVCD requires new appointees to serve a two-year term. If that person is subsequently reappointed, it t� .€ may be for a two-year or four- ear term. Nt U E. Applications for City Commissions and Committees Received by Monday June 26, 2017 at 12:00 p.m. Attachment 4 I PAPA representative nominee. 2 His 2nd choice. First choice is Transit Committee. 3 His ISt choice. Second choice is RMPC. =t' S x 1 tl ..,: CrP izt 11. 4+�2 }r t ,S.,x. <Yy ,V >Y+tr 'tt. ar dr; '.: e ....',Yt •: fl-. �. r ;,=-a'cx '.Y r+! :,x t fi' it._ f 1 i. , Y P i t i 3 it s tt ? 2 .Y .S. Y d...:1+, i t =z S t 1 s' S•.-.. 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Y 4 i .lk r v . }... » t t 2ti�'sS� 2 aC_ x , t.�l� ! .� �5.. �.t }_r�, z � t? r. 1 ,��i g� } a;, t ,4, � } } tt in it s. �4 a \ .>. � % . s. _. � .�>~xiv , . , r{ 1� 11 4 3 �:r.-.. 1 _ ,. t �. , t � , , -`t; f�. i . . {;. t ik t 1 � ..� t ..�.. Y 2 { �. i.� .t.. 4. 3. of 2r\_ �4 tr_ � t > ,. �� f. k_. ,t t {. �t . 1. . �l} xYa{t -�{�. #x r., 3 a � . ,2- 1 t } F k� �t � �4t "£,a s f } \, k.,.t,r..ts[,irk.ta.stllt�zat�.�t{i�taa.'1,,,Aitshis A?. ,..taa��l uri A},.,k��ki. tt k#}tx£.#�},.�att �Y...zY}.�a?,Se'E{.zip:.,.�.a t: t"tt � !�^. t S���S� f ��. te.,rt.�i!.r, .t.k..�x�...,trda�rt,...r. �� i its{�},..�ix� Lewisl Mark 94952 Seat Melody 94954 T His 7 I choice. Second choice is Tree Committee. 2 Her 15t choice. Second choice is Senior Committee. 1 Lives outside City limits but enabling legislation for this body contains no requirement that members do so. `► • I Also applied for Planning Commission. Would like to serve on both. 2 Her Ist choice. Second choice is Tree Committee. g "I'M "a, *To establish staggered term endings. ............................................ Caputol Christopher 94952 Kosewic2 Terry 94952 Perlis John 94952 Schlich3 Kit 94952 Withington4 Jack 94954 I His 71t choice. Second choice is PBAC. 2 His 11t choice. Second choice is Planning Commission. 3 Petaluma Museum Association/Heritage Hornes& Landmarks Committee recommended appointee. 4 Also applied for Senior Advisory Committee. Would like to serve on both. No Applications Received His 2nd choice. First choice is HCPC. 2 Her 2nd choice. First choice is Planning Commission. 3 His Ist choice. Second choice is Tree Committee. 4 Her 2nd choice. First choice is Senior Committee. 5 His 1st choice. Second choice is Technology Committee. 6 Her Ist choice. Second choice is RMPC. 7 His Ist choice. Second choice is RMPC. I Also applied to RMPC. Would like to serve on both. He is willing to serve on RMPC and Transit Committee instead of RMPC and Planning Commission, if that is Council's preference. 2 Also applied for GSA. Would tike to serve on both. 3 Her Ist choice. Second choice is PBAC. 4 His 2nd choice. First choice is HCPC. 5 His 15t choice. Second choice is Public Art Committee. 9 I Her 1st choice. Second choice is RMPC. 2 Her 2nd choice. First choice is RMPC. 3 Her 2nd choice. First choice is RMPC. 4 His 2nd choice. First choice is Planning Commission. 5 Petaluma Arts Council recommended appointee. 6 Her 1st choice. Second choice is RMPC. Aldenl Dave 94952 Anderson2 Kit 94954 Cory3 Matthew 94952 Cusimano4 Megan .94952 Dragone$ Diane 94954 McDonnell Kevin 94952 Servin6 Jorge 94954 Schor7 Beverly 94952 Taylor8 David 94952 Zz 1 Also applied to Planning Commission. Would like to serve on both. He is willing to serve on R PC and Transit Committee instead of R PC and Planning Commission, if that is Council's preference. 2 Her 2"d choice. First choice is Public Art Committee. 3 His 2nd choice. First choice is Tree Committee. 4 Her I st choice. Second choice is Public Art. -5 Her Ist choice. Second choice is Public Art Committee. 6 His 2nd choice. First choice is Youth Commission. 7 Her 2nd choice. First choice is Public Art Committee. 8 His 2nd choice. First choice is Airport Commission. 9 Her 2nd choice. First choice is PBAC. 10 Her 2nd choice. First choice is Youth Commission. 77 His 2nd choice. First choice is PBAC. 'His 2nd choice. First choice is Youth Commission. 2 Her 2nd choice. First choice is Transit Committee. 3 Also applied to Youth Commission. Would like to serve on both, or where the need is greater. Lives outside City limits but her residence has a. Petaluma mailing address, which meets requirements for this body. 4 Her I St choice. She states she is underage 55. Two members maybe under 55 but of least 18. Second choice is Tree Committee. 5 Her 1St choice. Second choice is PBAC. 6 Her 2nd choice. First choice is ASAC. 7 Also applied for HCPC. Would like to serve on both. \ t\ t l i is t §`: S k r k t •. t t h �,': } t f t t z.. s 4 tt t 7 .e1 r1 t1 t t t 3 t.t { t tt i• t .# t t r 1S. 1. t ti• t ,,. i , r ,t. :�',..,., '. ,. ,#t,.. st' \r � � r 1i }� , r '... � 11 , C i t t . rt i t t l ,,., } i �{ x�, s.., ;z ;. $ ,,. r 2. 2"t. t t. t•. z ., r. .i. z >.:. at 3..- .. w ;. 1. r<•.,.. r-_. ., .,: .. s , h�5, fes._ _. ... 't t F. .i } u . 7 �k- k t F ..x t t- } _, .,. ,. ,. \ r t-. :t. t i:. {t. t f •� .•4.1 .:1, ri f £ t. <, } ti§ :t rs�Yt r..t t. t.fi ?r .hx { z 2,:. � t. .} { } rc t. } t h 1 § 1 t i<::- ,1 n 1 t. l i. �� t r ➢ v. i `� { . }t Xi ,. t ;,.. f .. t?. 1 .. ,. , i <,i,. , i. £, r,.. F,... 1 �, t l�{i, ., � {.., _ ...a �# P _•r '. ,.. k { k ,. ,. *._.. .. 4., h 4f.) t 1. r , .`,. ,. *, r ,•i r �. �. t , , . `d r � ,'. r. z,.. } t v1 ,. t t z t.. {.:'. ... i;.r d i �. ${ t .. t 't s , i• Tv,... t t � � {t i '� ,.. t l ..t.. , .. t #.. t - --< 1 Lloyd Dylan 94954 Sacerdotel Angelo 94954 1 His 2nd choice. First choice is PBAC. PtS f+{fY'i4lly�'y'Yt \ttSS Siet,ti'' r � 4,k �•. (� s. .. ... xfY :_ , 'a� t } -� 'ttv � ��fr� — t �4' },{, t`iz`:= � � i 1 $�1�7 �? i ?, n 1n S ��t , z} :; _1 • �< - { -, '1 - >r h '' ,i"Fl _ t '"To reestablish staggered terni endings. gg qj ,. _ ?�1'�ti: t3 x � — r - ME, if �£, �= ,. , i -i - _ _ $:. 61Sb..§5h�t'„ �,�1i s[5iiha� ^. .::`, 31,_ .i, L, b<r$ .. t4RiL'�u A➢:5�i<:t,,5 z-a.L,F Aldeni Dave Julie Dana Tim 94952 94952 94952 94954 Cleland2 Ervin Howard McCarthy Chris 94954 Regan Michael 94954 Tarr3 Fred 94952 1 Applied to Planning Commission and RMPC. Would like to serve on both. He is willing to serve on R PC and Transit Committee instead of R PC and Planning Commission, if that is Council's preference. 2 Her 15t choice. Second choice is Senior Committee. 3 His ist choice. 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F t t. . }., a,1.v f..'... :•= ,`'.:... Coryl Matthew 94952 Lewis2 Mark 94952 Miller -3 Katrina 94952 Mulrooney4 Brian 94952 CO I His 71t choice. Second choice is RMpC. 2 His 2nd choice. First choice is ASAC. 3 Her 2nd choice. First choice is GSA. 4 His 2nd choice. First choice is PBAC. 5 Her 2nd choice. First choice is Senior Committee. 6 Her 2nd choice. First choice is Youth Commission. I His 71t choice. Second choice is Senior Committee. 2AIso applied to Senior Committee. Would like to serve on both, or where the need is greater. Lives outside City limits but within local school district, which meets requirement for appointment to this body. 3 His 1St choice. Second choice is RMpC. 4 Her 1St choice. Second choice is RMPC. 5 Her 1St choice. Second choice is Tree Committee. IN Pierotti5 Andrea 94952 94954 Shribbs John Whites Jeannine 94952 94952 Wilson Wayne I His 71t choice. Second choice is RMpC. 2 His 2nd choice. First choice is ASAC. 3 Her 2nd choice. First choice is GSA. 4 His 2nd choice. First choice is PBAC. 5 Her 2nd choice. First choice is Senior Committee. 6 Her 2nd choice. First choice is Youth Commission. I His 71t choice. Second choice is Senior Committee. 2AIso applied to Senior Committee. Would like to serve on both, or where the need is greater. Lives outside City limits but within local school district, which meets requirement for appointment to this body. 3 His 1St choice. Second choice is RMpC. 4 Her 1St choice. Second choice is RMPC. 5 Her 1St choice. Second choice is Tree Committee. LJ Armstrong Matthew Casa Grande High School Frias Alexis Casa Grande High School Hughes Tessa Casa Grande High School Kerr Kylie Petaluma High School Powers Cole Petaluma High School Schafbuch Ava Petaluma High School Singh Lila Petaluma High School Attachment 5 Alphabetical List of Applicants with First and Second Choices Updated 6/26/2017 *indicates the desire to serve on both first and second choices. Dave RMPC* Planning OR Transit* Alden Alonso Scott Planning None Anderson Kit Public Art. RMPC Bauer Heidi Planning* GSA* Caputo Christopher HCPC PBAC Carroll Fred Youth Senior Castagnola Joe Planning None Cleland Julie Transit Senior Cory Matthew Tree RMPC Cusimano Megan RMPC Public Art Dragone Diane RMPC Public Art Duskin David Public Art None Emerick Angela Senior* Youth* Emerick Scott Building Board None Ervin Dana Transit None Fabiano Gina Planning PBAC Fox Robert Public Art None Hall Caroline Public Art None Hook Kyle Airport - PAPA Nominee Howard Tim Transit None Kosewic Terry HCPC Planning Lewis Mark ASAC Tree Lloyd Dylan Technology None Macdonald Colin Airport None Mackin Heather Public Art None Marzo Richard Planning Public Art McCarthy Chris Transit None McDonnell Kevin RMPC None Mulrooney Brian PBAC Tree Miller Katrina GSA Tree Perlis John HCPC None Pierotti Andrea Senior Tree Plank Katherine Public Art -Arts Council Nominee Porter Houston Planning None Quinn Caitlin Youth None Ramus Neal Youth None Rebillot Kristine Senior PBAC Regan Michael Transit None Sacerdote Angelo PBAC Technology Schlich Kit HCPC - Museum/Heritage Homes &Landmarks of Petaluma Committee Nominee Schor Beverly Public Art RMPC Sea Melody ASAC Senior Servin Jorge Youth RMPC Shribbs John Tree None Tarr Fred Transit Airport Tarr Marja PBAC RMPC Taylor David Airport RMPC Wallace Kathy Youth RMPC White Jeannine Youth Tree Wigent Dennis Public Art None Wilson Wayne Tree None Wiskind Adam PBAC RMPC Withington Jack Senior* HCPC* *Indicates the desire to serve on both first -and second choices. /7 Attachment 6 Applications and Letters of Nomination 9 Three Vacancies: • One Vacancy for a One -Year Term as the Representative from the Petaluma Area Pilots Association (PAPA), Expiring June 30, 2018 • Two Vacancies for Full Four -Year Terms Expiring June 30, 2021 June 7, 2017 Petaluma City Council 11 English St Petaluma, CA 94952 Dear City Council Members, The Petaluma Area Pilots Association, a 501(c)(3) organization, nominates Kyle Hook as our representative to the Petaluma Airport Commission for the one year term beginning July 2017. Thank ou, Pau Spongberg President Petaluma Area Pilots Association Submitted by: Nancy Sasser Secretary Petaluma Area Pilots Association Petaluma Area Pilots Association * 601 Sky Ra Airport Commission (PAPA Rep) Hook, Kyle a w�AL� City of Petaluma, California City Board, Commission and Committee Application o X85$ City Clerk's Office N U I I English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.us 0— nstructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill o U C completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's, p In of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this fc U call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Q Name: c...®e. o,V A 4C ® ,0V,4 C.J Home Address, City, State and Zip Code: Phone: (If appointed, do you want this number to be available to the E -Mail: (If appointed, do you want this address to be available to public?) ® YES ❑ NO the public?) ® YES El NO Do you live within the Petaluma City limits? If so, for how long? YES ❑ NO -. -11=,A AL s Are you a registered voter in Petaluma? If so, for how long? ® YES ElNO /0 e Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of aye. If not appointed to your first choice, are you willing to serve on other City Boards, Commissions, or Committees? If so which? &oAl 1019/ %1/0 Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously. YES ❑ NO ® YES ❑ NO Present Employer: PA Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: o.C/�p/2 T �'� o �/O✓9,j — C�/�%1�®SSlON�� Z�! 3 "/ e Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: TA L t,)/UJ ^ �4%'C--A �L ®T5 r4�s oC . a D T®_ �,C�SE 7 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: fit Is there any other information that you feel would be useful to the City Council in reviewing your application? �tF L// 0116 — l��S A" XIX,, O �7' G 1r7JSSo oiYs'•e— Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES 21 NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ,Z YES 0N How did you hear about this opening? /4t/zP07- eoA,01/SS16ne ChX he- — OC 07"7/ A,y145-IVS Applicant's Signature Date Revised October 11, 2012 �.p L � City of Petaluma, California City Board, Commission and Committee Application s8ss City Clerk's Office 11 English Street - Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petalu Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic Petaluma, 11 English Street, Petaluma, CA 94952. All'applications are reviewed by the City Council. If you have questions about this form, PIE the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: ,Q?�-_F /�,: *, -r I? _1/ 15;5,z Phone: (If appointed, do you want this number to be available to the public?) YESAM LA NO ®o you live within the Petaluma City limits? YES 11 NO E -Mail: (if appointed, do you want this address to be available to the public?) ® YES n No If so, for how long? 4�2 Y ®-,5 ,1/ :�! qe-,--r � Are you a registered voter in Petaluma? If so, for how long? El YESL 0 NO 1V2 . /y,ws Board, Commission, or Committee, of Interest. If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at feast 55 another City Board, Commission, or Committee? Please indicate years of age; Two (2) members may be 78 or over. ONE additional choice. ,;� -7 �,,,:7/__ A7dv154.) - � rye®�7��� - yf, C -0 N N L N LL L EL O U 0 Q 0 Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO YES NO Present Employer: 4-1 Job Title: Ali Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: ell Relzlwl'-� Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: 05 g What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Leo � -S �` lJ VP �G 69.���tl^�� �! Gv�\ �e+�LC�^2e/� �✓we t� College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: ��Is�I®S5®�ae Z % r Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward asa�member of this advisory body: drol �a��ll C �f�®� c'�rG 71-0 fes` �e yP7G8df l �®� C�`�/� Is there any other information that you feel would be useful to the City C/o' uncil in reviewing your application? _ � �� �®� / °"B �°/ =d' , .�_G � g�,��°a-B mea e / fl ®F� ait/� `� ✓ ^P � ��I .� ��' s°`� �d'� � � S � � �r.�✓ `� rJ fir(' a/ of ! � C ��'o� l�?� P ®� lid®4fB��� bdBC-����� �� sloe" 11 WO 1I�] Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest: Would you be willing to abstain from voting if such conflict arises? ® YES ❑ NO How did you hear about this opening? opening? 80 ti°D�^✓ �9�J Le I7d C..e[--�I �`'/ Applicant's Signature Date May 9, 2017 M, City of Petaluma, California QTY CLERK City Board, Commission and Committee Application - - City Clerk's Office I I English Street® Petaluma, CA 94952. 707.778.4360 o cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fork completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Cit; of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pleasg call the City Clerk's Office at 707.778.4360 ore -mail us at cityclerk@ci.petaluma.co."us. Plume: David Taylor Home Address, City, State and Zip Code: Petaluma, GA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES El NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑ YES ❑ NO Do you live within the Petaluma City limits? if so; for how long? ❑ YES ❑ N024 years - Are you a registered voter in Petaluma? If so, for how long? ❑ YES ❑ NO 24 years Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: To serve on the Senior Advisory Committee, you must be at least 55 years of other City Boards, Commissions, or Committees? If so which? age. Airport Commission Recreation, Music & Parks Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other - City bodies previously? ❑ YES ❑ NO ❑ YES ❑ NO Present Employer: Car -Bio LLC 1129 Industrial Ave., Ste 105 Petaluma, CA 94952 www.car-bio.net Job Title: Founder & CEO Founded 2004 Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 100 Club of Indian River County, FL. The 100 Club was founded to aid families of law enforcement and first responders in case of death on duty. I was Director of Disbursement to the family(ies) of a slain officer to provide immediate cash needs and college education for children of the slain officer. 1987-1992. What Special Interests/Skills/Talents would -you bring to this Board, Commission, or Committee? I am a former USMC pilot and general aviation pilot. That background will aid in understanding the aviation issues the commission may face. I have founded 3 companies which experience provides good insight to new projects, budgeting and staffing. I consider my strenghts to be in analysing, planning, organizing and excution of the plan. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Mercer University, Macon, GA. BA History & Literature. Attended on a basketball scholarship. 1966-1971. Naval Aviation Flight School, Pensacola, FL & Meridian, MS. 1971-1973. Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: It's time in my life to "give back" to my community and church. Hopefully my life experencies will allow me to contribute in many ways. Before moving to Petaluma, my family and I had moved over 15 times in the first 20 years of our marriage with the military and corportate relocations. Petaluma has been a great place to settle and stay. Is there any other information that you feel would be useful to the City Council in reviewing your application? As my background in aviation and business should be a plus to the Airport commission, I am willing to consider serving in any capacity that is needed to help our community. Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES ❑ NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ❑ YES ❑ NO How did you hear about this opening? Message on- Next®oor Applicant's Signature Date ----�' D Q, 5/17/2017 Revised October 11, 2012 One Vacancy for a Full Three -Year Term Expiring June 30, 2020 a City ®f Petaluma California City Board, Commission and Committee Application y 1 185a City Clerk's Office IIS . 11 English Street • Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.p-etaluma-co-b-,) — instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's G of Petaluma, 17 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this fort call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co.us. Name:: Home Address, City, State and Zip Code: Phone: (if appointed, do you want this number to be available to -the public?) ❑ YES YN 0 Do you live within the Petaluma City limits? YES ❑ NO Are you a registered voter in Petaluma? D E -Mail: (if appointed, dIK94 want this address to be available to the public?) 1:1YES LA NO If so, for how long? if so, for how long? YES ❑ NO 1 Board, Commission, or Committee, of Interest: Note:-To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, Or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? ��,,77 Lam- YES ❑ NO ❑ YES NO Present Employer. Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: I Civic or Charitable Organization to which you have belonged, Posifion/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? RCI OA C CL "V S College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards or Recognition Received: 14-1 Please state reasons why you want to become a member of this Board, Commission of CommitteeJncludIng what specific objectives you would be working toward as a member of this advisory body: r y Z � ,yam j is lz� 't� R-L'Ti €v (ZE7 C s -i C, *$1 C, 1-[ 14� S' v�i� s : �- r ` 6 't���c. S� d S i P� '��' , U.. ft Ll LA r - Ea., FA Is there any other information that you feel would be useful to the City'Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? YES ❑ NO How did you hear about this opening? ApplichinN Signature Date Zi] \-i Kuviseu /-\PF11 LJ, Lu 1 /. (D > City of Petaluma, California MAY Y �Cp °' -Mu 4 C J Wl , i'N,,I. City Board, Commission and Committee Application City Clerk's Office�; ,E a 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's 01 Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, K the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petal um a. ca. us. Name: > Q) IMelody Sea E Home Address, City, State and Zip Code: Q Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 30+ years Are you a registered voter in Petaluma? If so, for how long? ✓❑ YES ❑ NO [30+ years Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Animal Services Senior Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑✓ YES ❑ NO E]YES NO Present Employer: Petaluma People Services Center Job Title: Fair Housing of Sonoma County Resource Specialist Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: PPSC-Volunteer for any benefits we hold. Was voted Volunteer of the year for Senior Services about 8 Yrs. ago. Also, worked as a Social Worker in 2 long term facilities about 10 - 15 years ago. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I am a dog and house sitter for many of the employees here at work. (My nick name is "The Dog Whisperer"). I have own dogs all my life from Dash Hounds to Pit Bulls. Also, for the second pick w/ Seniors, I have always had a big heart for Seniors. They deserve more attention and better treatment. Worked and Volunteered for them for many years. 0 College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Graduated from High School in 1969. Graduated as a CNA(Certified Nurses Asst.) around 1977 Am a certified Mediator. Have taken many courses that were all job related. Special Awards of Recognition Received: Volunteer of the Year working with Seniors Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Because I am concerned about the fair life of animals and I love being around them. For my other choice working for Seniors, I know they deserve more and better respect and care. Especially now, because of the effects that our current Administration is and will have on them. Is there any other information that you feel would be useful to the City Council in reviewing your application? Everything was covered well with your questions. If I should be chosen as a volunteer, I will be glad to answer any other questions you I am very hard working and take any task given me seriously.y have for me. I am excited about applying with the City Council and do hope I make your list. Ei y yOrganization/Employerg performing your duties if appointed Are you associated with an that might be deemed a conflict of interest in to this position. No. My best reference is my boss, Elece Hempel. If so, please state name of Organization/Employer: Petaluma People Services Center. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? From reading the ARGUS. Applicant's Signature I Date i�✓'.��G� �C Axa May 9, 2017 5/18/2017 Two Vacancies to Serve at the Pleasure of Council Im za City of Petaluma, California �` �� o City Board, Commission and Committee Application V "J ' Q X85$ City Clerks Office J Lu Q 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca_us— h o V Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the p completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic Cn E Petaluma, I I English Street, Petaluma, CA 94952. All -applications are reviewed by the City Council. If you have questions about this form, pie( W the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca. us. Name: m Home Address, City, State and Zip Code: Phone: (If appointed, do you want this number to be available to the public?) 19 YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑ YES NO Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO ?` Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑ YES IR NO ❑ YES NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? [I College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): iAASpecial Awards of Recognition Received: P44 -,,v ® - Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: (.Lc� Is there any other information that you feel would be useful to the City Council in reviewing your application? (� ` C�. Are you associated with any Organization/Employer that might be deemed a .conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? (C-F L Applicant's Signature -- _ Date 1 t May 9, 2017 0 One Vacancy for a Full 2 -Year Term Expiring June 30, 2019 2 L Udr 2858 City of Petaluma, California - Ez L City Board, Commission and Committee Application 5 1171, City Clerk's Office 11 English Street - Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petalu =:vs -, r:717 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tf completely. If a question does not apply, type or write NIA in the space provided. When completed, please forward to the City Clerk's Off Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pl4 the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Q Lrt,, rt W Heidi Bauer 0 Home Address, City, State and Zip Code: O Phone: (If appointed, do you want this number to be available to E -Mail: (If appointed, do you want this address to be available to the the public?) ❑ YES Z NO public?) Z ❑ YES NO Do you live within the Petaluma City limits? If so, for how long? 0 YES ❑ NO 14 Years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ O 14 Years Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five (5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age, Two (2) members may be 18 or over. additional choice. AND Groundwater Advisory Committee A N D Planning Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ® YES ❑] NO R✓ YES ® NO Present Employer: Air and Water Sciences, Petaluma Job Title: Senior Project Manager/Hydrogeologist Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 1) City of Petaluma Parks and Recreation Department/ Commissioner/2010-2013, 2) SMART Station Citizens Advisory Committee/ Committee citizen advisor/2012-2013, 3) United States Coast Guard Reserve/Lieutenant (hazmat unit)/ 1995-2003. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 1) Mary Collins at Cherry Valley School PTA Vice President 2010-2012, 2) Mary Collins at Cherry Valley School Education Foundation/Webmaster/~2012,2014, 3) Petaluma Youth Soccer League/Games. and Tournaments/~2012-2015, 4) McKinley PTA/ PACS liaison/2016-present, 4) Petaluma Parents Network - President/Founder 2008 -Present What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? In my profession I'm senior hydrogeologist with a consulting firm in Petaluma. I have a BS in geology and am a certified California Professional Geologist (PG). Through my work I have acquired the technical skills and knowledge on groundwater basins and aquifers. I have spent over 25 years managing the groundwater needs of clients by assessing groundwater and soil data, installing soil borings and wells, performing groundwater pump tests, determining groundwater flow direction and rate and other related skills. I feel I have the knowledge and skills that would be useful to the City and our community as a member of the Groundwater Advisory Committee. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1) State University of New York at Stony Brook/BS in Geology/1993, 2) State University of New York at Stony Brook Marine Science Research Center Masters in Professional Studies (concentration 9 in integrated waste management)/1995. Special Awards of Recognition Received: 1) City of Bellport, EMT service recognition and response awards, 2) NYPIRG, community action award for Bottle Bill work, 3) US Coast Guard -special operations/merit awards. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be worldng toward as a member of this advisory body: I feel that with my area of expertise, as stated above, I can positively contribute to the GAC and the GSA. I can intelligently discuss groundwater basin issues specific to the Petaluma Valley Basin, as well as other local basins. l have a well established knowledge base of groundwater issues and these will translate well into representing Petaluma and its groundwater needs on this board. Specifically, l would work with other local GSA's to help devlop the Groundwater Sustainability Plan. I would also make sure the Petaluma Valley Basin is receiving all of the recharge water it feasibly can and that our back up supply wells and reserviors are ready. I would review technical data to determine the areas where recharge is most effective and areas where extraction data could be useful. I would review capital project proposals and provide useful insight on them. Based on my experience and knowledge I would provide valuable technical review and input on the Petaluma Valley Basin in accordance with the SGMA. Is there any other information that you feel would be useful to the City Council in reviewing your application? As we continue to live in a climate where extreme weather patterns become the norm its critical to have competent people planning for the sustained use of one of the most critical and fundamental human necessities; clean drinking water. I have devoted my professional life to the evaluation and protection of clean drinking water. My passion for this, combined with my technical background in groundwater, will make me an excellent and productive member of the Petaluma Groundwater Advisory Committee. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? NO If so, please state name of Organization/Employer: n/a City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be Willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Friend Applicant's Signature Date June 5, 2017 May 9, 2011 508 �A City of Petaluma California - City Board, Commission and Committee Application G�02.' �S6$ City Clerk's Office }_ •� 11 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca`u-s`�z"� j a �: O i Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out 1 U a) completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of Petaluma, 11 English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, p �_ the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: e� Katrina Miller Home Address, City, State and Zip Code: p Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO one year Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO lone year Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Groundwater Advisory Committee Tree Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? RI YES 11 NO DYES RI NO Present Employer: Gemini Title & Escrow, LLC Job Title: Client Relations Manager Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Sierra Club - ongoing membership since 2001 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have a law degree with a concentration in environmental law. I am particularly interested in preserving natural resources for current and future Petaluma residents. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Hood College - B.A. Law/Sociology - May 2007 University of Maryland Carey School of Law - J.D. - May 2016 Special Awards of Recognition Received: Hood College (Pi Sigma Alpha honor society, SGA Academic Advisor Chair, Dean's Honor roll) University of Maryland Carey School of Law (Cum Laude, Environmental law certificate, graduated top 15% of class, Excellence for Ithe Future Award in International Law- Maryland Administrative Law, and Government Contracts, Leadershir) Scholar's Award.) Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I grew up in Petaluma until I moved to the east coast in 2003. After completing school, I returned home to Petaluma last June. As a native to Petaluma, I want to get involved in my community. Because my educational background is in environmental law, I feel I can be the most effective in areas related to my expertise. By serving on this committee, my objective is to make Petaluma as environmentally sustainable as possible, while balancing the needs and input of Petaluma residents. Is there any other information that you feel would be useful to the City Council in reviewing your application? I would be happy to provide academic or professional references upon request. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No. My employer is in Maryland. I work remotely from home from 7AM -3PM. If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Sara Sass (Recreation, Music and Parks) Applicant's Signature Date Katrina Miller (e) 6/7/17 May 9, 2017 Two Four -Year Vacancies Expiring June 30, 2021 Two Three -Year Vacancies Expiring June 30, 2020 One One -Year Vacancy for a Representative of the Petaluma Museum Association/ Heritage Homes & Landmarks of Petaluma Committee Expiring June 30, 2018 establish f r , f rending W• Z Z7- zs�a City Board, Commission and Committee Application JU11) City Clerk's Office 11 English Street - Petaluma, CA 94952 0 707.778-4360 m cityclerk@ci.petaluma.causEY fl Instructions: Use this form to apply to sense on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fiff out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Petaluma, 7 7 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council_ If you have questions about this form, plea' the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluMa_ca_us_ Name: aD aD E 0 U E 0 C5 ^W W L n i= A jChdstolipher Caputo y Home Address, City, State and Tp Code: C y Petaluma, CA 94952 Phone: (If appointed, do you want this numberto be available to the public -?j ❑ YES D X10 E -Mail: (If appointed, do you want this address to be available to 7ne public?j YES Z NO i Do you live within the Petaluma City Limits? If so, for how long? YES NO 11 years Are you a registered voter in Petaluma? If so, for how long? z YES ❑ NO III + years Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 1 years of ager Two (2) members maybe IS or over_ if not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional Choice. Historic and Cultural Preservation Committee Pedestrian and Bicycle Advisory Committee n i= A Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO IZYES NO Present Employer: California Department of Transportation (Caltrans) Job Title: Senior Environmental Planner Previous Governmental Bodies/Elective Offices you have served, Posifion/Office Held and Dates_ None. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: None. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? 20+ years professional experience in cultural resource management, historic preservation, and environmental compliance. IN College, Professional, Vocational Schools Aftended (Major Subject, Dates, Degree/Date): The College of Wooster, Archaeology; Bachelor of Arts, May 1994 University of Arkansas, Anthropology, Master of Arts, May 1998 Special Awards of Recognition Received: 2918 California Preservation Foundation Preservation Design Award - Doyle Drive Corridor at the Presidio of San Francisco HALS/HAER/HABS(http://caiifomiapreservabon.orglstory/celebratelawardsl). 2014 American Society of Civil Engineerse (ASCE) San Francisco Section: Historical Renovation Project of the Fear. Please state reasons why you want to become a member of this Board, Commission, or Committee, inclining what specific objectives you would be worldnq toward as a member of this advisory bod _ -My interest in serving on the Historic and Cultural Preservation Committee is rooted in my lifelong personal interest and professional career in history, historic preservation, and cultural resource management. -In the broadest sense, my goal or objective in serving on the committee is to apply my experience to promote the historic sites, landmarks and resources throughout the City of Petaluma. -As an experienced Historic Preservation professional, l will be committed to working with the City of Petaluma, its residents, business owners, developers, and organizations in the implementation of projects with a successful historic preservation outcome. -One specific objective 1 have is to support the City of Petaluma's goal in pursuing and achieving Certified Local Government status. 1 Is there any other information that you feel would be useful to the City Council in reviewing your application? 20+ years professional experience in cultural resource management, historic preservation and environmental compliance with employment experience in both private and public sectors (resume attached). 6 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? NIA If so, please state name of Organization/Employer. NIA City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would ou be willing to, abstain from voting if such conflict arises? ® YES ❑ NO Flow did you hear about this opening.? City of Petaluma email notification Applicant's Signature ®ate May 9, 2017 L City of Petaluma, California Supplemental Questionnaire For 18V58 Historic and Cultural Preservation Committee Applicants Please return completed questionnaire along with your application form to the Office of the City Clerk, i i _English Street, Petaluma, CA 94952 The Historic and Cultural Prmeryation Committee (HCFC) is a newly reconstituted committee governed by enabling legislation approved by the City Council. The composition of the HCPC includes specificity to ensure that qualified individuais serve on the committee and that the specialized review of Petaluma's historic resources as the duties of the HCPC establish is being conducted by qualified professionals. Additionally, the HCPC qualifications as established in the enabling legislation meet the minimum requirements for Certified Local Government Status. Name: Christopher Caputo Home address, City, State, zip: f etaluma, UA 94952 Home Phone: Work Phone: Cell Phone; Email: Are you a protessional in any of the following disciplines? Architectural History History Architecture ® Pre -Historic and Historic Archeology Folklore Cultural Anthropology Curation Conservation F1 Landscape Architecture L�° .l Other related profession Page 1 If you indicated qualifications under any of the disciplines above, please elaborate on your educational and professional experience in the discipline and attach a resume for consideration. - M,A. Anthropology (1998) & B.A. Archaeology (1994). - Meets Secretary of Interior Historic Preservation Professional Qualification Standard for Archaeology. 20+ years professional experience in cultural resource management and environmental planning. -11+ years experience in transportation planning and project delivery. -Significant experience in architectural history, preservation planning, and environmental compliance (NEPA, CEQA, NHPA). Significant experience with historic building rehabilitation projects including adaptive reuse, historic building mothballing and moving, and sustainability projects, -Academic and professional experience in museum studies, historic and prehistoric artifact identification, curation, and exhibit preparation. Page 2 May4, 2017 Page 3 (D E-), ,lune 20, 2017 311 7th Street Petaluma, CA 94952 Petaluma City Council Office of tlhe City Clerk City of Petaluma 1 I English Street Petaluma, CA 94952 Subject: Historic and CUItUral Preservation Committee Application Package and Notification Dear Council Members: Please find the enclosed application and supPlemental questionnaire for the Historic and CUhnral Preservation Committee (HP(P), Also attached is a resume in suPPort of the application. It is with regret that I must inform you that I will be unable to attend the Monday, July 12017 Regular City Council meeting due to previously scheduled out-of-state travel. It is my hope that the enclosed materials, including my years as a Public sea•vant., adequately characterize my qualifications to serve on the HPCP and as a prospective representative of the City, If you have any questions, please contact me at Sincucl}, Christopl er Caputo MA 5 I f Petaluma, California 94952 Environmental Planner and Cultural Resource Management Specialist Experienced environmental professional, consistently recognized for being a reliable problem solver, excellent project management skills, strong working relationships, able to work in a variety of environments and solve a wide range of issues. Skills • Known for building and maintaining cooperative work relationships across internal offices and divisions, among consultants, stakeholders, clients, and the public. ® Ability to establish and work within budgets, research new resources when needed, • Behave in a fair and ethical manner toward others in a diverse work environment; demonstrate a sense of responsibility and commitment to public service, • Environmental team leader in consultation and coordination with external agencies, regulators, and project stakeholders, • Experience in coordinating workshops, developing training courses, supervising staff and interns. • Demonstrate sound judgment in the resolution of complex environmental issues and mitigation problems. • Excellent work ethic, strategic and analytic thinking and problem solving skills. Creative and flexible. • Ability to develop and implement short -and long-term goals and plans, and manage multiple large projects simultaneously. • Strong team member, cooperative and collaborative; strive to meet goals with a friendly demeanor. • Experience providing oversight and initiatives for sustainable roadway and transportation infrastructure projects. a Thorough understanding of engineering concepts and practices. • Clear and in-depth understanding of environmental principles and practices as applied in a planning setting. Familiar with sampling, statistics and database design. • Experience with interpretive report writing, museum exhibition planning and public outreach. ® Knowledge of transportation characteristics, issues and planning concepts and scoping procedures regarding the extent of environmental documentation required assuring that appropriate measures are taken to avoid or minimize environmental impacts. o Ability to make objective recommendations on critical issues affecting the planning of transportation projects, project delivery, and construction and maintenance activities related to transportation systems. Professional Experience Senior Environmental Planner, California Department of `transportation (Caltrans) [April 2015 -present] District 4, Division of Environmental Planning and Engineering, Office of Cultural Resource Studies, Oakland, CA Performs the most difficult and complex work as part of the transportation project development process which Is either critical to the Department's basic mission or of statewide significance. Develops scopes of work and directs cultural resource compliance pursuant to the National Environmental Policy Act (NEPA), the California Environmental Quality Act (CEQA), Section 106 of the National Historic Preservation Act (NHPA) and other applicable state and federal regulations. Manages environmental commitments and project delivery, 11 Leads the delivery of all environmental compliance activities and mitigation commitments as required. Manages database, program management reporting and coordination of projects. Develops and manages district service contracts. Authorizes the deployment of resources to achieve the required deliverables. Represents the Department at meetings with Federal, State, and other regional government agencies. Establishes and maintains working relationships with Native Americans and other stakeholders, interested groups and individuals. CAC Associate Environmental Planner. California Department of Transportation (Caltrans) [April 2006 -April 2015] District 4, Division of Environmental Planning and Engineering, Office of Cultural Resource Studies. Oakland, CA • Provide general environmental and technical expertise as part of the transportation project development process pursuant to the National Environmental Policy Act (NEPA), the California Environmental Quality Act (CEQA), Section 106 of the National Historic Preservation Act and other applicable state and federal regulations, Manage environmental commitments and project delivery. • Prepare written analyses of cultural resources in support of the development of modal and design alternatives for transportation projects. • Manage resource survey, evaluation, mitigation and program management data reports for transportation projects. Interpret current state and federal environmental laws and regulations for the preparation of environmental studies, reports and documents, • Provide direction for consultant work through district service contracts. Peer review technical documents prepared by in-house staff and provide oversight direction and review of technical documents prepared by consultants, and local agencies. • Review CEQA and NEPA environmental documents produced by Caltrans staff, consultants and local agencies for content, technical competence, comprehensiveness, and conclusions. Work as member of the Caltrans District project development team, providing technical expertise and information in order to develop design alternatives in response environmental concerns and commitments. • Lead environmental project development team member, supervises and manages multidisciplinary teams of environmental, construction, consultant and other functional unit staff in the delivery of project commitments and milestones, • In-depth understanding and knowledge of Caltrans organization, departmental policies and project development procedures Including project design, transportation funding and construction practices. • Project Reviewer. California State Office of Historic Preservation, February -October 2008. Staff Archaeologist. Anthropological Studies Center, Sonoma State University, Rohnert Park, CA [2001-2006] • Managed archaeological field projects and lab analysis In support of cultural resource compliance projects. Conducted pre -field and post -field research, and developed database for collected artifacts, Directed archaeological survey, excavation, and laboratory teams, • Worked directly with project sponsors and clients to prepare budgets and timelines for projects; responsible for insuring that budgets and deadlines were met. a Supervised and coordinated a team of archaeologists, historical researchers, Native Americans, osteologists and lithic analysts in collecting archaeological data, preparing graphics, and formatting final documents. Responsibilities included database research and management, artifact curation, report writing'and editing. Laboratory director and Crew Chief. Cultural Resource Consulting Group, Highland Park, NJ [1998-2001] • Conducted historical background research at various local, state, and regional repositories, • Supervised laboratory technicians and field crew in office and field settings, Worked closely with other senior staff, Archaeologicial Technician. Environmental and Natural Resources Institute, University of Alaska [1998] Field Supervisor. Pingasugruk, (prehistoric whaling village) Point Franklin, Alaska [1994, 1995, 1996] Field Supervisor. SJS Archaeological Services, Barrow, Alaska Education [ 19961 M.A., Anthropology. Focus in archaeology, northern cultures, museum studies. University of Arkansas, Fayetteville, Arkansas [1998) [3.A., Archaeology, Focus in archaeology, classical studies, art history. College of Wooster, Wooster, Ohio [1994] Training History, Professional Memberships and References available on request. 3 , e FAUN 0 8 20171 .. v CA ERI �pLQ a� g City of Petaluma, California City Board, Commission and Committee Application j868 City Clerk's Office 11 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office City of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, please call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: John Terry Kosewic Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES W1 NO E -Mail: (If appointed, do you want this address to be available to the public?) ©YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? Z YES ❑ NO 39 Years Are you.a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 39 Years Board, Commission, or Committee, of Interest: Note: Nve(5) members of the Senior Advisory Committee, must be of least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission HCPC Historic/Cultural Preservation Committee Kosewic, Terry �'� Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO ZYES NO Present Employer: lKozy Homes Job Title: Owner Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: SPARC 16 Years Total Planning Commission 2 Years HCPC 4 Years City Center Specific Plan Member 1985 General Plan Update Committee Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Heritage Homes of Petaluma - 39 Years, President, Vice President, Treasurer, At-Large, etc. over 28 years on the board. Knights of Columbus since 1992 - Charter Financial Secretary I've worked Karios 39, 46, 47, and 48 inside San Quentin. Current Officer in the VFW chapter 1929 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have studied old homes and construction for over 60 years. I can replicate almost any type of construction and/or trim, know the era of most styles of construction, and am very familiar with the Secretary of Interior's design guidelines. Have restored 5 of my own places back to their original grandeur. M College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): City College of San Francisco 1963 - 1966 (2 years active duty Navy 1966-1968, 1 year in country Vietnam) and 1968 to 1971 (126 units completed). Degrees in Construction Technology and Architectural Technology (2 year degrees). San Francisco State 1971 to 1977 (102 units completed - no degree). Special Awards of Recognition Received: E --1 Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: This board needs qualified individuals, and I feel that there are not too many people in Petaluma more qualified than myself. Heritage Homes was founded in 1967 to protect the architectural integrity, diversity, and historic significance of buildings throughout the city of Petaluma by promoting our history and educating the general public as to its necessity. I will do the same. L- I Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No. If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? email Applicant's Signature Date 06/08/2017 May 9, 2017 Please return completed questionnaire along with your application form to the Office of the City Clerk, 11 English Street, Petaluma, CA 94952 The Historic and Cultural Preservation Committee (HCPC) is a newly reconstituted committee governed by enabling legislation approved by the City Council. The composition of the HCPC includes specificity to ensure that qualified individuals serve on the committee and that the specialized review of Petaluma's historic resources as the duties of the HCPC establish is being conducted by qualified professionals. Additionally, the HCPC qualifications as established in the enabling legislation meet the minimum requirements for Certified Local Government Status. John Terry Kosewic Petaluma, CA 94952 ❑ Architectural History ❑ History ❑ Architecture Pre -Historic and Historic Archeology Folklore Cultural Anthropology Curation Conservation Landscape Architecture ❑V Other related profession Page 1 1 Ycl J rdicaied under nnyf lie cJ* cip"Ibp - P.� ove, fvaw- ycx�r edu.:ationai and q Tie dtwij-,rw171"Id nticsoh cl le'xr& ff�,,r n t; r t-I 'f i on, I have been a licensed Gonera,", Pl,,,jnibi,,)g, and Elec!.-cal Contractor since IWO - Spec al."zing -r repair, recons:niction, and restoral;on of hiuld'rgs hoilt prior to 19,3G. I wos n mcribor of SPARC When the planmng Gyre :tar frst doriod an ovor 1ho COUnter demolition permit to run 22 Rociega Ave. I reCLISed 111YM-31f. the permit was denied and 'I' boughthe bUldIng that Was "No, fc,scal'y worth saving," Above 1995 - Below 2017 Purchased March 2011 Sept 2015 If you did not indicate that you area qualified, professional in a related discipline, please demonstrate your interest, competence, or knowledge inhistoric preservation that makes you an ideal candidate for appointment to the HCPC. Signature: Dater May4, 2017 Page 3 w ti- RECENED City of Petaluma, California MAY 18 2011 � r City Board, Commission and Committee Application CITY Ca$ba City Clerk's Office —�� E 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us 0 •"—' U v Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the 0 +_- completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plea the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. N John Perlis Home Address, City, State and Tip Code: Petaluma, CA 94952 RE U 0 N NN Phone: (If appointed, do you want this number to be available to E -Mail: (If appointed, do you want this address to be available to the the public?) public?) ❑ YES ✓❑ NO ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ONO 25 years Are you a registered voter in Petaluma? If so, for how long? ✓❑ YES ❑ NO 25ish years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. HCPC Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? Z YES ONO ❑✓ YES NO Present Employer. Retired Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Petaluma HCPC since 7/2016 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Heritage Homes of Petaluma Member for at least 10 years, Board/committee member last 2 years. Empire Sports Car Assn. Board member 2015, Chairman, 2016. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Interest in the historic structures and neighborhoods of Petaluma. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1971 B.A. General Arts and Sciences. The Pennsylvania State University 1975 M.A. Anthropology. The Pennsylvania State University 1979 M.S. Industrial and Management Systems Engineering. The Pennsylvania State University Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: The historic neighborhoods, and commercial district of Petaluma, and especially the opportunity to find a victorian era home within commute distance of my workplace, are the main reasons I moved here in 1992. As the beneficiary of the past good works of the community and city government in preserving our architectural heritage, I take seriously the responsibility to do my part to help in this effo rt. Is there any other information that you feel would be useful to the City Council in reviewing your application? • Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No. If so, please state name of Organization/Employer. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be Willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Current member Applicant's Signature Date May 9, 2017 Please return completed questionnaire along with your application form to the Office of the City Clerk, I I English Street, Petaluma, CA 94952 The Historic and Cultural Preservation Committee (HCPC) is a newly reconstituted committee governed by enabling legislation approved by the City Council. The composition of the HCPC includes specificity to ensure that qualified individuals serve on the committee and that the specialized review of Petaluma's historic resources as the duties of the HCPC establish is being conducted by qualified professionals. Additionally, the HCPC qualifications as established in the enabling legislation meet the minimum requirements for Certified Local Government Status. Page 1 9F Page 2 {fiyou drd not mclicate that you ace a,quat�tted pro�esstor�aC;m a re{ctted�liscip6net plcz�se dern,6nstrrl�eyouur �n#e�est, �ornpetence esrlEnow.1.edgejr}hutor[cpres�vatian�hatmz�kesyo�at��dealoa�dldat�;torapisorntrrtenttothel-ECPC My interest in the historic preservation of Petaluma, has been demonstrated by my activity within the Heritage Homes organization, as well as my service on the current HCPC over the last year. I have inhabited an historic home in Petaluma for 25 years, and have personally experienced major remodeling projects, so I like to think I bring to the table a sympathetic ear for the property owner as well as a zealous regard for the architectural integrity of our historic districts and historic structures in general. Although not a practicing professional, I do speak fluent "anthropologese", at least the mid 1970s dialect, having earned a masters degree the field and been a PhD candidate before switching fields of study to engineering. I have also worked on a salvage archeology dig, and am thus familiar with general practice in that area. Most of my life experience has been in the context of business rather than government, but I have held positions of responsibility, including Senior Vice President and division manager at Fair, Isaac & Co. When I joined the HCPC last year, I was very pleasantly surprised and more than a little impressed by the caliber of the HCPC and Planning Commission members with whom I met, and the professionalism demonstrated by staff from the Planning Department. If I am appointed to the reconstituted HCPC, I hope to help maintain those high standards going forward. Signature: Date: Mayo, 2017 Page 3 33 June 9, 2017 Claire Cooper, CMC City Clerk City of Petaluma I l English Street Petaluma, CA 94952 PETALUMA MUSEUM ASSOCIATION PETALUMA HISTORICAL LIBRARY & MUSEUM 20 FOURTH ST. • PETALUMA • CALIFORNIA • 94952 707.778.4398 • petalumamuseum.com Re: Historical and Cultural Preservation Committee Representative Dear Ms. Cooper: The Petaluma Museum Association along with Heritage Homes & Landmarks of Petaluma Committee, request the appointment of Kit Schlich as our representative on the Historical and Cultural Preservation Committee. Kit Schlich Petaluma, CA 94952 Sincerely, Harry Nieuwboer President, PMA 707.778.4398 cc: Kit Schlich Robert Girolo Historic/Cultural Preservation Committee 1 (Museum Assn/Heritage Homes & Landmarks Committee Nominee) Schlich, Kit L U ��. JUS 2 2 0,17. City of Petaluma, California City Board, Commission and Committee Application X85$ aPI �7, .ERK City Clerk's Office 1 1 English Street Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or 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. If you have questions about this form, please call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: Petal v Maw .x.95 2 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑ YES ❑ NO E_ ®o you live within the Petaluma City limits? If so, for how long? ❑ YES ❑ NO rear, Are you a registered voter in Petaluma? If so, for how long? ❑ YES ❑ NO 2-6- Y4,,Z r5 - Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. lvi4roy-zell_t/ A,/e7r t Have you erved or applied for this or other Have you attended a meeting of this or other City bodies? City bodies reviousl ? @i YES 0 NO G/V 'rC C YES NO Present Employer: 12- Job ZJob Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: A72����lU1�i( Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: �,r ved rl� PItiLA 10-11 aw), 1,6, Zr What Special Interests/SkilIs/Talents would you bring to this Board, Commission, or Committee? Z avSrdGLl�i.D IL re c�C 1 e� 1vt�d ut���� ,ham - G1 r 9v4z fp s College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 00 Sa,4�a u 7 1 `J6,g lJ7fhe-vd l ,rte , o de re Ual� (:5011 e e /5-M-1-975, APPdrel � 5�` �e� ll �e�e�pe'h Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: -L PU M rd 1;ke tv c G v� � v� � cep, -the, I4Cf t-- as foe -n� � � M1� fans'. 1� 11© t-0�� Is there any other information that you feel would be useful to the City Council in reviewing your application? ���c� 70 Are you associated with an Organization/Employer that mi ht be deemed a conflict of interest in performing our duties if appointed Y Y9 P 9 Y60 to this position? If so, please -state name of'Organization/Employer: City policy directs. all appointed advisory body members not to vote on matters where there.exists a potential conflict of interest. Would you be willing to abstain from voting.if such conflict arises? ❑ YES ❑ NO Flow did you hear about this opening? Applicant's Signature Date IA7-S�� 4 May 9, 2017 City of Petaluma, California JUN 2 2 2917 Supplemental Questionnaire For UPI CLERK Historic and Cultural Preservation Committee Applicants Please return completed questionnaire along with your application form to the Office of the City Clerk, I I English Street, Petaluma, CA 94952 The Historic and Cultural Preservation Committee (HCPC) is a newly reconstituted committee governed by enabling legislation approved by the City Council. The composition of the HCPC includes specificity to ensure that qualified individuals serve on the committee and that the specialized review of Petaluma's historic resources as the duties of the HCPC establish is being conducted by qualified professionals. Additionally, the HCPC qualifications as established in the enabling legislation meet the minimum requirements for Certified Local Government Status. Name: Home address, City, State, Zip: Petq 1119A6( I - Home Phone: Work Phone: F- I F Cell Phone: Email: C Are you a professional in any of the following disciplines? A%0 F1 Architectural History F1 History F1Architecture F1Pre -Historic and Historic Archeology Folklore Cultural Anthropology Curation F—I Conservation F—I Landscape Architecture Other related profession If you indicated qualifications under any of the disciplines above, please elaborate on your educational and professional experience in the.discipline and attach a resume for consideration. /Vd�" Q'f'11L`ehle Page 2 aI : I you did not indicate that you are a qualified professional in a related discipline, please demonstrate your interest, ompetence, or knowledge in historic preservation that makes you an ideal candidate for appointment to the HCPC. ve- Pi before 'T Move-� �C-) pcfa- i U 1� U l l/t✓� to d tir Co m v�qe r(-- t'd-,( a44 '-f kx� Ve ry The Piero Hc -P C :5eKvj P�g I-jeri td c� �+'O m e -s. W n (� I r Ae -6:= '-- U -e tD lAt- t- tGta-t )< kx1 e 1v 'coed' v-s'o t 1 War kej at bw— A/(- �t 5'�U kt"'- lam`��-- Crr L ham. d'Lll" /c'� ��►�°' yam. � � �� �� Signature: I I //t I i G Date: I F7 May4, 2017 ALU . City of Petaluma, California City Board, Commission and Committee ApplicationY z85$ City Clerk's Office m I I English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca,.usa� U y Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out thj E _ completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic o O U } Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pie, the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. o C Name: 3' A_C k L,- f -�---h e rV F -�o r Home Address, City, State and Zip Code: Phone: (If appointed do you want this number to be available to the public?) 43 -YES YES ❑ NO Do you live within the Petaluma City limits? YES ❑ NO E -Mail: (If appointed, do you want this address to be available'. public?) M YES ❑ NO If so, for how long? - 1-e Are you a registered voter in Petaluma? If so, for how long? U YES ❑ NO Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age: Two (2) members may be 18 or over. ONE additional choice. 0 ` r L1, Comm r L no Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Cit bodies reviousl ,�/ �-tJ YES ❑ NO ,? `Ml YES ❑ NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? P S4� fL,, C YiC_ V i (� 9J % dY� f d r! G d! o✓ /L C d V College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: e . �,.. , 14 Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: a Is there any other information that you feel would be useful to the City Council in reviewing your application? ..,. oo r Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would __you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date May 9, 2017 Please return completed questionnaire along with your application form to the Office of the City Clerk, 11 English Street, Petaluma, CA 94952 The Historic and Cultural Preservation Committee (HCPQ is a newly reconstituted committee governed by enabling legislation approved by the City Council. The composition of the HCPC includes specificity to ensure that qualified individuals serve on the committee and that the specialized review of Petaluma's historic resources as the duties of the HCPC establish is being conducted by qualified professionals. Additionally, the HCPC qualifications as established in the enabling legislation meet the minimum requirements for Certified Local Government Status. .Name n-c_k /"Vc Home address, City, State, Zip: I Home Phone: Work Phone Icew-Ph,onet (Email: Are you a professiondlin any of the following disciplines? = I Architectural History 0""`Hlstory Architecture Pre -Historic and Historic Archeology Folklore Cultural Anthropology Curation Conservation Landscape Architecture Other related profession Ifyouu indicated,qualificatior s underany ofahe disciplines above, please elaborate on your educational and professional experience in the discipline and attach a resume_for consideration. Historical Buildings of Sonoma County A PICTORIAL STORY OF YESTERDAYS RURAL STRUCTURES! �`aYlinq fare s� ° I Copyright @.2000 by Jack Withington and Ron Parenti No part of the contents of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system without written permission from the author. Library of Congress Catalog Number: 99-093772 ISBN 0-9670524-0-8 Research & Tent: Jack Withington 0 If you did not indicate that you are a qualified professional in a related -discipline, please demonstrate your interest, compEl- --- J l .4 4;e- 4 4.: —1 r ., r J I ni 4;,4 rio -F-, r�r�r it imor i it iho HCIp riving the highways and byways of Sonoma County we often see older buildings, some in far-off fields, while others stand as groudrand noble roadside vestiges. We drive.by and have only a vague idea of what those structures were used for. Many of the buildings were constructed in the early 1900s. A few buildings.date back to the 1800s. Most, however, are of a more recent vintage. Some are still in use while others stand silently empty, a mute tribute to the craftsmanship of the hard-working men and women of yesterday. Technology and economics have changed the building's intended purpose. Many now have a new and different function. What served as a tank house may now be an apartment. The thick cement -walled milk, cream, and butter cooler may now be used for produce storage. Empty chicken houses have been converted into living quarters, garages, or implement storage sheds. We hope to identify and explain the intended uses of some of the many structures that dot our countryside. These fast disappearing icons will one day be relegated to pictures iri a historical book or cerebral images. Signature: I 61a Date: , �--��� Mayo, 2017 Page 3 -- Historical Buildings of Sonoma County A PICTORIAL STORY OF YESTERDAY'S RURAL STRUCTURES Text by Jack Withington Photography by Ron Parenti First Edition P,�9rovE Co���o�c /01 In Town e gy, Public Scale public scale is located in nearly every town. The public scale featured in this picture was one of the busiest in Sonoma County. It is located behind PetalurnA main fire station and enjoyed a very brisk business. Every load of animals or chickens going to market and every load of hay or grain bought or sold had to be weighed. By law, public weighmasters, the scale operators, have to be state certified and comply with applicable laws governing honest and legal operation of their scale. There are three weights that are necessary to complete a business transaction: gross weight (#1), tare weight (#2) and net weight (0, or the truck weight loaded (gross) and empty weight (tare). The difference between the first two weights is the net weight. The net weight is what the farmer or seller's monetary remuneration is based on. Early day poultry farmers, having less than complete trust in the poultry buyers, would get up before first light and come to the scales to watch the truck that would be going out to their farms to pick up their birds, being weighed before the farmers' own eyes. Confusion was the order of the early morning, a madhouse rush to get the trucks weighed empty, then out to farms to be loaded, and back to the scales to be weighed full. Many poultry dealers used the scale's surrounding land to organize and load their trucks for transshipment to the markets in the Bay Area. The poultry dealers had regular employees to drive the trucks to the farms and markets, but had to rely on day laborers to load the trucks. The day laborers were either transients or high school dropouts. In the summer, the crews were augmented by students on school vacation. The day laborers were paid cash everyday when their tasks were completed. Some of the school kids either had money in their pockets for a trip to the beach, the Cotati pool, or Boyes Hot Springs. The transient laborers earned money for meals and a room in one of Petaluma's numerous low budget workingman's hotels that. dotted the downtown area. Added to the chaotic flavor of the scale was the ethnic diversity of the men and women conducting business each morning. Conversations in Chinese, Danish, German, Italian, Portu- guese, and Yiddish could be heard discussing or haggling over the business at hand.. Each morning, before the sun appeared over the eastern horizon, empty trucks from San Francisco's Chinatown would leave the city with empty chicken coops destined for the Petaluma Scale to weigh in, load up, and return with Sonoma County poultry. The Italian Market and the Man Sang Market, both located on Grant Avenue, were among the regular customers of the scale. 121 /�� In Town The Silk Mill his imposing two story brick Georgian Colonial Revival style building has greeted visitors entering Petaluma on State Highway 116 (Lakeville Street) since 1892. The structure was the original Sonoma County home of the Carlson and Currier Silk Mill, followed by the Belding Brothers Silk Mill and subsequently, the Sunset Line and Twine Company. The site was purchased from local financial magnate G.P. McNear for $1,500 in gold coin. Carlson and Currier moved their Silk Mill operation from San Francisco to take advantage of the water transportation, available work force, and competitively priced land to plant mulberry tree orchards. Mulberry trees were favored by the silkworms for food. Silkworm is the common name given the silk producing larvae of several species of moths. The larvae are not really worms, but are caterpillars. With a ratio of mulberry leaves to silk at 200 to 1, the idea of mulberry orchards was soon abandoned. Sonoma County became part of a then modern day Silk Road. The original Silk Road spanned over 7,000 miles connecting China with the Middle East. The local version of a Silk Road came to fruition with the importation of raw silk from China, to be utilized at the Peta- luma Carlson and Currier facility. Over 250 pounds of raw silk was processed daily by the plant. •r The mill played an important role in transcontinental freight delivery. In 1912, a 3-1/2 ton truck loaded with Parrot Brand Olive Silk Soap traveled 4,145 miles in 91 days to become the first East Coast to West Coast delivery. The mill became part of a chain of twenty silk mills owned and operated by the Belding Brothers, a firm founded before the Civil War. Silk production was discontinued in 1929 and the plant was converted into a cordage mill. In 1940, plant operations were resumed by Sunset Line and Twine. Sunset became a major manufacturer of fishing line, and their products were known for quality throughout the country. Parachute lines used in the Apollo Space Program in the 1960s were produced by Sunset line and Twine. 123 /oLP Chapter Nine 122 Petaluma One Partial -Term Vacancy 2 -Year Term Expiring December 31, 2018 No Applications Received /6 One Vacancy for a Full Four -Year Term Expiring June 30, 2021 W4 City Of Petaluma, California _ City Board, Commission and Committee Application? sS�$ City Clerk's Office a) i 1 English Street o Petaluma, CA 94952 e 707.778.4360 o cityclerk@ci_petalUma_c:crQ CLQ' E Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Commit♦ ees. Please fill out thl o O completely_ if a question does not apply, type or write N/A in the space provided. When completed, please forward to the Ci; y Clerk's Offic U .y Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council_ If you have questions about this form, ple; the City Clerk's Office ai 707.778.4360 ore -mail us at cityclerk@ci.peialumo.co.us. o V [dame: Q lChristopher Caput® coa Home Address, City, State and Zip Code: V c a c �IPetaluma, CA 94952 L Phone: (If appointed, do you want this number to be available to the public?) YES Q NO Q) E -Mail: (1f appointed, do you want this address to be available' (D public?) a 11 YES NO ®o you live within the Petaluma City limits? 1 If so, for hove long? ® YES Q NO 111+ years Are you a registered voter in Petaluma? If so, for how long? Z YES 7 NO F+years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Commrfftee, must be at least 55 1 years of age. Two f2} members may be 18 or over_ if not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice_ Historic and Cultural Preservation Committee Pedestrian and Bicycle Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES 1:1 NO ®YES NO Present Employer: California Department of Transportation (Caltrans) Job Title: Senior Environmental Manner Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: None. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? 20+ years professional experience in cultural resource management, historic preservation, and environmental compliance. College, Professional, Vocational Schools Aiiended (Major Subject, Dates, Degree/Date): The College of Wooster, Archaeology, Bachelor of Arts, May 1994 University of Arkansas, Anthropology, Master of Arts, May 1998 Special Awards of Recognition Received: 2015 Califomia Preservation Foundation Preservation Design Award - Doyle Drive Corridor at the Presidio of San Francisco HALS/HAER/HABS (http:/Jcalifomiapreservation.org/story/celebrate/awards/). 2014 American Society of Civil Engineerse (ASCE) San Francisco Section: Historical Renovation Project of the Year. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives ou would be worldnq toward as a member of this advisorbody; -My interest in serving on the Historic and Cultural Preservation Committee is rooted in my lifelong personal interest and professional career in history, historic preservation, and cultural resource management. -In the broadest sense, my goal or objective in serving on the committee is to apply my experience to promote the historic sites, landmarks and resources throughout the City of Petaluma. -As an experienced Historic Preservation professional, 1 will be committed to working with the City of Petaluma, its residents, business owners, developers, and organizations in the implementation of projects with a successful historic preservation outcome. -One specific objective I have is to support the City of Petaluma's goal in pursuing and achieving Certified Local Government status. i Is there any other information that you feel would be useful to the City Council in reviewing your application? 20+ years professional experience in cultural resource management, historic preservation and environmental compliance with employment experience in both private and public sectors (resume attached). - Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? N/A If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? Z YES ❑ NO How did you hear about this opening? City of Petaluma email notification Applicant's Signature Dat May 9, 2017 Rw� 9 City of Petaluma, California J City Board, Commission and Committee ApplicationW�e' J Yss$ City Clerk's Office 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca0`�ffy 4 c E Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fo E O If a question does notapply, U completely. q type or write N/A in the space provided. When completed, please forward to the City Clerk's Office C U a Petaluma, 77 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council_ If you have questions about this form, please the City Clerk's Office of 707.778.4360 ore -mail us atcityclerk@ci.petaluma.ca.us. p a V) Name: Gina Fabiano Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?)public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to t' ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 2 years Are you a registered voter in Petaluma? If so, for how long? ❑ YES ❑✓ NO Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 78 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission Pedestrian and Bicycle Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously'? ❑✓ YES 1:1 NO ✓❑YES El NO Present Employer: GM Fabiano Consulting Job Title: Self -Employed Business Development Professional assisting clients seeking to start a new endeavor or prepare for growth. Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Technology Advisory Committee July 2016 -Present Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Roosevelt Court Association: Voting Committee member of a historical landmarked neighborhood in Sunnyside Queens. 2005-2009. S unnyside United Neighborhood Network: Board Member; Event coordinator; marketing/website manager for neighborhood graffiti - removal organization. 2,006- 2010. San Francisco Academy Orchestra: Founding Board Member of an classical performance and education program in San Francisco, CA. 1998-2002. Giant Steps, Volunteer 2014-2015 SERRA, Volunteer 2015 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? - Critial Thinker who understands the process of translating an idea to a reality. - Proven leader who can organize and motivate a team to successfully complete a goal. - Entrepreneur, self -motivated professional with expierence in the music and the arts. - Website development/management; Social Media Campaigns; Marketing and communications (print and digital). College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): San Francisco State University, San Francisco, CA B.M. in Flute Performance Golden Key Honor Society Member 2000 Baruch College, New York, NY Select Classes in Business Administration CREDITIED FALL 2005 The Foundation Center, New York, NY Prospect Research & Proposal Budgeting Association of Fundraising Professionals SRJC SPANISH 1 & 2 2016/2017 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: As an active member of the community, I am interested in the growth and infrastructure of our city as it relates to the quality of life while maintaining its integrity as a historic town. My goal would be to offer sound advise and clear and rational perspectives to each project presented to the group. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am reliable, trustworthy and easy to communicate with. You can ask the current members of the Technology Advisory Committee to speak to my credentials. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Via email Applicant's Signature Date May 11, 2017 May 9, 2017 ��LU . r City of Petaluma California City Board, Commission and Committee Applicatir 40'' (D c 185$ i 0 8 201 , City Clerk's Office •� 1 1 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us E m �;; O Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th U C completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offii O O Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, pk: O the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca. us. Name: Q U U m Home Address, City, State and Zip Code: a ^^W CL Phone: (If appointed, do you want this number to be available to E -Mail: (if appointed, do you want this address to be available to the the public?) public?) ❑ YES NO ❑ YES NO If so, for how long? Do you live within the Petaluma City limits? YES ❑ NOa<- Are you a registered voter in Petaluma? If so, for how long? YES ❑ NOuv� Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑ YES M NO ❑ YES M NO Present Employer: Job Title: - bvwrt ;� Y� Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: d Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: r. j}9 y gg WhatSpecial Interests/Skills/Talents bring to this Board, Commission, or Committee? pwo{uld$/(yo}u® p '✓ °° '� �• ✓\ g,..^ � i�. il� iV b 9; %� 1 +- b'e Y J r� /R i° CA i { `+ ✓' �"4 � " .1 'j/9 � '6, ,��^ I �"3 �L � 1 '� v^� w � uB ! ii v of College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1 1iM"A wa'. � �" i � �� # `�^'✓` � Si �' �' � �J� ®'' LI 1 pp NY� L � �L SyrylJ d 1 V ' �'.� d� � P 7 / j' � ,�y'j/� � i•..�. 'nil �✓ �'$..P % ) 'L1 j> i bio 9�^'Y' b� �/pp,Lej{✓ Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: ul, "�l`;'{ ve t ) v e r ba vl Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? fig•: If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? v e Applicant's Signature Date May 9, 2017 SAL 4�T �60 ]858 CE W Q ED City of Petaluma, California PIAY 18 2-017] City Board, Commission and Committee Application 4r=I� E, S� I ' City Clerk's Office - s 11 English Street - Petaluma, CA 94952 - 707.778,4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plea, the City Clerk's Office at 707.778.4360 or e-mail us at eityclerk@ci.petaluma.ca.us. Name: Kristine Rebillot Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the ' public?) ✓❑YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 15+ years Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO 15+ years Board, Commission, or Committee, of Interest. Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be T8 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Senior Advisory Committee [Pedestrian & Bicycle Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Ci bodies previously? YES NO E]YES NO Present Employer: Buck Institute for Research on Aging Job Title: Director of Communications Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N/A Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: N/A What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Knowledge of aging science, communications (both written and spoken)., interest in healthy aging College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Graduated 1972 from Bowling Green State University, Bowling Green, OH. Bachelors degree in Journalism Special Awards of Recognition Received: — Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I want to get involved in my local community. I work in Novato in a great job that is very intellectual. I am eager to participate in projects that would have real world, physical benefits to older adults - myself included. Initiatives that benefit older adults make for a better community overall. I have no specific objectives at the moment - I am interested in many aspects of well being, which include health care, food and nutrition,, employment opportunities for older adults, public transportation and physical activity. Is there any other information that you feel would be useful to the City Council in reviewing your application? I include a resume Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? How did you hear about this opening? Nextdoor social media app Applicant's Signature ❑✓ YES ❑ NO Date o ' t May 9, 2017 Kris Rebillot Petaluma, CA 94953 Current employment: Buck Institute for Research on Aging, Novato, CA Director of Communications January 2011- Present Public Information Officer July 2003 - December 2010 Responsible for strategic communications and media relations for the nation's first independent biomedical institute dedicated to extending human healthspan through research focused on the intersection between aging and chronic disease. Work with the Resource Development Department to produce and write most print materials, including annual reports, newsletters, member communications and brochures. Oversee content development for the website and supervise social media activities. Hire and supervise freelance writers and designers. Produce Institute videos as needed. Responsible for all media relations; write news releases and e -blasts, pitch stories to reporters and science writers. Prep scientists and staff prior to interviews. Placements have included most Bay Area print and broadcast outlets. Nationally the Buck Institute has been featured on The National Geographical Channel, CBS Sunday Morning, the PBS NewsHour, and the NBC News Channel. Stories have appeared in Reuters, Newsweek, and The Los Angeles Times. Institute scientists have been quoted in The New York Times, Wall Street Journal and USA Today, among others. Coordinate with documentary producers and film crews videotaping at the Institute, including The BBC, HBO and NKH (Japan). Moderate Institute Community Seminars and Member events. When needed, act as the Institute spokesperson. Former Clients The Certification Commission for Healthcare Information Technology (CCHIT) Wrote and produced audio reports highlighting new certifications and new resources for physicians and software developers. Produced a series of multi -media training programs for vendors and developers. The California HealthCare Foundation Produced and wrote many multimedia programs, including initial videos for Health -e - App, the nation's first online application tool for public health financing programs and "Project Connect: Frequent Users of Health Services Initiative." Rebillot Resume June 2016 I The Advisory Board Company Produced and wrote audio reports for CaliforniaHealthline.org and iHealthBeat.org. Kaiser Permanente Advised Northern California physicians on appropriate media and messaging for the rollout of new Adult Primary Care teams. Wrote and produced tapes used in the rollout of new call centers. Produced a videotape highlighting "Open Access" programs in Sacramento clinics. Segment producer for "Partners in Health", Kaiser Permanente's award-winning national video magazine focusing on consumer health issues. Stories produced involved genetic testing for breast cancer, treatments for depression, travel medicine, and advances in laparoscopic surgery. Past employment West Coast Director for TVN Communications Group (NYC) 1999 - Spring 2002. Worked with numerous public relations firms and biotech companies to determine messaging for product launches, public service campaigns and educational efforts. Wrote and produced a variety of video news releases and patient/physician education tapes. Clients included Ketchum Public Relations, Burson-Marstellar, Publicis Dialog, Genentech, Scios, SangStat, Berlex, McKesson, Elan Pharmaceuticals, Gilead Sciences and The Healthcare Information Management Systems Society. Produced Satellite and Radio Media Tours. Free-lance reporter for National Public Radio's "All Things Considered," WNYC's "On the Media," Voice of America's "Our World" and KQED Radio in San Francisco. Broadcast Journalist: WFLA-TV, Tampa FL 1977-1982 General assignment reporter, live field anchor for local NBC affiliate. Key interviews included President Jimmy Carter and the Rev. Billy Graham. Acted as state media witness for execution at Florida State Prison. Education B.A. Degree in Journalism, minor in Speech; Bowling Green State University, Bowling Green, Ohio References available on request Rebillot Resume June 2016 2 NMI 0(76 City of Petaluma, California `' I' City Board, Commission and Committee Application J Ur,, E 0) rasa City Clerk's Office a Q 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.peta;uma,co.uscl il,�, U instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees_ Please fiN out the a } completely. el If a question does not f t f .� O p ) q' apply, type or write tJ/A in the space provided. When completed, please forward to the City Clerk's O, rc Q -0 Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions abo ui thfs form, plei O the City Clerk's Office at707.778.4360 or e-mail us otcityclerk@c1.petolumo.co.us. v U Name: O U m Angelo Sacerdote Home Address, City, State and Zip Code: N a Petaluma; CA 94954 I Phone: (if appointed, do you want this number to be available to the public?l ❑ YES NO E -Mail: (if appointed, do you want this address to be avc4able to the public?) ® YES ❑ NO Do -you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO years Are you a registered voter in Petaluma? If so, for how long? �✓❑ YES ❑ NO 7 years Board; Commission, or Committee, of Interest: Note: Five(5) members of the SeniorAdvisory Committee, must be at least 55 years of age, Two (2) members may be I8 or over. If not appointed to your first choice, are you wining to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. [pedestrian and Bicycle Advisory Committee �echnollogy Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO { E]YES �✓ NO Present Employer: Petaluma Pie Company Job Title: IC--o-owner Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I bike and walk in this city between the east side and west side. I am interested in improving safety and encouraging alternatives to riving. As an employer and owner of a downtown business, 1 am an advocate for encouraging walking and biking in the downtown area. In terms of the Technology Advisory Committe, I worked for 10 years at a technology non-profit in San Francisco called Bay Area Video Coalition_ I have a strong interest in and wide knowledge of technology issues. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): State University of New York, Purchase, N.Y. Visual Arts BFA 1992 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be workino toward as a member of this advises body: I am concerned about safety. I know three people who have been hit by cars as pedestrians in the crosswalk. I also feel there is nota. safe and direct bicycle route between the east side and the west side. Is there any other information that you feel would be useful to the City Council in reviewing your application? 9 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest, Would you be willing to abstain from voting if such conflict arises? ✓❑ YES ❑ NO How did you hear about this opening? ord of mouth Applicant's Signature Date Z ,May 9, 2017 L°r� .a �A U N ' it "'%fit . City of Petaluma, California City Board, Commission and Committee Application JUU�i 2017 X85$ City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.cc us- � °7 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely., If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic E Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, ple O the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca. us. U a Name: Home Address, City, State and Zip Code: Phone: (If appointed, do you want this number to be available to the public?) , i ❑ YES NO E -Mail: (If appointed, do you want this address to be available public?) YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? n YES ❑ NO '' - Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO YES ❑ NO Present Employer: I ld . r Job Title: Previous GovernmentalBodiepps/Elective Offices you have served, Positiona/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: &an ell, pwa� ft/ur. (Alk What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have been actively involved in education and recreation my entire life, and I have been an active member of the Petaluma Community, always with a focus on our youth and recreation, for nearly 30 years. Thus I bring hands-on experience regarding our youth and their programs, be it education or sports, to the table. I served on the Flection Committee for Petaluma's two successful Bond Campaigns, 1991- 1992, and understand alternative aspects of finance, and how to achieve their success. I served on the Petaluma Recreation, Music and Parks Commission for S years, and on the Pedistrian & Bicycle Advisory Committee for 4 years, and during that time I became knowledgeable regarding the recreation department itself, city finances, the importance of public hearings, and have learned how to creatively use what we have for the greatest benefit for all. I took an active role regarding the discussion, directions and, the sometimes, difficult decisions and recommendations which the Commission and Committee were asked to make. I am known for my leadership and organizational talents- as well as for my annrnach to rnnsensns hnilydina anrd tdericinn malrina clrillc T nm nn—th„c;ncr;n I—ir 4 mart College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): AI Special Awards of Recognition Received: $ y Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: If appointed, I would like to continue working on strengthening our partnerships with other cities and the County in order a build and maintain a more inner - connected series of of bike and pedistrian friendly lanes and ;is; ones which could be used by both commuters and outdoor recreational enthusiasts, as we move about the County. I'd like to work on updating the Bike and Pedistrian Map for Petaluma, and see that this was published and made available to our youth, business & professional, civic and charitable organizations. We need to increase trail signage downtown and on our major thoroughfares; continue to make available & support Bike Rodeo's, and promote Bike to Work and Bike to School days. I would also like to see continued discussion regarding a public process of working with the citizens of Petaluma, both youth and adult, regarding current and future pedistrian and bicycle needs and desires_ I realize that in this fast -paced and ever-changing world, we need to actively seek, provide and contribute to the growth of leisure -time activities which will promote strong mental health and help relive the stress of living in the 2191 century. All recreatonal alternatives need to be vigorously investigated and explored along with creative methods of finance. Coming from a family of active recreational users, bicyclists and pedistrians, and having been a volunteer administrator in many of our youth sports programs, and having previously served on the Pedistrian and Bicycle Committee, and the Recreation, Music and Parks Commission, I have first hand knowledge of Petaluma's "recreational" programs and challenges_ Add to this my enthusiasm and drive, my consensus building and decision making skills, and you have, once again, a most likely candidate for this Commitee. CO Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition'? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? Nr CkES ❑ NO How did you hear about this opening? t Applicant's Signature Date (Ovt May 9, 2017 �ALtr City of Petaluma, California _ City Board, Commission and Committee Application �85s City Clerk's Office 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi Petaluma, 1.1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, p1E the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Q Q) Adam Wiskind U Home Address, City, State and Zip Code: cm Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (if appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO Fyr Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO Fly r Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Pedestrian and Bicycle Advisory Committee Recreation, Music and Parks Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑✓ YES NO OYES k NO Present Employer: Exit Strategies Group Job Title: Business Broker; M&A Advisor Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: n/a Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Presidio Alumni Organization, President, 2009-2010 Pacific Community Ventures, Business Advisor, 2013 -present SCS Global Services Advisory Board, President, 2016 -present What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I enjoy working with people to achieve shared objectives. I am a good organizer. I am comfortable both leading and being led. I take my responsibilities seriously and will complete any tasks assigned to me. In my day job I do financial analysis which is a skill that I am happy to bring to the commission as necessary. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): UC Berkeley, BA Architecture, 1989-91 . Oregon State University, MA Forestry 2001-2003 Presidio School of Management, MBA Sustainable Business, 2006-2008 Special Awards of Recognition Received: n/a Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Petaluma has the potential to be an amazingly walkable and bikeable city but it lacks infrastructure and culture that promotes these activities as preferable forms of transportation. I would like to work on infrastructure projects that promote safety and connectivity of bike and walking routes and events and activities that promote walking and biking within the city limits for example, Ride to Work and Ride to School initiatives. I tried to attend the May meeting of the Committee but was surprised to learn that it had been canceled for "lack of agenda items". Given the abundance of opportunities to make Petaluma a more walkable/bikeable city, I hope to bring new energy and ideas to the committee. Is there any other information that you feel would be useful to the City Council in reviewing your application? For over twenty years I have been a regular bike commuter and bicycle -for -transportation advocate. I was an active member of the San Francisco Bicycle Coalition and am currently a member of the Sonoma County Bicycle Coalition. I look forward to serving the City of Petaluma that has given me and my family so much. Thank you for the opportunity. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? no If so, please state name of Organization/Employer: n/a City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _.you be wil!!qq to abstain from voting if such conflict arises? ❑✓ YES ❑ NO H^.., �:� ...... .... .......a a.: .,. .. ,... .� [Sara Sass - Member of Recreation, Music and Parks Commission A )ate ® 05/19/17 . Three Vacancies for Full Four -Year Terms Expiring June 30, 2021 O p.LU RECL City of Petaluma, CaliforniaJU City Board, Commission and Committee Application 185$ City Clerk's Office� E c 11 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.0 QCs=-1--�G = 0 O U � Q Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tl- completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi C Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, ple the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Dave Alden Home Address, City, State and Zip Code: (Petaluma, CA 94952 I Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ✓❑ YES ❑ NO 15 Are you a registered voter in Petaluma? If so, for how long? 0 YES ❑ NO 115 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music, and Park Commission Planning Commission, but see answer under Other Informati n Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies reviousl . YES NO WIYES NO Present Employer: None, semi-retired Job Title: Fne Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: City of Petaluma, Transit Advisory Committee, Member (2011-present), Chair (2013-present) City of Petaluma, Recreation, Music, and Park Commission, Member (2013-present) City of Petaluma, Pedestrian Bicycle Advisory Committee, Liaison from RMPC (2013-present) Bend LaPine Public Schools (Bend, Oregon), Member (1998-2000), Chair (2000) Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Urban Chat, Co-Founder, Executive Director (2012-present) Urban Community Partnership, Director (2016-present) Rebuilding Together Petaluma, Director (2002-2008), President (2005-2008) Broken Top Community Association (Bend, Oregon), Design Review Committee, Chair 1996-1999) What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I'm a Registered Civil Engineer with over forty years of experience in Petaluma and elsewhere. I'm keenly aware of the connections between land-use patterns and community values such as housing affordability, mobility options, greenhouse gas reductions, and municipal finances. In my semi-retirement, I've chosen to become active in these fields, through membership and participation in national organizations and through local organizations that I've helped found. This background will be brought forward to any City body to which I might be appointed. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of California (Berkeley), 1971-1975, Bachelor of Science, Civil Engineering University of California (Berkeley), 1975-1976, Master of Science, Civil Engineering (Water Resources) Special Awards of Recognition Received: Recognition from Urban Land Institute for participation in UrbanPlan (2007-2014) City of Petaluma proclamation noting tenure as Board President of Rebuilding Together Petaluma (2009) Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives _you would be working toward as a member of this advisory body: I have a passion for land -use practices that will align cities for success in the 21st century. Regardless of the body to which I may be appointed, I'll find a way to bring that passion to bear on making Petaluma the best place possible. If I'm appointed to the Recreation, Music, and Park Commission, my goal will be to configure parks so that they can accessed without a car and provide a good experience for those seeking a respite from urban activity. If I m appointed to the Planning Commission, 111 be proactive in seeking standards that encourage good development. If I m appointed to the Transit Advisory Committee, I'll continue to work for the improved integration of land use and transit. Is there any other information that you feel would be useful to the City Council in reviewing your application? As a current Recreation, Music, and Park Commissioner, my primary goal is reappointment to that body. However, numerous acquaintances have strongly encouraged me to apply for the'Planning Commission. To mollify them, I've submitted the supplemental Planning Commission application form. However, I fear that being a Planning Commissioner would result in numerous conflicts, both with actions I've previously taken and with actions that I'll IlLely take in the future. I will serve with attention and passion if appointed a Planning Commissioner, but also wouldn't mind by bypass.LLastly, I was recently termed out of the Transit Advisory Committee. The terming -out was the result of a resolution that was intended to be revised but was mislaid administratively. Therefore, I've been encouraged by others to express a willingness to continue serving on the Transit Committee in the event the Council sees a role for me there. In summary, I'll serve happily wherever I can benefit the City Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? In my role with Petaluma Urban Chat and the Urban Community Partnership, along with my extensive history of blogging on land -use issues, I have taken and likely will take positions that may result in a perceived inability to judge an issue fairly. To the extent that those concerns arise, I will recuse myself. If so, please state name of Organization/Employer: Petaluma Urban Chat Urban Community Partnership City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Current member of Transit Advisory Committee and Recreation, Music, and Park Commission, plus frequent visitor to City Hall. Applicant's Signature Date June 8, 2017 May 9, 2017 City of Petaluma, California JUN 0 8 291T ik l/ a. 18150 Supplemental Questionnaire for Planning Commission"Ipplltar�i Please return completed questionnaire along with your application to the Office of the City Clerk I I English Street, Petaluma, CA 94952. Name: Dave Alden Home address, City, State, Zip: Petaluma, CA 94952 Home Phone: Work Phone: Cell Phone: Email: Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any meetings of the Planning Commission? W1 Yes No 1-1 If so, date: IThirty or more over time, most recently April 4. What do you think qualifies you to serve on the Planning Commission? I have a deep passion for the role that good land use planning can and must play in the future of our communities. This passion has been displayed by my memberships and involvement in the Congress for the New Urbanism, Urban Land Institute, Smart Growth America, Greenbelt Alliance, SPUR, and StrongTowns. I've also attended the last five annual meetings of the Congress for the New Urbanism and was a presenter at the recent first ever national gathering for StrongTowns. Furthermore, my local commitment to contemporary planning practices has been demonstrated by my years of service on the Transit Advisory Committee, the Recreation, Music, and Park Commission, and the Pedestrian and Bicycle Advisory Committee, by my frequent comments in front of the Planning Commission and City Council on pending land use actions, and by my involvement with the leadership of Petaluma Urban Chat, the Urban Community Partnership, and the newly launched forum series, Know Before You Grow. Lastly, I've often written on land -use planning, garnering a readership of up to 8,000 per month. i4q What do you see as the best solutions, both long and short term, for economic development in Petaluma? In both the short and long terms, the key to economic development in Petaluma must be building on existing strengths. If we compete for businesses that don t care whether they re in Petaluma, Peoria, or Hoboken, we run the risk of selling out ourselves for a business that won t stay long-term. There s more value in assisting Clover Sonoma grow into new markets than in competing to bring new businesses to town. In terms of specific industries, we should emphasize organic produce and we should be the tasting room headquarters for the coming Petaluma Gap appellation. Recreationally, we offer river based and bicycling activities that would be envy of many cities. Culturally, we have a reputation as a friendly and creative place. We should work to burnish and to sell this image. Long-term, there is also a growing desire for a range of housing options including choices that offer a range of equally convenient mobility modes. If most of our housing alternatives require daily use of a car, we II be missing a portion of the marketplace that will be growing steadily. Lastly, we need to get municipal finances under control. We re far from unique in our current straits, but the cities that offer stable and sustainable municipal finances will have a strong competitive advantage in the future. Imagine yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? If a visitor is on foot, he's likely either downtown or nearby. In that case, the setting is more balanced between cars and other mode of transportations than many other districts, which is an environmental positive. Physically, it's comfortable and walkable, although the early history of turning the town's back on the river hasn't been fully reversed. Economically, it feels active, although the absence of enough downtown housing to push back against the late evening unrest is sometimes evident. If the visitor isn't in or near downtown, he's hopefully on a Class I bike/walking path, which can be.a pleasant experience, although the lack of maintenance due to the City's chronic budget problems are likely evident. Otherwise, he's likely walking on a narrow sidewalk, wondering why he's out there alone and hoping that he can safely cross the street. The sight he'll see in this setting is likely perceived, although often wrongly, as economically vibrant. It's also physically and environmentally dubious. �-� 2 The General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan? Author Kristina Ford, former Planning Director of New Orleans, describes General Plans as bundles of laudable although often inconsistent goals. In her view, to which I subscribe, the role of a Planning . Department, Planning Commission, and City Council is to decide which goals should be firmly maintained on a specific project and which can be allowed to slip. Perhaps for one project an interconnected street grid is essential while on another the grid can be disrupted if it allows a grocery store to be built in a district that would otherwise be a food desert. However, I wouldn't support a complete abandonment of.a site use that was perceived in the General Plan, particularly if an applicant had expanded significant funds in either acquiring the site or pursuing entitlements. In that case, 1'd look for alternative uses that would 'respect the resources spent in good faith based on reasonable expectations of the General Plan. The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? The question seems to imply that the growth management plan and Urban Growth Boundary put stresses on the historical, cultural, or physical characteristics of the city. I disagree with that implication. I'd argue that the growth management plan and Urban Growth Boundary, if adeptly implemented, would lead to a more successful, financially stable city which should enhance all three characteristics. The only slight exception I might make is that a city growing at its core could be disrespectful of historic buildings. To this possibility, I would suggest identifying the most important historic elements and putting city funds toward their preservation, reducing the chances of condemnation by neglect. How would you address current and future flooding issues for Petaluma? In addition to conformance with existing flood zone regulations, I would put a high priority on river dredging so that the flood control improvements aren't undermined by mounds of silt. Also, I would encourage a long-range plan for differing extents of sea -level rise, recognizing that the bigger flooding risk to Petaluma may eventually come from downriver, not upriver. Although some of the ideas may not be needed for decades, being aware of the possible sea -level rise responses may help inform current land -use decisions. How would you address current and future traffic congestion in Petaluma? Traffic congestion will never go away. Even if gasoline prices jump again, the increasing availability of cheaper alternative fuels, such as electricity and hydrogen, further reduce the already minimal cost- drivendrag on vehicle miles, leaving congestion as the only constraint on vehicle miles for many drivers. Nor will autonomous vehicles be a solution. The additional miles driven before and after carrying a passenger might make congestion worse. So the two solutions are to promote alternative transportation mode so that residents have reasonable options to walk, bike, or bus to live their lives, avoiding congestion, and to encourage more residents in urban or near -urban settings. From numbers calculated for the Regional Climate Protection Agency, a vehicle is Sonoma County suburban setting is likely to be driven 19,000 miles per year. The same vehicle in an urban setting would be driven only 6,000 miles. What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? I would support extending the form -based code over a greater extent of the city because it offers a better framework for creating the residential unit count that would take pressure off the Urban Growth Boundary. Although I'm comfortable with the T6 transect continuing to top out at six stories, I would extend that transaction over a greater area to accommodate greater unit counts in the districts that can support them. I would look at the public amenities; such as parks, open spaces, and library branches, that allow families to live complete, pleasurable lives with fewer square feet in individual units, to make housing costs more affordable and to make greater unit counts more achievable. I would enhance requirements for non -auto mobility options so that fewer cars are required and freeing space that would otherwise be dedicated to parking to be reallocated for residential purposes. Signature Date May 4, 2017 ...}7._ J 77 City, of Petaluma, California AY 01 City Board, Commission and Committee Application G City Clerk's Office, r 'FR �' rn Zg5$ 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us-` - E O H Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office of Petaluma, 17 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pli call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co.us. O Name: Scott Alonso Home Address, City, State and Zip Code: Petaluma CA 94952 QD YES 0 NO YES (DNO July 2014 to present March 2015 to present 1 Board, Commission, or Committee, of Interest: Note:To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? YES 0 NO YES 0 NO Present Employer. County of Sonoma, Department of Health Services Job Title: i Program Planning & Evaluation Analyst (Civil Service Title); Communications Manager (Working Title) Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Sonoma County Public Library Foundation Board of Directors, Director, September 2015 to present, Vice President of Board of Directors, January 2016 to present; President of the Board, January 2017 to present United Way of the Wine Country, Schools of Hope Volunteer (Luther Burbank Elementary) October 2015 to present Marin County School Volunteer (Mill Valley Middle School) April 2011 to May 2012 Live Local Marin Volunteer June 2011 to June 2012 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? My experience in local and state government as well as my strong background in public relations/affairs, project management and research makes me an ideal candidate for the Planning Commission. I have extensive experience in analytical research, reviewing and analyzing public policy issues and communicating with the general public. In my current role with the Sonoma County Health Services Department as the Communications Manager (Public Information Officer), I am tasked with increasing awareness and communicating with the public on complex public health matters ranging from blue-green algae, to nutrition education, to the Zika virus. Additionally, through my work at the County, at a local public affairs firm and in the State Assembly, I created and managed strategic communications targeting diverse communities. College; Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of Hawaii at Manoa, August 2004 -May 2008, B.A. Political Science, May 2008 University of San Francisco, August 2012 -December 2013, Master of Public Affairs, December 2013 Special Awards or Recognition Received:' Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am committed to public service and giving back to my community. If I am fortunate enough to serve on the Planning Commission, I would be excited to help Petaluma responsibly plan for the future and meet the needs of residents and businesses. Petaluma is a vibrant city. My professional, volunteer and academic experience can be utilized on a city commission. I have a passion for public policy and local government. Local boards and commissions allow the public the ability to participate in local decisions and planning initiatives. Is there any other information that you feel would be useful to the City Council in reviewing your application?'' Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? 0 YES 0 NO If yes, please state name of Organization/Employment: City;policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? YES ONO How did you hear about this opening? City Clerk's webiste Applicant's Signature Date 5/5/17 Revised April 25, 2017. s8�$ oioo rof"rn � inforl rn I cflnnnnlm fn fha nffirP of the Cifv Clerk. I I Fnalish Street. Petaluma. CA 94952 Name: Scott Alonso Home address, City, State, Zip; Petaluma CA 94952 Horne Phone:,,, Work Phone; Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any of the" fO(IOWing meetings Yes Planning Commission Orientation Session OYES FVI NO Date; Planning Commission Meeting W1 YES F� NO Date; multiple in 2017 What do you thinkqualifies you to serve on the Planning Commission?'. , My experience professionally and academically in local and state government working on public policy issues ranging from affordable housing, recycled water, public health and early childhood education suit me for this commission. In my current role in the Health Services Department for the County of Sonoma, I help communicate critical public health messages to promote public health and safety for Sonoma County residents. Given my experience and current professional role, I would be able to assist the commission in improving community outreach and engagement, and will promote appropriate public health policies for our residents. Also, as a renter and tenant in the City of Petaluma, I think my perspective would serve the commission well. The high cost of housing is a significant problem facing our community. I would bring my perspective to the conversation to further the city's goals to develop and support more affordable housing. Additionally, my experience in public health has underscored to me the importance of having health elements and assessments in planning to promote a healthier and sustainable community. I would bring that perspective to the Planning Commission. The environment in which people live greatly determines how healthy their life will be - often their zip code is the best determinant for how healthy someone is. Page 1 What do you see as:the best solutions, both ong Arid short;term, for economic:development in` Petaluma? We must remember that local governments across California are facing budget challenges, including Petaluma. Improving the economic vitality of our community is crucial to address possible budget shortfalls. Maintaining a strong quality of life for our residents should be a top priority for our community. In the short term, we need to keep businesses in Petaluma and promote local businesses as a way to underscore shopping local matters. Additionally, creating more opportunities for local businesses can also lead to more job growth for our residents, increasing our economic base and supporting our working families and middle class. However, our city needs to continue prioritizing housing, especially affordable housing for our seniors and families. Without a stable housing base, residents will not be able to live here and they will move out, hurting our city's tax base and character. As a long-term goal, improving our aging infrastructure such as our roads and supporting our transit system will benefit Petaluma area businesses. Folks will not want to travel on poorly maintained roads when other options present themselves outside the city to visit and shop. While our city's funding challenges may present challenges to fixing our roads in the short term, engaging now with our residents about the importance of this issue and how to fund road repairs is critical. Transit oriented development strategies will not only help Petaluma manage our growth and plan for the future responsibly, but they will also promote action to stem the adverse impacts from climate change. Promoting mixed-use projects near accessible transit will enable residents to get out of their vehicles, improve options for pedestrians and bicyclists, and ease traffic congestion. Imagine yourself as a visitor to Petaluma. IWhat do you see, physically; economically, and environmentally as ou walk around town? As a visitor to Petaluma I would immediately be drawn to the beautiful landscape, open space and scenery with the Petaluma River's presence standing out to me. Having an accessible river to visitors and residents is a unique feature to our city. When visiting Petaluma for the first time, I would be struck by the modern and engaging businesses lined along our downtown's busy streets. Lastly, I would be impressed by the city's historical buildings and scenery as they symbolize Petaluma's heritage. -The General.Plan (Plan),is.the guiding' document;and,vision for the City, How would you interpret the policies and goals articulated in. the plan? How flexible would you be ,and would;you feel ;comfortable not approving s ecific land uses allowed in the Plan? The General Plan is our city's guiding document for planning, growth and development as well as environmental protection and stewardship. The plan provides mandatory requirements but also conveys goals for future growth. Certain requirements in the general plan should be followed and maintained. The city and public have weighed in on the plan when it was approved. The guiding principles outlined provide a specific lens for the commission to review proposed projects or changes. However, the document does provide some flexibility and the public should be able to weigh in on important development projects as they come up. Further amendments or updates may be necessary as conditions can change for the city depending on the economic situation or environmental impacts a proposed project may have. Page 2 / S�5 The growth management system has,been an element'of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in '1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the. pressure for ongoing growth during the next decade or so; what two or three policies' and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? The voters and City Council strongly supported Measure T to expand the urban growth boundary in Petaluma until 2025. 1 would continue to support the urban growth boundary as outlined in Measure T. Growth in Petaluma should be responsible and reflect the character of our community. The last general election saw the voters of the entire County weigh in positively on Measure K, which was a positive step taken by the voters. First, we should have growth focused in the city's core areas to align what our residents want and to also make areas of our city more attractive to live without a vehicle. Larger scale residential projects should be tailored to fit our needs and be located near transit. With the SMART train coming online soon (hopefully) this is an ample opportunity to continue supporting transit and pedestrian oriented developments. Second, we need to continue protecting culturally appropriate sites that often come under development pressures. These historic sites underscore Petaluma's rich heritage and history. Petaluma is fortunate to have landmarks throughout the city, reminding residents and visits alike about the historical significance these sites have had for Petaluma. Any proposed changes to historic sites should be respectful of the values of the specific neighborhood. Lastly, with development focused within the city's core, there will be possible development projects that could affect the Petaluma River and wetlands. Projects impacting these sensitive areas require thoughtful deliberation and remediation efforts promoting wetlands restoration and protecting the habitat and ecosystem. The River is of vital importance for the city, not only for commerce and recreation, but also for the environment and habitats along the river. How would you address current and;future flooding issues for Petaluma Petaluma's efforts to sustain flood control plans needs to be continued and prioritized. The Floodplain Management Plan and Petaluma River Access and Enhancement Plan are crucial documents that have spearheaded policies to protect residents. The General Plan also offers important guidance for limiting major development in the floodplain to ensure the Petaluma River and surrounding habitat is protected. Enhancement measures should continue to protect marshland and river. The City of Petaluma should continue to work with the Army Corps of Engineers on flood control measures. These measures are crucial for our residents and businesses, such as seeking certification of the flood control project and funding to dredge the Petaluma River. In the long-term exploring options to acquire more open space in the floodplain, such as McNear Peninsula must be a priority. Major flooding has occurred in the past, including as recent as 2014, which can have an adverse impact on local businesses and residential properties, schools and public safety infrastructure. Expanding our flood control efforts that are implemented and sustainable needs to remain a top goal for the city. An item that should be strengthened in the short and long term is continued engagement with the community about flood control efforts and resiliency steps residents can take in the event of a major event. How would you address,current and future traffic congestion in'Petaluma? Traffic and road infrastructure continue to remain a pressing issue for most residents in Petaluma. We have some of the worst roads in the Bay Area. The roads situation is not acceptable. Currently, we need to prioritize additional funding, possibly from another attempt at a specific tax measure (sales, TOT), to fund road repair and ease traffic congestion. With the lack of state funding for local transportation projects, local funding will be difficult to obtain. However, the city should heed the lessons of recently failed tax measures and continue to collaborate with residents on a sustainable path forward. In terms of future projects, the widening of the Novato Narrows is necessary to reduce the immense burden faced by our residents. While state funding is diminishing, our city is taking initiative in pushing for the project and while seeking additional funding by working with stakeholders and local elected officials. Finally, future planning projects concentrated in the core of the city need to strengthen pedestrian, bicycle and transit access and usability for residents. Page 3 What infill policies,do you think should be adopted in light of the Urban,Growth Boundary passed by the voters? Petaluma faces a tremendous shortage in housing stock, especially affordable housing units. While this problem is not unique to our city, we see the rising costs for tenants go up year after year. We should build within the city's core area, with a focus on transit orientated development. Increasing the housing availability not only helps working families and those needing affordable units living locally, but also all helps tenants and property owners. Infill development usually can be more adaptable to neighborhoods and be less of a burden than larger more expansive residential or commercial projects. Infill developments also generally offers better options to protect the environment and are more cost-effective. Overall, infill policies considered by the Planning Commission should also appreciate and consider the public health benefits provided by infill projects. Signature Date 5/8/17 Updated May 1, 2017 Page 4 City of Petaluma, California o City Board, Commission and Committee Application JW""J N N :r City Clerk's Office E _ z85$ 11 English Street • Petaluma; CA 94952 • 707.778.4360 •cityclerk@ci.petaluma(ca'us� E O U a Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill o 0) o0 completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's'' of Petaluma, I I English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this fc call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Heidi Bauer Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the ( appointed, do you want this address to be available to E-Mail`. If public?) the public?) 'Y'ES NO YES NO Do you live within the Petaluma City limits? If so, for how long? YES NO 14 years Are you a registered voter in Petaluma? If so, for how long? - YES -� NO 14 years Board, Commission, or Committee, of Interest If not appointed to your first choice, are you willing to serve on Note: To serve on the Senior Advisory Committee, you must be at least 55 years of; another City Board, Commission, or Committee? Please age. indicate ONE additional choice. AN Planning Commission Groundwater Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? YES NO YES 0 NO Present Employer. Air and Water Sciences, Petaluma, CA Job Title: Senior Project Manager/Hydrogeologist Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 1) City of Petaluma Parks and Recreation Department/ Commissioner/ -2010-2013, 2) SMART Station Citizens Advisory Committee/ Committee citizen advisor/2012-2013, 3) United States Coast Guard Reserve/Lieutenant (hazmat unit)/ 1995-2003. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 1) Mary Collins at Cherry Valley School PTA Vice President 2010-2012, 2) Mary Collins at Cherry Valley School Education Foundation/Webmaster/2012,2014, 3) Petaluma Youth Soccer League/Games and Tournaments/2012-2015, 4) McKinley PTA/ PACS liaison/2016-present, 4) Petaluma Parents Network, President/Founder 2008 - Present What Special Interests/Skills/Talents would you bring to this Board,; Commission, or Committee? I have been working in the environmental field for over 25 years performing environmental assedssments and reviews for various commercial, municipal, residential and industrial sites and projects. I have worked on a very wide array of environmental review projects as well as drinking water, groundwater and sotrmwater projects. Having someone with a thorough understanding of environmental issues reviewing complicated and technical documents for the City is a very valuable asset. I have the expertise and skills that will prove very useful when it comes to interpreting and reviewing environmental data, impacts and mitigations for projects within the City and relaying this information to the decision makers that can use them. Also, being a scientist (hydrogeologist) I look at projects analytically and rationally and can base my review on adherence to the General Plan, IZO and Petaluma specific policies and plans. Being able to separate sentiment from technical planning documents and regulations is a trained skill that will be useful when reviewing planning projects within City limits. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1) State University of New York at Stony Brook/BS in Geology/1993, 2) State University of New York at Stony Brook Marine Science Research Center Masters in Professional Studies (concentration in integrated waste management)/1993-1995. Special Awards or Recognition Received: 1) City of Bellport, EMT service recognition and response awards, 2) NYPIRG, community action award for Bottle Bill work, 3) US Coast Guard-special operations/merit awards. Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I would like to be a Planning Commissioner to effectively contribute to the intelligent and rational review of projects in Petaluma. Aft er living in Petaluma for 14 years it is the first place I have called home after the town where I grew up. 1 care about Petaluma, our residents and visitors. The projects we review and comment on can and do have a great impact on our community. Caring, ded ication and, not least importantly, competence should be qualities paramount to taking on the serious role of Planning Commissioner. The Planning Commission is the gateway to critically important decisions and I feel the commission needs a person on board with proficient environmental experience. The Planning Commission should be balanced with community members that can intelligently and skillfully review the technical documents presented to them and environmental review is among one of the mo re complex areas of expertise commissioners are asked to comprehend and opine on. Based on my devotion to Petaluma, my respectable standing in the community and as an environmental professional I feel I would be an excellent planning commissioner. I have always had a pull towards civic service, from my time as EMT with the volunteer fire and recue company to serving my cou ntry in the United States Coast Guard Reserves. I take my civic responsibility very seriously and am fortunate enough to have the skills and expertise that will prove to be very valuable to the Planning Commission. With the recent terming out of the only other e nvironmental professional on the Commission I feel that my application for this seat comes at a very opportune time for the City an d their esteemed leaders. 1 Is there any other information that you feel would be useful to the City Council in reviewing your application? Being an active participant in the community, especially among families with school age children, people in my sphere seem to see Are you associated with any Organization/Employment; that might be deemed a conflict of interest in performing your duties if appointed to this position? YES & NO If yes, please state name of Organization/Employment: N/A City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ® YES NO How did you hear about this opening? Friend Applicant's Signature Date — - Q... r A—_1 nr nn,� June 5, 2017 McvlDcld 11F.1111 L:J, LV I / . a L City of Petaluma, California Supplemental Questionnaire For JUN a 51, r8�$ Planning Commission Candidates Cl r .. 4,., 4k, rlAc,' —c 41— ("i+" /-'�orL 7 1 Fnr flch Qfr�f Pafrih imn C -'A 9d9.59 Name: Heidi Bauer Home address, City, State, Zip: Petaluma, CA 94952 Home Phone Work Phone: Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any of the following meetings? Planning Commission Orientation Session YES ❑✓ NO Date: Planning Commission Meeting zYES F�NO Date: Various What do you think qualifies you to serve on the Planning Commission? I have over 25 years of professional experience working in the environmental field. I have worked on hundreds of projects that require environmental review and assessment. The Planning Commission is a very important board serving the Council and the community and having someone experienced and knowledgeable with environmental issues on the board is critical to the Commission's effectiveness and success. I have worked with other municipalities advising their staff and boards on environmental projects affecting their communities, mitigations and decisions. If I can competently and professionally perform these functions for other municipalities and clients while getting paid for it, I can happily perform this function for my own hometown as a volunteer. Page 1 /(V 3 What do you see as the best solutions, both long and short term, for economic development in Petaluma? The City Council has done a very good job creating a thriving and robust community for businesses, residents and visitors alike. Petaluma is uniquely positioned to provide more business opportunities for tech, commercial, retail, tourism and also light industry. Long term economic goals would be to continue to approve infill development projects and increase use in our industrial areas and business parks. Short term economic goals might be to develop the area surrounding the SMART station and also build upon our unique river as a way to bolster tourism and add to our downtown vibrancy. Imagine yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? As I walk around downtown I see a town that is bustling, energetic and attracting people from all walks of life. The downtown district is clearly a place visitors and residents want to spend time and money in. I see thriving restaurants, successful shops and boutiques and places to walk and dine along the river. The outdoor areas are beautiful with tree lined sidewalks, healthy parks, artwork, music to enjoy and well preserved historic buildings. Continuing down this path with an increase in river use and implementation of the SMART Station Plan will surely create an even greater city for visitors to flock to. The General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan? The General Plan (Plan) is a guiding document, but like any guiding document, the Plan was not meant to be rigidly applied in all circumstances. The Plan was approved by the residents and our esteemed leaders of Petaluma and should be respected and upheld in most cases, but projects will arise that will not necessarily conform to the Plan. These projects will need to be looked at with the intent of the Plan in mind; much like that of our U.S. Constitution. If projects are brought before the Commission and comply with City zones and ordinances I feel that legitimate and rational reasons are necessary to reject a project but sometimes those reasons do exist. As a commissioner I will be logical and rational in my review, but also be flexible knowing that some projects may not be suitable for approval within the City limits. Page 2 The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? The Urban Growth Boundary has been a critical part of Petaluma being known as a great place to live,work and visit. Keeping suburban sprawl in check has been a crucial component of Petaluma's attraction. However, as we grow and attract more people and businesses we need to create more space for them. Keeping this in mind there are a few policies I would promote to accommodate new growth yet also maintain Petaluma's unique historic, cultural and physical components. These policies include: 1) 1 P-2: Use land efficiently by promoting infill development, at equal or higher density and intensity than surrounding uses, 2) 1 P-44: Develop the Petaluma River as a publicly accessible green ribbon, fronted by streets, paths, access points, and open spaces, by implementing the Petaluma River Access and Enhancement Plan within the context of the PRC Design Standards and 3) 2 P-14: Promote the development and intensification of the Downtown commercial core as both a visitor destination and a neighborhood retail center. I feel that promoting and bolstering these three policies would allow for growth in the right places while also maintaining and strengthening the assets unique to Petaluma. How would you address current and future flooding issues for Petaluma? To address future flooding issues in Petaluma I would support the establishment of a sustainable funding mechanism to have the River dredged at sustainable intervals. I would also continue to require new developments to maintain ample infiltration areas to allow for recharge of storm water into the groundwater recharge basins. The continued protection and maintenance of flood pathways, corridors, retention basins and neighborhood creeks and channels. I would also promote the maintenance of our storm water conveyance system including continued public education on the importance of keeping these areas clear so that they can function properly when needed. v would you address current and future traffic congestion in Petaluma? The two cross town connectors currently proposed would provide relief for travelers going over the Washington St. overpass. Other potential strategies would be to promote the development of east side neighborhood centers, athletic fields on the west side and the updating of large scale grocery stores on the west side. In addition, the continued installment of bike paths, especially in areas going to and from neighborhoods into secondary schools will aid in families keeping their children attending local schools thereby reducing cross-town traffic congestion. Page 3 1 Co -0 What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? Sustainable growth of Petaluma is critical to its success and vitality while at the same time maintaining the Urban Growth Boundary is sacred to most Petalumans. I would support more infill in the area around the SMART station, including multi story higher density use, and also on the vacant lots located in the downtown area. In addition, the main arterial corridors on Washington and Petaluma Blvd, can likely sustain additional mixed use growth with commercial opportunities encouraged to extend the downtown shopping and dining experiences. Other infill areas in Petaluma on the east andnorth sides could also be promoted while adding benefits to the neighboring communities and businesses. Signature Date June 5, 2017 Updated May 1, 2017 Page 4 Ap j85$ City of Petaluma, California City Board, Commission and Committee Application JU6"`l 7 2 ❑ City Clerk's Office 11 English Street • Petaluma, CA 94952 0 707.778.4360 • cityclerk@ci.petaluma.CC . Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tt completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pl the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Joe Castagnola 0 .N E E O U c O A u Home Address, City, State and Zip Code: Petaluma, Ca. 94954 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑ YES 1:1 NO 33 years Are you a registered voter in Petaluma? If so, for how long? ✓❑ YES ❑ NO 15 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission 709 Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑1 NO OYES ❑I NO Present Employer: Self employed. My company is called ReFi (Real Estate, Financial, & Insurance Services). My office is located at 133 1/2 Kentucky St. Job Title: Owner/Broker of Record Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Boys and Girls Club Basketball Coach. I think it was Spring 2005. Santa Rosa Junior College, Fitness and Wellness Certificate Program Advisor. Advisory Board Member. Spring 2012 - Spring 2015. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have lived in Petaluma my entire life and have had the privilege and pleasure to experience its community and growth. I am very interested in the history and the historic charm of Petaluma. I am highly organized with a deep attention to detail. I work well independently and as part of a team. I am very analytical and constantly find myself considering how today's decisions will affect future results. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Dominican University. Political Science. Fall 2002. Santa Rosa Junior College. Associates Degree in Liberal Arts. Spring 2005. Northwestern California University School of Law. Juris Doctorate awarded March, 2013. Special Awards of Recognition Received: Santa Rosa Junior College - Deans Honor Role. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Petaluma is a special place! As a citizen of Petaluma my entire life, I want to help the City to continue to develop in accordance with the Petaluma "General Plan" so that future generations can enjoy a wonderfully developed community. My objective is to help Petaluma to successfully maintain its small town charm and historic feel while allowing it to have the necessary growth to offer it's visitors and residents the benefits of a modern economy, innovation and development. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am registered to take the California Bar Exam in July, 2017. 1 have been licensed as a Real Estate Broker in California since 2007: #01726289. 1 am licensed as an Insurance Broker for both life insurance and property/casualty insurance in California: #OF33937. I am licensed with the National Mortgage Licensing System (NMLS) #1423995. The NMLS regulates mortgage brokers nationwide. For the past 7 years I have worked as a youth, high school, and NCAA football official. I am a Certified Personal Trainer and have worked for numerious Sonoma County health clubs. I will not be able to attend the July 25th meeting because I will be in Santa Clara taking the Bar Exam. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No. If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be Willing to abstain from voting if such conflict arises? ✓❑ YES ❑ NO How did you hear about this opening? cityof petal u ma. net Applicant's Signature Date May 9, 2017 a City of Petaluma, California Supplemental Questionnaire for Planning Commission Applicants Please return completed questionnaire along with your application to the Office of the City Clerk, I I English Street Petaluma, CA 94952. Name: Joe Castagnola Home address, City, State, Zip: Petaluma, Ca. 94954 Home Phone: Work Phone: Cell Phone Cell Phone: Email' Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any meetings of the Planning Commission? Yes No If so, date: What do you think qualifies you to serve on the Planning Commission? See attached. IWhat do you see as the best solutions, both long and short term, for economic development in Petaluma? I See attached. Imagine` yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? See attached. 2 The General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan?How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plant See attached. The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical 'growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? See attached. x'73 3 How would you address current and future flooding issues for Petaluma? l See attached. IHow would you address current and future traffic congestion in Petaluma? I See attached. What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? See attached. Signature Date AV May 4, 2017 5 What do you think qualifies you to serve on the Planning Commission? I possess the following qualities are beneficial to a Planning Commission member and would help me to serve in the capacity as a Planning Commission member: I am a very good listener and communicator. I can understand, appreciate, and learn from different points of view and different opinions. I believe that all opinions count and should be considered in the decision making process. In utilizing these opinions, I balance them with my personal experience, common sense, logic, and the facts. I am very analytical with a deep attention to detail. When making a decision, I want as much information as possible to consider the long and short term affects of that decision to ensure future success and avoid unintended consequences. I have lived in Petaluma my entire life, gone to school here, participated on numerous recreational sports teams, I have my office in Downtown, etc. I have a feel for what the City needs and what its residents and visitors want. My background in law, real estate, insurance, and the mortgage industry. I am able to make fair and open-minded decisions. I know what I don't know and I am always willing to learn, do more research, and/or to ask for assistance from someone who does know. I work well independently and as part of a Team. I look for ways to compromise and build consensus whenever possible. T'(0 What do you see as the best solutions, both long and short term, for economic development in Petaluma? Economic development in Petaluma is imperative and I see some of the best solutions for economic development in Petaluma as: Continuing to be a leader in, and growing Petaluma's environmentally friendly policies and energy uses. Increasing the labor participation rate. Increasing opportunities for, and awareness of, enhanced skill training programs at low or no cost to the individual. Attracting businesses to move to Petaluma into under developed areas, while keeping within the City Plan and infill policies. Attracting businesses (higher demand/profile) to existing retail and business spaces and driving traffic to shopping centers. Working with existing businesses to expand into existing office spaces and to bring additional jobs with them. The SMART TRAIN: The Smart Train has the potential to make travel much more convenient and could be helpful in attracting residents, businesses, commuting employees, tourism, and shoppers to the area. This should be taken advantage of by attracting businesses to the area, increasing affordable housing opportunities in the area, and by marketing local businesses and events. Sports Tournaments: We have a ridiculous amount of beautiful sports fields (WITH LIGHTS) that could be booked all day every day. Utilizing this would fill up hotels and drive traffic to restaurants and local businesses. Mid Level Hotel: People will come to visit Petaluma and stay in Rohnert Park because they can save $100 per night on their hotel room. Right now, the City seems to be missing a hotel in the mid range niche. Tourism: Continued development of the River District and restoration of old structures is important to increasing tourism. Certain things can be taken advantage of in any modern city. What you can't take advantage of everywhere is the beautiful history of this town, the river, and the countryside. Imagine yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? When walking through Petaluma, I see: A city that takes the environment seriously. A really neat renovation of the Petaluma Hotel. A Keller St. Parking Garage that needs help (graffiti, human feces, alcohol containers, general litter). Some challenges with homelessness. *The two points immediately above effect downtown directly which is one of the main places visitors to Petaluma will end up. Many shopping opportunities. Petaluma has done a fantastic job at creating two wonderful new shopping centers. Some older shopping centers could use some remodeling. For the population, over all, a pretty clean city. A city that takes pride in its downtown, history, and culture. /47-3 The General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan? I would interpret the Plan as a guiding document that is living, breathing, and growing with the City. All decisions need to be based on the Plan, applicable laws and regulations, and the current and future needs of the residents of Petaluma. It is important to find a balance between our wants and needs, while being cautious to ensure that our decisions today do not have negative unintended consequences tomorrow. If through balancing the interests of all parties it is determined that it would be in the best interest of the City and its residents to not approve a specific land use that is allowed in the Plan, I would support not approving that use. lqq The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? The growth management system and Urban Growth Boundary (UGB) are key. Standards must be maintained while balancing the current needs to the community, its members, the environment, and the long term future goals of Petaluma. In working towards these goals, I would promote policies to: Allow outward growth to projects serving a substantial and compelling need within the parameters of the UGB, and, when possible, require new development to have "historic charm" or "flare". Protect historic structures. Bring back some sort of river cruise/tour and restore the old wooden piers around the river ie. behind the Mill, etc. How would you address current and future flooding issues for Petaluma? When considering the reduction of flooding in Petaluma, I would look to the following: Protecting the wetlands. Strategically planting trees and bushes. Clearing and/or deepening culverts and creeks. Water harvesting for productive purposes. Utilizing the benefits of permeable pavement. Where possible, modifying construction and infrastructure so that it is above flood levels. Making sure that the Petaluma River is appropriately maintained. Planting green roofs. IT How would you address current and future traffic congestion in Petaluma? Reducing traffic and cars idling on the road is important for many reasons, one of which is the reduction of emissions. To reduce traffic congestion, I would suggest: More yellow left turn arrows everywhere (with exceptions). Left turn lane back up and block other lanes. Example Sonoma Mountain Parkway turning left into the Leghorn shopping center. "Dynamic Traffic Forecasting": Traffic control cameras are connected by fiber optics to a location monitored by a traffic agent in real time, allowing them to increase or reduce the frequency of green lights according to the traffic conditions. Areas to be addressed: East Washington and Copeland - Afternoon East Washington and Lakeville - Afternoon East Washington and North McDowell (left turn lane turning onto East Washington from North McDowell) - Afternoon/Evening Petaluma Blvd and East Washington - Morning * At the very least, the timing on lights needs to be adjusted accordingly. Lights around town change after letting two cars through and other lights a red, causing a back up, while the next light down is green with few or no cars moving through it. Subsequently, when the red light turns green, the green light ahead turns red. **Obviously the 3rd lane on 101 is a temporary fix, however not a solution. Mul What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? "Use land efficiently by promoting infill development, at equal or higher density and intensity than surrounding uses." (a quote from Petaluma's General Plan pg. 1-14) In following the guidance set out in the General Plan, infill polices that should be adopted are: Because we have limited areas to develop, we must consider areas of development for their highest and best use and how they relate to the current and future needs of the City. We must always consider the long term affects of our decisions to ensure future successes. AB 2406 — "Junior Accessory Dwelling Units". We should also continue development of "granny units". Abandoned, vacant, and undeveloped (or underdeveloped) areas inside the City should be evaluated for possible development/redevelopment and, if necessary, zoning changes. Where possible, existing structures can be used to reduce waste and maintain a historic look and feel. Environmental impacts should always be considered with a goal of having as little environmental impact as possible. Lakeville and other areas along the SMART Train tacks should be developed with the possibility of adding affordable housing/mix use/ live work spaces. Vas MW__ � R 9 City of Petaluma, California City Board, Commission and Committee Application MA Y 111 201 rs�a City Clerk's Office .0 C 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.cc.sTY s' Co F- (� E O Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the f O completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office U Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council- If you have questions about this form, pleo< the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. c Name: Gina Fabiano Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do -you want this numberto be available to the public?) ❑ YES WINO E -Mail: (If appointed, do you want this address to be available public?) Z YES ❑ NO Do you live within the Petaluma City limits? I If so, for how long? ❑&/ YES ❑ NO 2 years Are you a registered voter in Petaluma? I If so, for how long? ❑ YES WINO Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age, Two (2) members may be 18 or over. ONE additional choice. Planning Commission I Pedestrian and Bicycle Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? R✓ YES ❑ NO R✓ YES NO Present Employer: GM Fabiano Consulting Job Title: Self -Employed Business Development Professional assisting clients seeking to start a new endeavor or prepare for growth. Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Technology Advisory Committee July 2016 -Present Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Roosevelt Court Association: Voting Committee member of a historical landmarked neighborhood in Sunnyside Queens. 2005-2009. S unnyside United Neighborhood Network: Board Member; Event coordinator; marketing/website manager for neighborhood graffiti - removal organization. 2006- 2010. San Francisco Academy Orchestra: Founding Board Member of an classical performance and education program in San Francisco, CA. 1998-2002. Giant Steps, Volunteer 2014-2015 SERRA, Volunteer 2015 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? - Critial Thinker who understands the process of translating an idea to a reality. - Proven leader who can organize and motivate a team to successfully complete a goal. - Entrepreneur, self -motivated professional with expierence in the music and the arts. - Website develop ment/management; Social Media Campaigns; Marketing and communications (print and digital). kn 00 College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): San Francisco State University, San Francisco, CA B.M. in Flute Performance Golden Key Honor Society Member 2000 Baruch College, New York, NY Select Classes in Business Administration CREDITIED FALL 2005 The Foundation Center, New York, NY Prospect Research & Proposal Budgeting Association of Fundraising Professionals SRJC SPANISH 1 & 2 2016/2017 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives _you would be working toward as a member of this advisory body: As an active member of the community, I am interested in the growth and infrastructure of our city as it relates to the quality of life while maintaining its integrity as a historic town. My goal would be to offer sound advise and clear and rational perspectives to each project presented to the group. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am reliable, trustworthy and easy to communicate with. You can ask the current members of the Technology Advisory Committee to speak to my credentials. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Via email Applicant's Signature Date May 11, 2017 r , .►ter May 9, 2017 LU City of Petaluma, California r8$ Supplemental Questionnaire for Planning Commission Applicants Please return completed questionnaire along with your application to the Office of the City Clerk, 1 I English Street, Petaluma, CA 94952. Name: Gina Fabiano Home address, City, State, Zip: Petluma, CA 94952 Home Phone: Work Phone: Cell Phone: Email Please print or type your answers to the following questions and submit to the City Clerk's Office, You may submit additional sheets, if necessary, to complete your answers. Have you attended any meetings of the Planning Commission? Yes ❑✓ No If so, date: What do you think qualifies you to serve on the Planning Commission? I have served on community boards in conjested neighborhoods where we have worked together to identify ways to retain a sense of community and heritage while allowing for necessary growth. I am a logical and compassionate thinker and have strong problem solving skills. What do you see as the best solutions, both long and short term, for economic development in Petaluma? The best soution is to engage the community around potenital projects and together evaluate them on how they align with the guiding principals laid out by the local government. Planning and economic success can only happen with the buy - in of the local citizens who make up the customers and supporters of the businesses in the area. This is also true when evaluting the quality of life, accessibility and enjoyment impact on future projec ts. Imagine yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? I see a town divided. A historical downtown that thrives on local businesses and an over- run box store, middle- america section on the east side that feels completely out of touch with the charm and history of its downtown. That being said, it is the downtown historic charm and uniqueness that is the personality of the town and as such should remain that way. M, The. General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan? The flexibility comes in the form of support by the citizens that are impacted by the changes propose d. Every change has both positive and negative effects and evaluating these outcomes with thought ful and engaged process is necessary to ensure the quality of life people here have come to expect and participate in growing. The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? Ease the building codes of single story granny units. Build more community supported housing suc h as afforable apartments with commerce on the street level that supports the growing population an d of course, engage in multi- use projects that align with vibrant history of the area including the look and design to stay in keeping with the area. 1130 How would you address current and future flooding issues for Petaluma? I am not aware of any real issues and would have to know more in order to respond. How would you address current and future traffic congestion in Petaluma? Increasing mass transit options, widening the freeway and encouraging bicycing to work are three w ays to start. What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters2 I do not know enough about this issue to answer this question. Signature Date 6/12/2017 May 4, 2017 JUM 0 B 20171 QTY CLERK ,SALa 4 � City of Petaluma, Cal fornia City Board, Commission and Committee Application 1868 City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - citycierk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office City of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, please call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co. us. Name: John Terry Kosewic Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this numberto be available to the public?)public?J ❑ YES 7 N E -Mail: (If appointed, do you want this address to be available to the ❑✓ YES ❑ NO Do you live within the Petaluma City limits? It so, for how long? W1 YES . [:]NO 39 Years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 39 Years Board, Commission, or Committee, of Interest: Note: Nve(5) members of the Senior Advisory Committee, must be atleast 55 years of age; Two (2) members maybe 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission HCPC ...._._._..... Planning Commission Kosewic, Terry Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? 0✓ YES ONO ZYES NO Present Employer: lKozy Homes Job Title: Owner Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: SPARC 16 Years Total Planning Commission 2 Years HCPC 4 Years City Center Specific Plan Member 1985 General Plan Update Committee Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Heritage Homes of Petaluma - 39 Years; President, Vice President, Treasurer, At-Large, etc. over 28 years on the board. Knights of Columbus since 1992 - Charter Financial Secretary I've worked Karios 39, 46, 47, and 48 inside San Quentin. Current Officer in the VFW chapter 1929 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have studied old homes and construction for over 60 years, I can replicate almost any type of construction and/or trim, know the era of most styles of construction, and am very familiar with the Secretary of Interior's design guidelines. Have restored 5 of my own places back to their original grandeur. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): City College of San Francisco 1963 - 1966 (2 years active duty Navy 1966-1968, 1 year in country Vietnam) and 1968 to 1971 (126 units completed). Degrees in Construction. Technology and Architectural Technology (2 year degrees). San Francisco State 1971 to 1977 (102 units completed - no degree). Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: This board needs qualified individuals, and I feel that there are not too many people in Petaluma more qualified than myself. Heritage Homes was founded in 1967 to protect the architectural integrity, diversity, and historic significance of buildings throughout the city of Petaluma by promoting our history and educating the general public as to its necessity. I will do the same. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No. If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Fail Applicant's Signature Date 06/08/2017 May 9, 2017 .SA L Ud? a� City of Petaluma, California rare Supplemental Questionnaire for Planning Commission Applicants Please return completed questionnaire along with yourapplication to the Office of the City Clerk I I English Street, Petaluma, CA 94952. Name: (John) Terry Kosewic Home address, City, State, Zip: Petaluma, CA 94952 Home Phone: Work Phone: Cell Phone: Email: Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any meetings of the Planning Commission? ; Yes No If so, date; About a year ago What do you think qualifies you to serve on the Planning Commission? My greatest qualification is that I love this town. I want to do all that I can to continue to maintain its quality of life and preserve the Architectural Integrity of its Historic Districts and buildings, and I am a concerned resident . What sets me apart from other concerned citizens is my 39 -year history of continuous involvement. I joined Heritage Homes of Petaluma in 1978, when I was commuting to San Francisco everyday. I worked on the 1980 House tour committee, was elected to the board, and served as president of Heritage Homes from July 1981 to July 1983. As president, I attended meetings of the downtown association in discussing parking lots, and contributed to the forming of the first Butter & Eggs Day parade. I have been a Heritage Homes Board Member 23 of the last 39 years. I was involved with the proper planning concerns of the La Cumbra (Victoria) project in West Petaluma, which led to my involvement in the award wining 1987 Petaluma General Plan Update as a Transportation Committee Member. I ran for City Council in 1990, 1994 and 1996. 1 served on SPARC from January 1991 to July 1997, July 1999 to June 2001, May 2003 to 2005, June 2007 to August 2010. 1 was on the Planning Commission from July 2005 to June 2007, and Historic SPAR from Sept 2010 to 2015. 1 am a graduate of Leadership Petaluma. I was also involved as a member of The Central Petaluma Specific Plan Advisory Committee as a property owner. I have been in the construction trade for over 50 years, had owned Main Street Computer Store since it began in 1991 until I sold it in 2011. 1 have had the experience of working for many businesses, as well as running my own. I feel the City is like a business. One must have vision, commitment, courage to fight for what is right, the wisdom to admit when you are wrong, and the ability to change direction if you make a mistake. I also believe in personal property rights, feel it is important to be courteous, have common sense, and not micro manage planning projects. What do you see as the best solutions, both long and short term, for economic developmentinPetaluma? The immediate short-term needs would be to have city staff continue to become more business friendly. For most businesses time is money and we need to continue to do all we can to reduce the amount of red tape that business must go through in the permit process to be able to do the simplest of changes. Sometimes people seem to think nothing of bringing an applicant back for further review of recommended changes without giving them enough clear guidelines as to the changes they want. For the long term, I support the Chamber of Commerce's Mission Statement: "Support and improve a healthy business community in order to enhance the quality of life in the greater Petaluma area". The new business economic advisor is making great strides in accomplishing these things. I really like her little pamphlet "Start here for permit help"! Imagine yourself as a visitor to Petaluma. What do you see physically, economically; and environmentally as you walk around town? Physically: As I drive into Petaluma during the daytime, I canmhelp but notice all the trees. From the freeway I can see more green than houses or roads. The next thing 1 notice is the tall spires of the churches and tall silos of the grain elevators. This shows our historic relationship to God and agriculture. Then, as I drive down the Boulevard, I see a beautiful Old City with an important downtown core. The Downtown, its history, and The River is what makes Petaluma different than most other cities. The Downtown and the River needs to be protected and embraced to be kept alive. The downtown and the river are Petaluma's focal points. Economically: I no longer see a bedroom community where everyone has to commute to a distant city, but rather an almost fully self sustaining economy of Hi -Tech, small to medium sized manufacturing, a large service industry, and a fair amount of retail. Considering all the recent new apartment construction, I also see a very low residential and commercial vacancy rate, which shows us that Petaluma is a desirable place to live and work. Petaluma needs to promote itself as [business friendlyoand encourage more incubator style office/commercial buildings and mixed use buildings. Environmentally: The efforts of the PBAC are beginning to be seen with the development of more bicycle lanes and a more pedestrian friendly atmosphere. The increased number of trees along the roadways tends to slow traffic, in the parking lots they provide shade to keep the cars cooler, and altogether they help the atmosphere. The General Plan (Plan) is the guiding document and vision for the City. Now would you interpret the policies and goals articulated` in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan The 1987 General Plan was assembled by staff, a consultant, and input from five fifteen -member citizen committees. This plan is so complete because it is heavily based in residents opinions, needs, likes, and dislikes. The same is true for the 2005 GP. I view the guidelines and any other specific policy direction given it by the City Council, as the foundation that the planning commission needs to follow. The General Plan goes beyond simple "land use," and attempts to maintain the current quality of life. I believe that the General Plan should be followed as closely as possible, and if a proven problem arises from a particular use that cannot be mitigated, I believe the General Plan should be interpreted in a more restrictive rather than in a liberal manner. As a member of the 1985 transportation subcommittee, I participated in adding specific goals to the previous General Plan, such as requesting zoning for spot commercial in larger subdivisions, so it would not be necessary to drive to a major shopping center when the TV commercial asks the question "Got milk? . The Old G&G shopping center (now Safeway) in the Corona -Ely Specific Plan is a good example, but I think it was too little too late. I believe in some flexibility, keeping in mind personal property rights, what was zoned first, and how the proposed use/building will affect the surrounding environment, but the planning commission is not a policy making body. Policy making is up to the City Council. Therefore minor changes in implementation have to be taken on a case by case basis. The growth management system has been an element of the development, process in Petaluma since 1972,; and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during ,the next decade or so, what two - or three policies and programs would you promote to protect the historic, cultural, and; physical aspects of. Petaluma? I will work to promote and improve "pedestrian friendly" architecture, landscaping, and pathways throughout all of Petaluma. I will also work to update the guidelines that preserve the architectural and historic integrity of our city, especially when it comes to new methods and materials that look like original but outlast the original with less maintenance (eg. smooth fiberglass doors on Southern Facing walls). I will also carefully look at infill projects and see how an increased density will impact the infrastructure. I will do whatever is necessary to promote the well being of Petaluma. Remember, its not just one thing that gives Petaluma its quality of life, its all of us working together and building community that makes Petaluma what it is today. How would you address current and future flooding issues for Petaluma? By maintaining the current Army Corps of Engineers Master Flood Control guidelines, and keeping them current with FEMA's latest figures. I would also make sure that any development required to have zero net fill maintains a true zero net fill policy. How would you address current and future traffic congestion in Petaluma? By maintaining traffic models with all the latest data, and then VERIFING that the model works, not just assuming it works as is the case with East West traffic signal at E Washington and the Blvd in mid afternoon when traffic backs up for blocks because the signals are very poorly timed. By increasing accessibility to mass transportation (eg SMART), bike paths, more spot commercial areas, and more live / work areas so that you can walk to work (such as the Basin Street theater project). What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? Proper planning of multistory opportunities, mixed use commercial/residential buildings, "granny units", and access to all that the code allows. Signature Date L 4 06/08/2017 May 4, 2017 al 5 City Board, Commission and Committee Application C �� o 'p City Cierk's OfficeLn _ O I English Street o Petaluma, CA 94952 a 707,778.4360 e ci#yclerk@ci.pefalurna.ca.us � E U lnsfrucfions_ J.lse thrs form to apply-#> serve on any of fhe CiJy of Petalum0, Calrf0Mia'sBOOF'ds, Corxxmissfons or Cor �rnittees. Please fill aur the for+ p completely. lF a question does not GPPJy, type or write NIA in the space provided. When compteted please forward to the City Clerk's Office Ci U O Pefalurna. l 1 Engsh Street, f et4aJuM0, CA 94952. Alt appticci ons are reviewed by the City Councrr, if you have q ues Ponsabouf this form. please � 0)fi The City G1erk's Of€ice of 707.778.4360 or e-mail us at cityclerk@cr.petafurnC.ca.us. � r2 D Dome: a. ar-M- arz 3 Home Andress, City, State end 11'p Cade. uma, CA 94952 phor;e: (lf appcinfed, do you vranf fHs num bar fo be avav abbe to the pe.blic?f YDS FV] NO ISO you 1i -e Within the Petaluma CrtY t1mits? 0 YES ONO Are you a fegristered voter in Petaluma? 21 YES EINO ftardr Commission, or CarnrTittee, of Interest: Note, Five(S) m embers of -the Senlar Advisory* Commiifee, must be of le0sf 35 years -of age: Two {2j -members may be 1.8 or over. Commission E -M an. [tf appointed, ,do you wart this address to be avuPiabte to public?j ��`'�., YDS El NO It so, For how Bang? nce 2000 if so, for how tong? ince 2000 If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Commission c�L.l. a#it A neareelDate5_ t,olleger rruressiuFiui, � -- ,.�r,.e...�__ . -,- ---.-- � - ---] Southern Methodist University !A Economics'88 I Special Awards of Recognition Peceive&. Please state reasons why you want -to become a member of this Board,-ComTsBssion, or Committee, including what specific objectives yo u would be working toward as a member of this advisory -body: 1 wish to continue serving the Flanning Commission and help our community grow res�or3sibty 3 Is there any other intonna ion that you Feei would be- useful 10 the City Council in reviewing your oppli'ccfrion? i i May 9,-X}17 Supplemental Questionnaire for Planning Commission Applicants Please return completed questionnaire glang with your application to the COfflce of the City Clerk, I I English Street, Petaluma, CA 94952, Name; Woire address, City, 5fatQ, Zip;' etaiums, CA 94952 x Home Phone: ' Woik . F'hane: CeII Flione;' , - -- rrlc7ii Please print or type your answers W the following questions qnd submit to the City Clerk's Office. You moy submit additional sheets, if necessary. to complete your answers, Havo yow cttfendod'crny;metings'.6f ife �SGr7riirl; •' ja jj Yes No if so, date - --- , �� . •. Whit do you thinklualifios Yo,�,i�to'�af't It tl I?lcinni.rj 'Gc7mtrmissior) My business acumen ;•'h Ipnq dnd,,shor}.'tei�r�f;•fQr•e'c.o n c,dvfopnorlY in O.Unla Whq} do you sp.o 6$"f h6 bpst'solutiprl$,:l�C�fi rkespons-ii-ble growthwithin the parameters of the General Plan is the key to the future viability of aluma. The City needs to improve its financial position to better serve our population and help d infrastructure projects. Imq€�in�a yo�f5ifi'r�s'a visitrar'to Whp# dis,.4u sed physfc'pffy,.ect�norriially c�nGi• �flvirorimentdSly �i5 ypu walk a,-p.und, twn Ax,t K of z�j, vovuks , a. �iw e CRY." OW. Yi!ould Yc�u:lnt�rj?r�t,ih Cl gals'artiulcrted:in the 010 gold in,;dcGu.rnnt'anl vision for th The Generai,Plan (Plan) is th' s i'd1 i ,land uses t6d:i d irpi0n. hlciw:flexlbl would ydu be ctri:c9 wo lci,you.fe�l cC�mfortpl le n6l c p}�r ying �, r the Pisan'?' V,,� i,,� -2�.� �.�..s� ate. ��d�..�,..-9� �'�►..� V>V,t-t IkAj jj, - S The growth, managprrient'system has.bpen, cm element, :of.'the sim-6- 1972. send or) Urbon,'Growth aour�dary'.wcaS.,Qdppte, in, #� control th�'�hysical,gra4vth of Petaluma.' Withthese two malar poiicies in.mind, and �ive6'the prc,s$�ra fs�r, rr�4i�� rowtri during tide riaxt:d�cCl.c .or so; what fwo or ,three 'p:alicies, and prd: rpms wotali i yvu'.:prarnofiq, tp. prote,,cfi the 'hlsroric';' Cultural,. and phYsic�il aspects of Petaluma? r e r r How wauld you addres..s purroht.and::fut6!, fpr Reta;urria?, s How'w.C�ulci you address:mront.cand, fuiUret'rcaffia;rgn t�s,tic�rti l►i Fptr lura ?, ( v c u4 qqf it � � r ,rte �.; � � �-�►�-� �, CA7 &C. rem ! a( WA y a,dpteci in What infill polldes.da 4u thin s ioule(k e: igh'Lgf tl;_: Urban growth � uiic#Qiy j�asse�l ley the .vc�fprs . clA 4c V\,\ %-AN . O rvAu" C w -k � C�&k.& gA,\.t -:�,MNAA� , tV� a, V)O-*AT X -k � le; Q ,j o e,,� Signature: .Date May 4, 2017 6_� City of Petaluma, California r g, $ v .0 0 City Board, Commission and Committee Application �' H X85$ City Clerk's Office p 11 English Street - Petaluma, CA 94952 - 707.778.4360 • cityclerk@cip-talur —(a -c, '", us o = U Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the i 0 completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office', Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, plea; the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petalumo.ca.us. Name: Houston Porter Home Address, City, State and Zip Code: Petaluma, CA 94952 1 1 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (if appointed, do you want this address to be available to the public?) ❑ YES ❑✓ NO Do you live within the Petaluma City limits? If so, for how long? 0 YES ❑ NO [10 years (I grew up in Penngrove and attended PHS) Are you a registered voter in Petaluma? If so, for how long? 0 YES ❑ NO 1 10 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory committee, must be at least 55 years of age, Two (2) members may be IS or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ✓1 YES NO WIYES NO Present Employer: Mendocino County District Attorney, Freelance Writer (Petaluma Argus -Courier, Historic Downtown Life, Sonoma County Gazette) Job Title: Deputy District Attorney, Writer Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Petaluma Youth Commission - August 2013 - July 2015 Marin County District Attorney's Office - legal intern - May 2012 - May 2013 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Museum Association - 2015-2016 - Board of Directors City of Petaluma - Petaluma Youth Commission - 2013-2015 - Adult member Cinnabar Theater - Board of Directors - 2009-2012 - various positions including President of the Board Although not holding any official positions, 1 have volunteered for numerous non-profit organizations throughout Petaluma and Marin What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? have a long and diverse work and volunteer history both in Petaluma and outside the area. have extensive experience in public speaking as well as in organizing, participating in, and running committee style meetings. l have managed staffs of 75+ paid employees and 300+ volunteer employees. 1 am pragmatic, always concentrating my efforts on finding solutions to a problem_ I never jump directly to rejecting an idea, no matter how far fetched it may seem, instead first asking, "Is this good for the city?" and if so, "How can we make it happen?" Skepticism certainly has its place, but negativity has never solved a College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Golden Gate University - School of Law (GGU): 2010-2013 (JD - Specialization in Litigation and Real Estate Law) San Francisco State University: 1996-1998 (Bachelor in Economics & International Business) City College of San Francisco: 1993-1996 Santa Rosa Junior College: 1988-1993 Special Awards of Recognition Received: Marin County Board of Supervisors - Accommodation Sonoma County Community Foundation - Hon. Gayle Guynup Scholar GGU - Award for Most Significant Contribution to the Litigation Center Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Planning Commission - I have a background in real estate and construction, both locally and nationally. I have an eye for details and can often spot and address issues before they become a bigger problem. I'm not afraid to admit when I don't know something and relish opportunities to educate myself on unfamiliar issues. I have built within the city limits and am familiar with the many development issues we face as Petaluma looks to meet new housing demands. Having been both a renter and a property manager in Petaluma, I am acutely aware of the challenges faces by all parties. I am as much at ease asking the hard questions of developers as I am explaining the realities of development (and redevelopment) to those who against the idea. Having grown up, and spending most of my life here in Petaluma, I know a lot of the business owners, as well as a good number of the Is there any other information that you feel would be useful to the City Council in reviewing your application? I believe that everyone can be part of any solution. There does not have to be "sides." Deep down, we are all concerned about Petaluma's well being and so for that reason, I will always listen with an open mind to opposing views. 1� Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Fellow community member Applicant's Signature Date June 7, 2017 May 9, 2017 City of Petaluma, California Supplemental Questionnaire For rs�a Planning Commission Candidates Parsee return cmmn1Pfi-d nuestionnoire to the office of the City Clerk. 1 1 English Street, Petaluma, CA 94952 Name: Houston Porter .Home address, City, State, Zip: Petaluma, CA 94952 Home Phone: Work Phone: same Please print or type your answers to the following questions and submit to the City Clerk's Office. You may submit additional sheets, if necessary, to complete your answers. Have you attended any of the following meetings? Planning Commission Orientation Session ZYES NO Date: I can't recall. Planning Commission Meeting Z YES ❑ NO Date: Years ago, I attended or watch them on TV regularly. What do you think qualifies you to serve on the Planning Commission? I am qualified to serve on the Planning Commission because I am committed to this committee, and not only have a diverse employment and volunteer background, but appreciate both the big and small picture. I also feel it is important that we keep an eye on some of the Governor's current proposals, because his office is looking to strip localities of some of our power and oversight when reviewing building projects. If we want to keep Petaluma from expanding too quickly and/or in ways that would be adverse to our sense of community, we must be vigilant to keep the power of development approval local. I have a background in real estate, construction, development, logistics, and resource management, having grown up and worked for my parents, who were a contractor and a real estate broker. As a renter and a property manager, I also have an understanding of Petaluma's housing challenges, as well as unique insight into the issue of balancing affordable housing with a property owner's constitutional rights against government takings. I also earned a specialization certificate in Real Estate Law while getting my law degree, so am familiar with some of the legal issues related to real estate, development, and tenant rights. Page 1 owl 6 What do you see as the best solutions, both long and short term, for economic development in Petaluma? I see transportation management, urban infill, and permit expedition as three key components to Petaluma's future, and the future enjoyment of those that already live here. Parking, traffic management, and mass transit will be of the utmost importance as we move forward with both long and short term economic goals. We need to make it as convenient as possible for both locals and visitors to enjoy all that our city has to offer, whether for business, pleasure, or just day to day life. We also need to address the growing need for affordable housing. Far too many of Petaluma's employees cannot afford to live locally, which not only adds to our already congested traffic, but is driving up costs of both goods and services, There are many options available, such loosening restrictions on granny units and on converting single family homes in order to allow more housing options. Finally, we need to work on either approving or disapproving building projects faster. Delays in approvals often has the same effect as an outright denial because delayed housing availability often drives those who are presently looking to look in cities elsewhere. Imagine yourself as a visitor to Petaluma. What do you see physically, economically, and environmentally as you walk around town? I always try to think like a visitor to Petaluma, whether shopping, dining, visiting family and/or friends, or just walking downtown to enjoy the town. Although I live here, I am constantly thinking about how we can improve the Petaluma experience for visitors, without placing an undue burden on our residence. I have visited world-class cities around the globe and am constantly looking at them with a Petalumic eye. Many of my wife and my conversations while enjoying a new city revolve, around what they are doing different than Petaluma, what they could learn from us, and what we could learn from them. Every place is unique, and there is rarely a "one size fits all solution" but there are some universal concerns, no matter where you live. Those usually involve quality of life, and often pit locals against development and tourism. I have seen many cities strike a balance between these issues and would like bring these experiences to the Petaluma Planning Commission. The General Plan (Plan) is the guiding document and vision for the City. How would you interpret the policies and goals articulated in the plan? How flexible would you be and would you feel comfortable not approving specific land uses allowed in the Plan? The General Plan was meant to guide us into the future. But those that designed the plan could not anticipate everything, so like with most "plans" I think it should be a living, breathing document, that can meander from its primary course, when need be, while still heading the same original direction. That being said, where clear, I would lean towards the original intent and interpret the policies strictly. With a plan that well thought out, deviation should not be easy, and should be thoroughly analyzed. If change is needed, then the Plan would need to be changed. I do not believe it is the Commissioner's job to force their personal. preferences. At the same time, the economy is ever changing and we need to be open to new ideas. We need to consider all the options, weight the costs and the benefits, listen to public's opinions, and then come to the best decision for the benefit of the city as a whole, as well as its current and future businesses and residents. Page 2 Q_/ W The growth management system has been an element of the development process in Petaluma since 1972, and an Urban Growth Boundary was adopted in 1998 to control the physical growth of Petaluma. With these two major policies in mind, and given the pressure for ongoing growth during the next decade or so, what two or three policies and programs would you promote to protect the historic, cultural, and physical aspects of Petaluma? I think urban infill will be key to not only meeting the current and future housing demands but also to help alleviate traffic issues. Although it has only been moderately successful so far, I think there are many areas of improvement, which can be gleaned from other cities which have had successful urban infill programs and policies. Working with organizations like Pep Housing in order to create affordable senior housing is a step in the right direction. I also feel that working with the city to encourage more granny, and single family home conversions to multi -unit complexes could help achieve the dual goal of allowing our aging population to remain in Petaluma, while creating access to already built housing space. It is also important to keep development along our major corridors to help with traffic, as well as retain our historic assets by encouraging business to consider occupying historic structures in an effort to fill vacancies, as well as give the city a more inclusive feel. Lastly, new development should strive to reflect the history that made Petaluma what it is today. People both visit and move to Petaluma to live and work, in large part because we have a storied past, and our unique architecture, our community involvement, and our philosophy toward local businesses. When we allow non -conforming projects, we lose some of the charm that Petaluma is known for. How would you address current and future flooding issues for Petaluma? As a member of the Petaluma Yacht Club, as well as regular volunteer and supporter of several of the other river based non -profits, I am c6nstantly receiving updates concerning our river. As a river user, I also understand the difference between the fields alongside Stony Point flooding during a stormy high tide, and flooding of residential and commercial areas. So, although it is always a concern, flooding does not appear to be as big an issue these days as getting our river dredge. Not only will dredging help alleviate future flooding issues, but will also help bring more recreation to the river, which is Petaluma largest, yet least used park. That being said, we should continue to work with both public and private entities to make sure that as we grow, we don't become complacent. Being a river town means that flooding should always be a concern. And we should work with developers to help fund dredging and flood control projects, especially if they are asking to build in known flood zones. How would you address current and future traffic congestion in Petaluma? Better parking downtown and at least one more freeway overpass would certainly help. I have several ideas of places where parking can be added, as well as how future developments can help increase parking. Page 3 What infill policies do you think should be adopted in light of the Urban Growth Boundary passed by the voters? Infill has been highly successful in recent years throughout the United States, and for centuries throughout the world. There are many models that we should look at but should look at each project and consider its merits before deciding how best to proceed. One size does not fit all. At the same time, we need to keep an eye on the general direction we want to head, and make sure that when we average out all the projects in their space, and across time, we do what is best for Petaluma's future, while retaining its heritage. As mentioned elsewhere, allowing more granny units, as well as allowing people, especially the elderly, to modify their homes in order to offer affordable housing to others, could have many benefits, if done right. When done right, it not only solves housing and transportation issues, but leads a city to feel a lot more like a community. Petaluma already has the community feel so now we have to simply help nurture new projects in a direction that is not only efficient, but is effective at reaching its goals while retain and promoting our community. Signature Date f June 8, 2017 Revised June 1, 2005 Three Vacancies: • One Vacancy for a Four -Year Term as the Representative from the Petaluma Arts Council, Expiring June 30, 2021 • Two Vacancies for Full Four -Year Terms Expiring June 30, 2021 p, L City of Petaluma, California _ City Board, Commission and Committee Application Y 2 4 2:° t X85$ City Clerk's Office _ 1 1 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.c.�s C Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi( 0 Petaluma, I I English Street, Petaluma, CA 94952. All'applications are reviewed by the City Council. If you have questions about this form, plE u = the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Q Q Name: U l �— Sc Home Address, City, State and Zip Code: Phone: (If appointed do you want this number to be available to E -Mail: (If appointed, do you want this address to be available' the public?) public?) ❑ YES NO YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? YES ❑ NO Are you a registered voter in Petaluma? I if so, for how long? \AJYES ❑ NO Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age; Two (2) members may be 18 or over. ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ® YES NO ® YES NO Present Employer: Job Title: F C4 Piz (t, . Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Lid, L y�n q 9 p a Veal �p f College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): "5.'s ve Iw,& aa Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: V41 4, -4-1 ce Is there any other information that you feel would be useful to the City Council in reviewing your application? '-T f f Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? '° U If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Fm Applicant's Signature Date May 9, 2017 Kit Anderson Petaluma, CA Creative, proactive, and results -focused professional with 23 years of experience in product development, design, and quality assurance of apparel within highly competitive environments. Demonstrate strong command in all aspects of product development spanning from design to commercialization, which include materials, trim sourcing, costing, negotiation, lab dips, design, and fittings. Employ hands-on and cross -functional leadership style, with proven success in ensuring well -organized, high-quality and on-time delivery of products. Experience GMPC/econscious Petaluma, CA Product Development/Production Manager Oversee Development and production of Private Label Apparel . and Accessories for multiple accounts Im Create CADs and tech packs ® Manage product quality and cost from design inception to production, Adhere to customer timelines and target FOBS ® Source, Cost, Sample and Produce with dozens of factories overseas and domestically Manage POs, Packaging, Customer Compliance and Delivery of Goods Social Media Management and Curation for sustainable brand Accounts include: Marmot, Pure Fishing, Johnnie -O, Royal Robbins, Duluth Trading, econscious, Pearl Izumi, Mountain Khakis, CamelBak, Neve, Toad & Co, Fitbit SimplyShe San Francisco, CA Design Manager ® Accessory, Apparel, Textile and Graphic Design Management Mechanicals / Planograms / Lab Dip & Prototype Approval Oversaw new product from inception to production maintaining target FOBS and company standards * Technical Design Department Manager/ Spec Packs (China Production) Managed Team of 3 * Customers include: Walmart, Target Icelandic Design Longmont, CO Design Director ® Line Research and Design, Color Trending and Palette Design ® Fully Fashioned Knits/ Cut & Sew Knits/ Engineered Jacquards rA Tech Packs/ Embellishments/ Embroideries/ Prints ® Prototype & Lab Dip Approval / Line Presentation ® Nepali (wool) and Peruvian (alpaca) knitter and artisan program Catalog Design & Production/ Photography Art Direction/ 1 aaq Packaging/ Trade Show Booth Design and Signage/ Social Media ® Managed Team of 5 : Apparel and Technical Designers * Oversaw new product from inception to production maintaining target FOBS and company standards (China, Nepal & Peru Production) Customers Include: Gumps, Nordstrom, Sundance, TravelSmith Maharishi Ayurveda Products Colorado Springs, CO Product Developer Line Research and Design, Color Trending and Palette Design Apparel, Accessory, Textile and Graphic Design/ Art Direction M Organic Cotton Certification ® Oversaw new product from inception to production maintaining target FOBs and company standards (India Production) Tech Packs, Prototype & Lab Dip Approval m Line Presentation/ Marketing/ Catalog Layouts/ Packaging Fang Los Angeles, CA >, Graphic/ Textile Designer Im Screenprints, Embroideries, Prints & Presentation Customers Include: Macy's, Nordstrom Strategic Partners Los Angeles, CA Freelance Textile .Designer ® Licensed Character Prints (WB, Disney, Hanna Barbera) w Customers Include: Cherokee BEPC Los Angeles, CA Contract Designer ® Textile Design, Embellishments, Embroideries Im Flat/ Technical sketching ® Customers include: Toy R Us, Babies R Us, Chico's Paris Blues Los Angeles, CA Art Director ® Apparel & Textile design ® Screen Prints/ Embroidery/ Hardware/ Embellishments ® Flat Sketches/ Presentation Boards/ Press Kits/ Packaging/ Trade Show Booth Design and Signage ® Website and Web Store Design/ Management ® Managed a Team of 4: CAD Artists and Warehouse Personnel (for order fulfilment) o Customers Include: Macy's, Nordstrom, JC Penney Kellwood Los Angeles, CA CAD Artist 2 * Embroidery, Prints, Screenprints & Presentation Flats/ Website Design/ Corporate Identity/ Packaging Customers Include: Macy's, i\lordstrom, JC Penney SF City Lights San Francisco, CA Assistant Designer Responsible for all color R & D (Garment Dye) * Catalog Design and production Flat Sketching, Advertising, Screen Prints ® Sample Line Production/ Color Cards One Step Up New York, NY Assistant Designer * Color Boards/ Color Cards/ Trend Boards/ Packaging Textile Design, Technical Sketching & Sales Presentation Software Illustrator Colour Matters Excel (Expert Level) InDesign Color'in/ U4ia Word Photoshop Prima Vision LightRoom Dream Weaver Multiple EDI PowerPoint University of Colorado Colorado Springs, CO m Art History/Pre-Law Fashion Institute of Technology NYC, NY ® Fashion Design, Graduated Cum Laude FIDM San Francisco, CA m Fashion Design 3 ,p,.L a a City of Petaluma, California City Board, Commission and Committee Application I85$ City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us E O Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fc E completely. If a question does notapply, O qtype or write N/A in the space provided. When completed, please forward to the City Clerk's Office ( () p Petaluma, i i English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pleasE C the City Clerk's Office'at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Q U E Name: 'v, � Margaret Cusimano (Megan) U Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? Z YES ❑ NO 5 years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 5 years Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music and Parks Commission Public Art Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES Z NO DYES Z NO Present Employer: N/A Job Title: Stay at home mother Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N/A Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Mothers' Club, treasurer 2014-2016, President 2016 -present SPARK San Francisco, member 2003-2014 Junior League of San Francisco, member 2005-2014 Twin Cities Healthy Kids Coalition, core committee member 2011- 2014 Beyond Differences, board member 2011-2016 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Forward thinker Organized Efficient Communicator Problem Solver It College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 2007-2008 San Francisco State University San Francisco, CA Masters and Credential in Education Administration 2004-2005 Fresno University Fresno, CA Technology Credential Special Awards of Recognition Received: N/A Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: As a mother of four children in this community, I am very dedicated to the parks and activities that we, as a city, provide for our families. My children and I frequent many parks in Petaluma and have found them to be wonderful entertainment for children and adults alike. We are so fortunate to have so much variety in what the city offeres to our population. As the president of the Petaluma Mothers' Club, I am well connected and attuned to the parent population of children 0-5. 1 would be humbled to have the opportunity to sit on the Recreation, Music and Parks Commission. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your du#ies if appointed to thisposition? N/A If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ✓❑ YES ❑ NO How did you hear about this opening? Sara Sass Applicant's Signature Date Margaret Cusimano 6/7/17 May 9, 2017 1� City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office I I English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma FJ ' fil� At Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's OfficE Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plec the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: E 0 Diane Dragone Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 2 years Are you a registered voter in Petaluma? If so, for how long? ✓❑ YES ❑ NO 2 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Art Recreation, Music & Parks Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously?. R1 YES NO E]YES NO Present Employer: Cinnabar Theater Job Title: Executive Director Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: No Elected Office Voted Valedictorian of current Leadership Petaluma Class (Graduation June 2017) Served on Economic Development Board in Reno, Nevada 2006 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Oakland Interfaith Gospel Choir, Board of Directors, Marketing Committee 2011-2013 KDFC Classical Radio (nonprofit organization) - Development/Fundraising Committee 2014 Living Jazz - Nonprofit Arts Organ. Annual Martin Luther King Celebration - Marketing & Fundraising Committee 2009-2013 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Music is my passion, I have been in the music and entertainment industry throughout my entire career. Creating exciting and meaningful programs, concerts, festivals and events is my forte. I excel at outreach and partnerships; connecting people with other people and organizations; and the opportunity to venture into new things together. I have many contacts w/i the industry. Adept at developing and nurturing teams; creating & managing program, marketing, fundraising budgets. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of San Francisco - Masters Nonprofit Administration Hunter College, New York - Liberal Arts Special Awards of Recognition Received: Began the Classical Music Month initiative and received special Proclamation from President Clinton 2002 Started a Music store and grew it to 4 stores, Voted Best Music Store for 3 years in San Francisco Started first Jazz/Cabaret (American Songbook) music series in Reno, NV and grew it to a monthly event. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am extremely active in the Arts Community of Petaluma and serving on this Commission would be a natural extension of that. As Petaluma grows in population, so too, must the cultural arts and music offerings. The richer the cultural arts in an area, the more attractive Petaluma will be to those desiring to move to the North Bay. I am interested in expanding the Artistic Offerings and raising the bar on what is already being offered. Petaluma is the only major city in Sonoma County that doesn't have a Performing Arts Center. This would be a project worth pursuing as there are many arts organizations that do not have a performing space. Is there any other information that you feel would be useful to the City Council in reviewing your application? I have been working with the SR Junior College, Petaluma Campus and I believe that there could be an opportunity to work with them o further arts offerings in the City. That campus is very underutilized. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this IIposition? !v� If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? Er YES ❑ NO How`` did you hear about this opening? I� Applicant's Signature Date d3 May 9, 2017 C6 �p,LU City of Petaluma, California City Board, Commission and Committee Application � .�>— �86$ City Clerk's Office } a 11 English Street - Petaluma, CA 94952 - 707.778.4360 • cityclerk@ci.petaluma.ca.us E 0 0 c Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out 1 U +- N completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of Q Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, p v the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Q Name: David Duskin Home Address, City, State and Zip Code: Petaluma, CA, 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑YES ❑✓ NO l Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO N e Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Art Committee No Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? RI YES 1:1 NO EYES RI NO Present Employer: Self Employed at Running with Sticks, and Academy of Art University Job Title: Owner at Running with Sticks, Professor at Academy of Art University Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: none Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: none What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have been making a living as a full time sculptor for 19 years. I have extensive public art experience and am active in the field. For the past 10 years I have taught one day a week at Academy of Art University. Site Specific Public Art, the Thesis Course for graduate students, and Sculpture 3 (an advance mixed media course) for under grads. I have an excellent design sense, good communication skills, and I get along well with others. I am also organized and passionate. 11 College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of California, Santa Cruz, New College B.A. double major in English Lit. and Fine Art,Sculpture Academy of Art University- M.F.A. (Master of Fine Arts) in Sculpture Special Awards of Recognition Received: Hilp Award, Niche Award Finalist, Utrecht Award Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I want to see more successful, public art in Petaluma. I also want to make sure it is done very well. As a public artist I understand the process and its challenges. As a teacher, I know how to help people realize their best work. I believe that with this skillset I am well positioned to help Petaluma's public art program thrive. Is there any other information that you feel would be useful to the City Council in reviewing your application? pt4 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? to No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? I have been going to committee meetings for the last year or so Applicant's Signature Date David Duskin June 7, 2017 May 9, 2017 �ALU�V a City of Petaluma, California _ City Board, Commission and Committee Application APR 2 4 City Clerk's Office 1 1 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petalumaa Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill oui completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's C of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this forr call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: �,-'ai b7al , Ca q 4a 0 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES [E� NO Do you live within the Petaluma City limits? F Ti YES ❑ NO Are you a registered voter in Petaluma? YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑ YES ❑ NO r I'lf so, for how long? vp Y-5 If so, for how long? 1 Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate one additional choice. S I I I l J rr irn N �� Have you attended a meeting of this Or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? Q YES ❑ NO ❑ YES 2 NO Present Employer: re�-rL' c�, ' Tire, i,(-nPt) M r Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N4 Z- Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 0F C'Q, 1 -n! � "3 (5 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I cl'ct n crrf 471 vi, ri ['4'1Z (Ty., '5 rn V� Pn College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): &-�- lq�q- M4 15-ri gw) rY-? 5 -TT- 6nA, pr� JYQfY\ 11--� 8 Special Awards or Recognition Received: fel vo Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: Oh'A 7) -2 'V4 Cvrn rnT( I/ri ip— wckt� S Ig si, es Y -12:5j rVt I Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES LJ NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ® YES ❑ NO How did you hear about this opening? El�-O�Pivag, ctl-v ua*3t�� Applicant's Signature l A Date Kevisea ,vpni i i, zu i i. 2 17, (D City of Petaluma, California (D City Board, Commission and Committee L Application _+_ 4- t 0 City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca-us 0 U U Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. please fill out the farm completely. If a question does not apply, type or write NIA in the space provided. When completed, please forward to the City Clerk's Office City < Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, please cal U the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Caroline Hall Home Address, City, State and Zip Code: Petaluma, CA 94592 Phone: (tf appointed, do you want this number to be available to E -Mail: (if appointed, do you want this address to be available to the the public?) 0 YES 21 NO public?) F7 YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? R1 YES ONO 110 years Are you a registered voter In Petaluma? If so, for how long? 0 YES ONO [107years Board, Commission, or Committee, of Interest. If not appointed to your first choice, are you willing to serve on Note. Flve(5) members of the senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please Indicate years Of 09e.' Two (2) members may be 18 or over. I ONE additional choice. IPublic Art Committee I Fw-, Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other C bodies previously? YES NO WIYES � NO Present Employer: Cost Plus World Market Job Title: Senior Photography Producer Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Petaluma Public Art Committee Member 2013-2016 Petaluma Public Art Committee Chair 2016-2017 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Daughters of the British Empire, Member, 2005 to Current What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have been involved in the creative and design industries for the past 16 years and in addition to formal training, I have worked extensively in photographic and artistic businesses. Because of this experience, I have a comprehensive knowledge of the entire artistic process, from pre -production and budgeting, art direction, editing and proofing, to the final product: with an emphasis on visual communication and project management. This includes serving on the Petaluma Public Art Committee for the last four years, and serving as Chair for the last year. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Brooks Institute of Photography, Bachelor Degree in Photography, 2002-2005 University of Edinburgh, Masters Degree in Visual Communication (Photography), 2006-2007 Special Awards of Recognition Received: Please see included resume. Please state reasons why you want to become a member of this Board, Commission, or Committee, Including what specific objectives you would be working toward as a member of this advisory body: I have served on the Public Art Committee for the last four years, and would like to continue the work I have done within the committee. This includes selecting an artist for the Water Street Project and working on smaller projects around the City. I would like to see these projects to completion. As my husband, daughter and 1 have been putting down roots here, I realize how special our community is, how much this city has given us, and it makes me want to give back and be more involved with shaping this community, particularly in the arts. The climate is just right in Petaluma for it to become a haven and destination for the arts. It already is for organic foods, beer and music, but it could use a little more nurturing when it comes to the arts. I would like to increase the presence of the visual arts here in Petaluma, and make them a stronger, prominent, more influential part of the city, and ultimately, for the people who live here, visit, and create art. Is there any other information that you feel would be useful to the City CounclFin reviewing your application? Please see included resume. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing,your duties if appointed to thisposition? No. If so, please state name of Organlzation/Employer. ,N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of Interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? City Clerk Applicant's Signature Date 6/5/2017 May 9, 2017 ,%4 Caroii«e Hall Petaluma, CA 94952 June 5, 2017 RE: Public Art Committee Dear City of Petaluma: I am writing regarding my re -appointment on the Public Art Committee. I have been involved in the creative and design industries for the past 16 years and in addition to formal training, I have worked extensively in photographic and artistic businesses. Because of this experience, I have a comprehensive knowledge of the entire artistic process, from pre -production and budgeting, art direction, editing and proofing, to the final product: with an emphasis on visual communication and project management. This includes serving on the Petaluma Public Art Committee for the last four years, and serving as Chair for the last year. I get excited when I can share my passion for quality art and design with others, and as a graduate from the Brooks Institute of Photography, and the Edinburgh College of Art, I have the knowledge necessary to have fresh and innovative thought, as well as handle the demanding and technical aspects of the creative world. Please see my resume, which explains more about my qualifications, and goes a little deeper into who I am. Feel free to call me at if you would like more information. I look forward to being reappointed to the Public Art Committee, Thank You, Caroline Hall Caroline Hall Petaluma, CA 94952 Knowledge Of: M -Creative Industries -Adobe Creative Suite -Professional Photography -Budget Management -Workflow Processes -Creative Tools, Digital Imaging -Large-Scale Productions -Artistic Philosophy -Traditional and New Techniques -Current Art Movements -Photo & Art Direction -Business Practices in Art Education: -2006-2007: Edinburgh College of Art Master of Design: Visual Communication Focus on project development and producing cohesive bodies of work. Further studies in creative principles including fine art and its practices. -2002-2005: Brooks Institute of Photography Bachelor of Arts: Professional Photography, Advertising (Cum Laude Honors) Emphasis on technical ability and concepts in photography and production. Work Experience: Related Work Experience: -March 2009 -Current:, Cost Plus World Market Corporate Office, Oakland, California Senior Photography Manager (Photo Manager, Photo Coordinator, Digital Imaging) Acting as a Producer of photography for national ad campaigns, including budget management, art direction and leading a large team of creative people, -Apr. 2008 -March 2009: Three House Multimedia, Sonoma, California Production, Design, Layout, Photography Providing production for a weekly newspaper, glossy magazine, website and ad house including design, layout, proofing and photography. -Nov, 2005 -Sept. 2006: Academy of Art University, San Francisco, California Digital Darkroom Technician Managing and maintaining the digital facilities of the academy, while furthering student's creative goals. Perfecting and troubleshooting digital media tools. -March 2004 -Oct. 2005: Brooks Institute of Photography, Santa Barbara, California Teaching Assistant Acting as a bridge between students and professors to aid communication and facilitate learning. -Jan. 2003 -Mar. 2004: "More than the Outback" Documentary. USA, Australia. Photographer and Photo Editor, Production Coordinator Production of a documentary about Australia, including work in pre -production, photography, and creation of a book, website, A/V show, and print exhibition. Freelance Work: -Feb. 2008 -Jan. 2010: Sonoma County Museum, Santa Rosa, California Volunteer Greeting and educating visitors of the museum about current exhibitions -June 2007 -Sept. 2007: Photojournalist Photojournalist for FEST magazine, during the famous Edinburgh Festival. -Feb, 2006 -Aug. 2006: Image Capture and Manipulation Tutor Tutoring several students in general photography, video and post -production techniques. -Jan. 2006: MacWorld Digital Expert A volunteer "Digital Image Expert" for Apple and ASMP at the MacWorld convention. -July 2005 -Current: Stock Photographer Providing commercial travel images as a contributor to Alamy Images. Designing and building several websites. -May 2005: Wedding Photographer Documentary style wedding photography made for the bride and groom. -Aug. 2003, Mar. 2005: Personal Portfolio Work Travel of the United Kingdom, Ireland, Italy, Portugal, Spain and France for my personal portfolio. -June 2003 -Sept. 2005: Portrait Photographer Producing portraits of clients for various purposes including graduations, and corporate events. -Sept, 2002 -Sept. 2006: Photography Assistant Working as an assistant for various photographers and assignments including weddings, portraits, travel, advertising, architectural, and editorial. Awards, Honors, and Orcianizations: -2006-Current: Member of Daughters of the British Empire. (DBE) -2005-Current: Member of American Society of Media Photographers. (ASMP) -2005-Current: Member of Editorial Photographers, (EP) -2005: Received Cum Laude Honors at graduation from Brooks Institute of Photography, -2005: Finalist of the Photographer's Forum Annual Spring Photography Contest. Exhibitions and Publications: -2009: FineLife Magazine, Photography, Design, Sonoma, CA, -2008-2009: Sonoma Sun, Photography, Design, Editorial, Sonoma, CA. -2007: Masters of Design Degree Show, Edinburgh, Scotland. -2007: PDN PhotoPius Expo, New York City, NY. -2007: Royal Scottish Academy, "Topophilia" Edinburgh, Scotland. -2005: Published in the annual book Best of Photography 2005. -2005: Brooks Institute of Photography graduation exhibition, Santa Barbara, CA. -2004: Victoria Hall, "More than the Outback" exhibition, Santa Barbara, CA, -2004: "Australia" exhibition, Ventura, CA. asb a. RECEIVED City of Petaluma, California JUN City Board, Commission and Committee Application z85s J 2017; City Clerk's Office ,_. English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi i Petaluma, 1 1 English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pl( the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petoluma.ca.us. Name: Heather Mackin Home Address, City, State and Zip Code: (Petaluma, CA 94952 t Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 7 years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 1 7 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Art Committee N/A Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Citv bodies previously? ❑1 YES ❑ NO R✓ YES ❑ NO Present Employer: Self-employed ( Mackin Creative Job Title: Marketing & Design Consultant Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 2013-2015 1 City of Petaluma, Youth Commission Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 2012 -Current, Treasurer, President, + Board member, PMG North Bay 2016 -Current Director Elect (formerly Communications Chair) I International Interior Design Assoc Nor Cal, North Bay City Center 2013 -Current ( Government Day Chair I Petaluma Chamber of Commerce, Leadership Petaluma 2015-2016 Board Member I Petaluma Arts Center 2013-2015 Treasurer I Rebuilding Together Petaluma What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? As a credentialed commercial design professional, I have spent my entire career in the built environment industry with a focus on user engagement and branding initiatives. I have a keen awareness of the business side of creative endeavors and can act as a liaison between the creative community and business entities and government officials. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1999 Bachelor of Science, Business Administration University of Phoenix, Phoenix, AZ 1996 Associate of Applied Science, Interior Design Scottsdale Community College, Scottsdale, AZ Special Awards of Recognition Received:. 2012 Forty Under 40 Recipient I North Bay Business Journal 2012 Class Valedictorian, Leadership Petaluma I Petaluma Area Chamber of Commerce Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I have always had a strong passion for how public art shapes and identifies a community. I think it is an important part of differentiating a community and providing a voice to it's residents. I would love to be a part of maintaining a strong relationship to the arts here in Petaluma by ensuring that a Public Art Master Plan is implemented to express the identity and voice of Petaluma while balancing the needs of growth and development in our city. Is there any other information that you feel would be useful to the City Council in reviewing your application? I originally applied for this committee in 2013 -and instead was appointed to the Youth Commission which I am grateful for and was honored to serve on and chair. I feel very passionately about art in our community and as a creative professional, feel I would be an excellent member of this advisory committee. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? I do not believe that I have any conflicts with this position. If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? lAnnee Booker Knight asked me to apply. Applicant's Signature Date E June 26, 2017 May 9, 2017 , �Ltr . City of Petaluma, California 4 U N ® r City Board, Commission and Committee Application City Cierk's Office [I TY C 1 -English Street o Flefaluma, CA 94452 a 707.778.4360 e cityclerk@ci.pe;alurna.ca.us lasfr�ucffons: Use oris form to appiy-to+ serfe on any of fhe City of Pefalurn0, C fifer ?la's Boards, Corrrrrrfssiuns, or Cor �miff�es. Please fig r�rif the fo{ Compfetely. fF a question does not aplaly, type -or write N/A in the space provided. When Completed ,please forward to i tie City Clerk's Office -C, Pefaiurnc, I 1 €ngfish Siie.e% Pefoluma, CA 44452. pit appficc+rons are re0ewed by f e Cfy-CouncH. if you have rquestions abouf this farm, please the, Cify Cleik's Office of 747.7 78.4364 or e-mail us of cftycierk@cf.pefafuma.ca.Us. Name: Richard' Vlarzo Raine Address, City, State and Zip Oode. I etalu a, uA 94952 a U N C3 r, E-Ma4: (Vappointed do you want this address to be avaaiab-- to tl pubiic?f Z YES KO Fh ane: (if -apps need do yoo viant this number to be av&abfe fo the PUNIC?,, D Y£5 No you at've v dhin the Petaluma City limits? ; 1f so, for how tang? YES, � .NO 'rice 2()W Are yGu a regvsteredi voter to $etaluMa? If s€ i for how Iong? YES � t4o Trice -j (Ward, c-om 7liss7lon, or Cornmr itteer of Interest: Mofe: Five(S) members r uihesseniar Aafrriscry Commidieer must be afleasf 55 years.atcge; Two f2).erem-bers-mvyFbe IS arover. if not appointed to your first choice, are you willing to serve on another City Boafd, Commission, or Committee? Please indicate ONE Iditionat choice. rt Commission FlanningComrrtissTan a U N C3 r, 'Have you attended a meeting of This oa' other C<9ty bodies? Have you served on or appuea toy tnis or oirner City bodiespreviously?_ 'SES No �'NO Present Emplayer: Face.'HGuse Linen Supply .foie 'Title: - s harketirig & Sales Previous overnmentfai -BadleslElectiVe Cffices you Move sewed, Posiflon/Ofrice field and fates: failnilIg uommz ission 7/2013 - 612017 Civic W C<i7s[rlfoable orgonimfiun to which you have be61onged, Position/Office Held, and Daces: etary Ciub -of Petaluma hamber of Comm arr e Board etaluma Naticnal 1-ittle league 'ghat Special Injerests/Sidlls/Talents would you txing to this $omrdr C;orn€nlssion, or C:omrnitfee? ness acumen and a collaborafive approach to decision making Coil e-ge, Protessio na 1, Vocational Schools Attended (Major Subject, Lutes, Degree/Dote; Southern Methodist University A Economics W } 5peciai Awards of Recognition Received: Please state reasons why you want to become a member of this Board, -Commission, or Committee, including what specific objectives you would be working toward as o m -ember of this €zdv^isw -body: I wish to Continue serving the Planning Commission and help our tom.munity grow responsibly s Is there any other intoa ndlian that you feei would be. useful to the City Council in reviewing your Oppliccsrion? r ►4 Ase you assocra#ed with any Organization/Employer that might be deemed a conflict of interest in peTforming your duties if appointed to this osition? ho It so, please state name of Organization/Employer: l City poifcy directs aH appointed advisory body members not to vote on -maters where there exists ca poitenfiat confct of interest. Wouid ou be)m-*jj!rg to obstain from voting it such convict arises? YE � ism How did you -hear about this opening? C�rre #h sure on, PC Appdi: avi's Signature Date M,ay 9,20 17 Board of Directors EricAdams Garth Bixler Michael Frost Cinda Gilliland Carin Jacobs David Powers Greg Reisinger Sandy Rozrnarin Executive Director Val Richman Advisory Council Bob Bailey Dennis Calabi Harvey Charnofsky John Crowley Warren Dranit Kristina Flanagan Linda Frost Jack Haye Christina Kauk Annee Knight Thom Knudson Elly Lichenstein Alison Marks Elizabeth Marquardt Geri Olsen Karen Petersen Katherine Rinehart Murray Rodrowitz Maggie Roth Gretchen Singbr VictorThuesen PETALUMA ARTS CENTER 290 Lakeville Street Petaluma, CA 94952 707-762-5600 Hours: Tues -Sat 11:00arn-5:00pm (Closed Sun&Mon) www.potalumaartseeiiier.org June 5, 207 City Clerk's Office City of Petaluma 11 English St. Petaluma, CA 94952 To Whom It May Concern: The Petaluma Arts Council, dba Petaluma Arts Center, is pleased to inform you that we have selected Katherine Plank to be our next representative on the Public Art Committee. Katherine has a strong arts background, is a working artist, and served on our Exhibitions Committee for seven years. Here is Katherine's contact information: Email: Address: Phone: Petaluma, 94952 Please let us know if there is any other information we need to provide. Thank you, ti Val Richman Executive Director Public Art Committee (Arts Council Rep Nominee) Plank, Katherine `D � M 3 City of Petaluma, California City Board, Commission and Committee Application MAY 3 City Clerk's Office 11 English Street • Petaluma, CA 94952 • 707.778.4360 • ci clerk@ci. etaluma.c �v p Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out t' completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, p;' the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. a� 0 U Q U a� m t U V) Name: Q Beverly Schor Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?)❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES1:1NO F7years Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO 7 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Arts Committee Parks Recreation and Music Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ✓❑ YES NO WIYES El NO Present Employer: retired Job Title: Owner, Designer Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: NA Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 4 years Parks Recreation and Music commissioner 3 years Parks Recreation and Music subcommittee member 2 years liaison Petaluma History and Library Museum board member 1 year liaison Tree Committee member 1 year Public Arts Committee liaison committee member What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Strong working knowledge of City commissions and committees Strong ability to fulfill City objectives while maintaining a positive community experience and resolution Strong Accounting and Budgeting skills Positive consensus builder 30 years as a successful clothing and costume designer College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): BA: University of California @ Berkeley, French, 1968 MA: SF State University, Dramatic Literature, 1971 MBA: SF State University, Marketing, 1989 Special Awards of Recognition Received: Malden Mills Award for Design Excellence Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: As the current liaison from Parks and Recreation, I have enjoyed my year on the Public Art Committee. At a time when 3 long-term committee members will be leaving, I feel my personal skill set and direct experience will be an enormous asset in moving projects forward. Also, my extensive experience on numerous City committees and commissions will definitely help expedite City obligations to procure meaningful Public Art as described in the General Plan and Public Art Ordinance while satisfying the needs and wants of the community at large. Is there any other information that you feel would be useful to the City Council in reviewing your application? As 2 year chair of the Parks Recreation and Music Commission and a 3 year special subcommittee member of the same commission, I believe I have demonstrated a strong ability to moderate and mediate issues and proposals for the best possible mutual outcome. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? NO If so, please state name of Organization/Employer: NA City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? [C7it7yernail and flyer Applicant's Signature Date jy Pi May 9, 2017 �' E- a E n • 9 City ®f Petaluma, California' City Board, Commission and Committee Application E N 185a City Clerk's Office C 1 T, "o C LER E 0 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca:us-U N Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the for Q 0 completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office C, U Petaluma, I I English Street, Petaluma, CA 94952. All applications ore reviewed by the City Council. if you have questions about this form, please 4 the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. n Name: Dennis Wigent Nome Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (it appointed, do you want this number to be available to the public?) RI YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) a YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 18 months Are you a registered voter in Petaluma? If so, for how long? RI YES ❑ NO 18 months Board, Commission, or Committee, of Interest Note: FivefS) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Art Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES R1 NO DYES Z NO Present Employer: SilverStar Associates Job Title: Principal Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N.A. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Detroit Science Center Board of Directors (1998 - 2000) Historic Indian Village (Detroit) Board of Directors (1990 - 1993) Communication Media Management Association Board of Directors (1992 - 1995) What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? believe some of the best examples of a city's vitality and quality of living is how it treats its public spaces. And, public art is a major component of how Petaluma presents itself to residents and vistors. My first major in college was technical theater scenery design and my many years of video production, communications and creating large events has taught me the importance of and the skills to visually enhance a space for people's enjoyment and reinforce their committment to life in Petaluma. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Wayne State University, 1973, BA, Radio, Television, Film Special Awards of Recognition Received: Over 40 awards for integrated communication and video programs Accredited (CMMA) Communication Media Management Association Certified Change Manager, Prosci Change Management Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: My wife and I have moved a lot, but our move to Petaluma is like nothing we have experienced before; we have been warmly embraced by the community, quickly made many new friends and have made a long term committment to Petaluma. As a member of he Public art Committee I want to build on the existing base of art, raise funds for new high profile pieces and make Petaluma a public rt destination. Is there any other information that you feel would be useful to the City Council in reviewing your application? My wife, Diane Dragone, is the Executive Director of Cinnabar Theater and is also very commtted to improving Petaluma. She recently completed the Chamber of Commerce Leardership program and is also seeking opportunities to give back. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer: v N.A. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? [Petaluma Argus -Courier Applicant's Signature Date �J June 1, 2017 I May 9, 2017 Three Vacancies for Full Four -Year Terms Expiring. June 30, 2021 City of Petaluma, California Jui 0 City Board, Commission and Committee Application City Clerk's Office CTF)( C 1 1 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.0 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's OfficE Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plea the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: 0 N E O U N 0- c c U 2 Dave Alden o Home Address, City, State and Zip Code: (Petaluma, CA 94952 i C rV Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 15 Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 1 15 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Planning Commission, but see answer under ther Information Recreation, Music, and Park Commission 2 Have you attended a meeting of this or other Cit bodies? y g y Have you served on or applied for this or other City bodies previously? ❑✓ YES NO WIYES NO Present Employer: None, semi -retired Job Title: None Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: City of Petaluma, Transit Advisory Committee, Member (2011 -present), Chair (2013 -present) City of Petaluma, Recreation, Music, and Park Commission, Member (2013 -present) City of Petaluma, Pedestrian Bicycle Advisory Committee, Liaison from RMPC (2013 -present) Bend LaPine Public Schools (Bend, Oregon), Member (1998-2000), Chair (2000) Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Urban Chat, Co -Founder, Executive Director (2012 -present) Urban Community Partnership, Director (2016 -present) Rebuilding Together Petaluma, Director (2002-2008), President (2005-2008) Broken Top Community Association (Bend, Oregon), Design Review Committee, Chair 1996-1999) What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I'm a Registered Civil Engineer with over forty years of experience in Petaluma and elsewhere. I'm keenly aware of the connections between land -use patterns and community values such as housing affordability, mobility options, greenhouse gas reductions, and municipal finances. In my semi -retirement, I've chosen to become active in these fields, through membership and participation in national organizations and through local organizations that I've helped found. This background will be brought forward to any City body to which I might be appointed. 10 College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of California (Berkeley), 1971-1975, Bachelor of Science, Civil Engineering University of California (Berkeley), 1975-1976, Master of Science, Civil Engineering (Water Resources) Special Awards of Recognition Received: Recognition from Urban Land Institute for participation in UrbanPlan (2007-2014) City of Petaluma proclamation noting tenure as Board President of Rebuilding Together Petaluma (2009) Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I have a passion for land-use practices that will align cities for success in the 21 st century. Regardless of the body to which I may be appointed, I'll find a way to bring that passion to bear on making Petaluma the best place possible. If I'm appointed to the Recreation, Music, and Park Commission, my goal will be to configure parks so that they can accessed without a car and provide a good experience for those seeking a respite from urban activity. If I m appointed to the Planning Commission, 111 be proactive in seeking standards that encourage good development. If I m appointed to the Transit Advisory Committee, I'll continue to work for the improved integration of land use and transit. Is there any other information that you feel would be useful to the City Council in reviewing your application? As a current Recreation, Music, and Park Commissioner, my primary goal is reappointment to that body. However, numerous acquaintances have strongly encouraged me to apply for the Planning Commission. To mollify them, I've submitted the supplemental Planning Commission application form. However, I fear that being a Planning Commissioner would result in numerous conflicts, both with actions I've previously taken and with actions that I'll ' ely take in the future. I will serve with attention and passion if appointed a Planning Commissioner, but also wouldn't mind by bypas d Lastly, I was recently termed out of the Transit Advisory Committee. The terming-out was the result of a resolution that was intended to be revised but was mislaid administratively. Therefore, I've been encouraged by others to express a willingness to continue serving on the Transit Committee in the event the Council sees a role for me there. In summary, I'll serve happily wherever I can benefit the City Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? In my role with Petaluma Urban Chat and the Urban Community Partnership, along with my extensive history of blogging on land-use issues, I have taken and likely will take positions that may result in a perceived inability to judge an issue fairly. To the extent that those concerns arise, I will recuse myself. If so, please state name of Organization/Employer: Petaluma Urban Chat Urban Community Partnership City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ✓❑ YES ❑ NO How did you hear about this opening? Current member of Transit Advisory Committee and Recreation, Music, and Park Commission, plus frequent visitor to City Hall. Applicant's Signature Date June 8, 2017 May 9, 2017 City of Petaluma, California City Board, Commission and Committee Application[ zss$ City Clerk's Office -- — I I English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.peta Iuma.cLuRs -12- ' Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out 1 completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of Petaluma, I I English Street, Petaluma, CA 94952. All'applications are reviewed by the City Council. If you have questions about this form, p the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: FC_ Phone: (If appointed do yo u want this number to be available to the public?) ❑ YES L NO Do you live within the Petaluma City limits? YES ❑ NO E -Mail: (If appointed, do you want this address to be avoilabl public?) 5t YES ❑ NO If so, for how long? Are you a registered voter in Petaluma? I If so, for how'long? c U N \03,YES ❑ NO Board, Commission, or Committee, of Interest: if not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age, Two (2) members may be 18 or over. ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ® YES NO ® YES NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? ka -e 9 t is l144 � 7vlod 01'�d College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): d C L) )Il Of f a a, to ,w Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body, � e- til pry I nf""T P Is there any other information that you -feel would be useful to the City Council in reviewing your application? r71- 47 A Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from votin if such conflict arises? YES ❑ NO How did you hear about this opening? Fm �0 1C Applicant's Signature Date May 9, 2017 Kit Anderson Petaluma, CA Creative, proactive, and results -focused professional with 23 years of experience in product development, design, and quality assurance of apparel within highly competitive environments. Demonstrate strong command in all aspects of product development spanning from design to commercialization, which include materials, trim sourcing, costing, negotiation, lab dips, design, and fittings. Employ hands -ori and cross -functional leadership style, with proven success in ensuring well -organized, high-quality and on-time delivery of products. Experience GMPC/econscious Petaluma, CA Product Development/ Production Manager o Oversee Development and production of Private Label Apparel and Accessories for multiple accounts o Create CADs and tech,packs o Manage product quality and cost from design inception to production, Adhere to customer timelines and target FOBs o Source, Cost, Sample and Produce with dozens of factories overseas and domestically o Manage POs, Packaging, Customer Compliance and Delivery of Goods o Social Media Management and Curation for sustainable brand o Accounts include: Marmot, Pure Fishing, Johnnie -O, Royal Robbins, Duluth Trading, econscious, Pearl Izumi, Mountain Khakis, CamelBak, Neve, Toad & Co, Fitbit SimplyShe San Francisco, CA 20 12 , 210, ,t Design Manager in Accessory, Apparel, Textile and Graphic Design Management o Mechanicals / Planograms / Lab Dip & Prototype Approval El Oversaw new product from inception to production maintaining target FOBs and company standards ID Technical Design Department Manager/ Spec Packs (China Production) Managed Team of 3 0 Customers include: Walmart, Target Icelandic Design Longmont, CO 20W .- ^ t Design Director El Line Research and Design, Color Trending and Palette Design El Fully Fashioned Knits/ Cut & Sew Knits/ Engineered Jacquards ® Tech Packs/ Embellishments/ Embroideries/ Prints o Prototype & Lab Dip Approval / Line Presentation o Nepali (wool) and Peruvian (alpaca) knitter and artisan program o Catalog Design & Production/ Photography Art Direction/ 1 1W Packaging/ Trade Show Booth Design and Signage/ Social Media ® Managed Team of 5 : Apparel and Technical Designers El Oversaw new product from inception to production maintaining target FOBS and company standards (China, Nepal & Peru Production) ® Customers Include: Lumps, Nordstrom, Sundance, TravelSmith Maharishi Ayurveda Products Colorado Springs, CO.-Y'";.'r��-i=:,� Product Developer o Line Research and Design, Color Trending and Palette Design ff] Apparel, Accessory, Textile and Graphic Design/ Art Direction M Organic Cotton Certification El Oversaw new product from inception to production maintaining target FOBs and company standards (India Production) o Tech Packs, Prototype & Lab Dip Approval ® Line Presentation/ Marketing/ Catalog Layouts/ Packaging Fang Los Angeles, CA Graphic/ Textile Designer o Screenprints, Embroideries, Prints & Presentation o Customers Include: Macy's, Nordstrom Strategic Partners Los Angeles, CA C,',0 2 0 o Freelance Textile .Designer o Licensed Character Prints (WB, Disney, Hanna Barbera) o Customers Include: Cherokee BEPC Los Angeles, CA 20C"t Contract Designer ® Textile Design, Embellishments, Embroideries ID Flat/ Technical sketching o Customers include: Toy R Us, Babies R Us, Chico's Paris Blues Los Angeles, CA %'1 I _°=ij Art Director o Apparel & Textile design El Screen Prints/ Embroidery/ Hardware/ Embellishments im Flat Sketches/ Presentation Boards/ Press Kits/ Packaging/ Trade Show Booth Design and Signage ® Website and Web Store Design/ Management El Managed a Team of 4: CAD Artists and Warehouse Personnel (for order fulfilment) o Customers Include: Macy's, Nordstrom, JC Penney Kellwood Los Angeles, CA CAD Artist 2 o Embroidery, Prints, Screenprints & Presentation El Flats/ Website Design/ Corporate Identity/ Packaging El Customers Include: Macy's, Nordstrom, JC Penney SF City Lights San Francisco, CA l ; i i T Assistant Designer El Responsible for all color R & D (Garment Dye) El Catalog Design and production Flat Sketching, Advertising, Screen Prints Ej Sample Line Production/ Color Cards One Step Up New York, NY Assistant Designer El Color Boards/ Color Cards/ Trend Boards/ Packaging o Textile Design, Technical Sketching & Sales Presentation Software Illustrator Colour Matters Excel (Expert Level) InDesign Color in/ U4ia Word Photoshop Prima Vision LightRoom Dream Weaver Multiple EDI PowerPoint o University of Colorado Colorado Springs, CO H i ® Art History/Pre-Law Fashion Institute of Technology NYC, NY y' C) i i 7 ® Fashion Design, Graduated Cum Laude FIDM San Francisco, CA !' "'.d= ({ ! j fl Fashion Design Q . City of Petaluma, California t City Board, Commission and Committee Application rS5a City Clerk's Office 0 3 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.c-? � "�l�� N � Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th4 completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic Petaluma, i i English Street, Petaluma, CA 94952. All•applications are reviewed by the City Council. if you have questions about this form, pie' the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co.us, Name /� 47t� I_W__V�') C, C) Home Address, City, State and Zip Code: Phone: (If appointed, do you want this number to be available to the public?) ff-YES ❑ NO Do you live within the Petaluma City limits? E -Mail: (lf appointed, do you want this address to be available to irie public?) if so, for how long? AYES ❑ NO Are you a registered voter in Petaluma? I If so, for how long? Rnle YES ❑ NO Board, Commission, or Committee, of Interest: if not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must beat least 55 another City Board, Commission, or Committee? Please indicate years of age: Two (2) members may be 18 or over. ONE additional choice. E a 0 U U D 0 a� U N ry Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO YES ® NO Present Employer: z Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: �CACI) ..� Pe [p,��d What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? C k4 `e� � ����(� �QCC, 4 �`�/�F—i d i� C P S I College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: LA r` Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body, Ar� - A, G(N-ec',3- coo 7 �� Is there any other information that you feel would be useful to the City Council in reviewing your application? -� (A' �U Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? )\V/O It so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date yh. May 9, 2017 �ALZ�- a City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office 1 1 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's OfficE Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plea the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us_ Name: Margaret Cusimano (Megan) Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to E -Mail: (If appointed, do you want this address to be available to... - the public?)public?) ❑ YES ❑✓ NO ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? 0 YES ❑ NO 5 years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 5 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music and Parks Commission Public Art Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Ci bodies previously'? YES Z NO E]YES Z NO Present Employer: N/A Job Title: Stay at home mother Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N/A Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Mothers' Club, treasurer 2014-2016, President 2016 -present SPARK San Francisco, member 2003-2014 Junior League of San Francisco, member 2005-2014 Twin Cities Healthy Kids Coalition, core committee member 2011- 2014 Beyond Differences, board member 2011-2016 p What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Forward thinker Organized Efficient Communicator Problem Solver p College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 2007-2008 San Francisco State University San Francisco, CA Masters and Credential in Education Administration 2004-2005 Fresno University Fresno, CA Technology Credential p Special Awards of Recognition Received: N/A Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: As a mother of four children in this community, I am very dedicated to the parks and activities that we, as a city, provide for our families. My children and I frequent many parks in Petaluma and have found them to be wonderful entertainment for children and adults alike. We are so fortunate to have so much variety in what the city offeres to our population. As the president of the Petaluma Mothers' Club, I am well connected and attuned to the parent population of children 0-5. 1 would be humbled to have the opportunity to sit on the Recreation, Music and Parks Commission. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? N/A If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Sara Sass Applicant's Signature Date Margaret Cusimano 6/7/17 May 9, 2017 Cio r7- E C E�lVff1__z LO C City of Petaluma, California in D City Board, Commission and Committee Application JUN, 0 8 2011 t 0 x City Clerk's Office o j858 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma�i$iEg j U c O Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the a completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pleat a the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Diane Dragone Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES. ❑ NO 2 years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 2 years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. �PubllicArt Recreation,Music & Parks Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO OYES R1 NO Present Employer: Cinnabar Theater Job Title: Executive Director Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: No Elected Office Voted Valedictorian of current Leadership Petaluma Class (Graduation June 2017) Served on Economic Development Board in Reno, Nevada 2006 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Oakland Interfaith Gospel Choir, Board of Directors, Marketing Committee 2011-2013 KDFC Classical Radio (nonprofit organization) - Development/Fundraising Committee 2014 Living Jazz - Nonprofit Arts Organ. Annual Martin Luther King Celebration - Marketing & Fundraising Committee 2009-2013 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Music is my passion, I have been in the music and entertainment industry throughout my entire career. Creating exciting and meaningful programs, concerts, festivals and events is my forte. I excel at outreach and partnerships; connecting people with other people and organizations; and the opportunity to venture into new things together. I have many contacts w/i the industry. Adept at developing and nurturing teams; creating & managing program, marketing, fundraising budgets. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of San Francisco - Masters Nonprofit Administration Hunter College, New York - Liberal Arts Special Awards of Recognition Received: Began the Classical Music Month initiative and received special Proclamation from President Clinton 2002 Started a Music store and grew it to 4 stores, Voted Best Music Store. for 3 years in San Francisco Started first Jazz/Cabaret (American Songbook) music series in Reno, NV and grew it to a monthly event. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am extremely active in the Arts Community of Petaluma and serving on this Commission would be a natural extension of that. As Petaluma grows in population, so too, must the cultural arts and music offerings. The richer the cultural arts in an area, the more attractive Petaluma will be to those desiring to move to the North Bay. I am interested in expanding the Artistic Offerings and raising the bar on what is already being offered. Petaluma is the only major city in Sonoma County that doesn't have a Performing Arts Center. This would be a project worth pursuing as there are many arts organizations that do not have a performing space. Is there any other information that you feel would be useful to the City Council in reviewing your application? have been working with the SR Junior College, Petaluma Campus and 1 believe that there could be an opportunity to work with them o further arts offerings in the City. That campus is very underutilized. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: /� City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? 1 Applicant's Signature Date a3, oz al May 9, 2017 a c City of Petaluma, California E E N City Board, Commission and Committee Application �S5$ City Clerk's Office E _ 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@c1.petalum . � IncG.v C U a �c Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill o C C completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's 0 of Petaluma, 11 English Street Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this fc call the City Clerk's Office at 707.778.4360 or e-mail us atcityclerk@ci.petaluma.ca.us. U Name: 'v KEV 1�3 MCDOA_�/AJELL,C Home Address, City, State and Zip Code: ry �� 9 ► `tel ® \ 5,-7L 1 Phone: (if appointed, do you want this numberto be available to the public?) E-Mail: (If appointed, do you want this address to be available to ❑ YES NO the public?) AYES ❑ NO Do you live within the Petaluma City limits? - if so, for how long? YES ❑ NO SW CE Are you a registered voter in Petaluma? if so, for how long? YES ❑ NO )C( S Board, Commission, or Committee, of Interest: Note:-To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. FA Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? YES ❑ NO YES ❑ NO Present Employer: C) lu& l Aj 14 fd� Job Title: ,S t(�7d' C1 L) tL_ 4FAl Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: ' Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 0 C� � C� dddJJJ > 5 CY 7-6 CeDILOU What Special Interests/ kills/Talents would you bring to this Board, Commission, or Committee? C-7 g' NA o t c:-, 'r-oc_P-35 K�00114T�rug-t 3(�Y�I_Ctts Ctl.5� wbLLc,<:z f14 CC C� College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committe e*, Including what specific objectives you would be working toward as a member of this advisory body: f- � I A� ,tej cJ 't a 3 �p rof-vtc> Ck C -Q-&5 3 VO QA.A-\ Al CI. IA3 cAi.�-J o 5\&v�l tv-� S Cz-IIqA lz��e � P --t A A� Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES rV NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? OYES ❑ NO How did you hear about this opening? C v C P )e ® i� f f Pd�®d dna' li�`.CLLj �6�5 S Applicant's Signature Date R�4 K�Kvisea April 25, LU I /. L/ v�Ei�� xdE W � E�� � City of Petaluma, California a�� City Board, Commission and Committee Application KAy 3 City Clerk's Office 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.caL�,d_ Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tr completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offf Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, p/E the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: I Beverly Schor. V V) Home Address, Ci#y, State and Zip Code: � Petaluma, CA 94952 O a Q) Q) Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (if appointed, do you want this address to be availablE public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 7 years Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO F7years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Public Arts Committee Parks Recreation and Music Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Cit bodies previously? YES NO WIYES NO Present Employer: retired Job Title: [owner, Designer Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: NA Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 4 years Parks Recreation and Music commissioner 3 years Parks Recreation and Music subcommittee member 2 years liaison Petaluma History and Library Museum board member r11 year liaison Tree Committee member year Public Arts Committee liaison committee member What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Strong working knowledge of City commissions and committees Strong ability to fulfill City objectives while maintaining a positive community experience and resolution Strong Accounting and Budgeting skills Positive consensus builder 30 years as a successful clothing and costume designer College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): BA: University of California @ Berkeley, French, 1968 MA: SF State University, Dramatic Literature, 1971 MBA: SF State University, Marketing, 1989 Special Awards of Recognition Received: Malden Mills Award for Design Excellence Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: As the current liaison from Parks and Recreation, I have enjoyed my year on the Public Art Committee. At a time when 3 long-term committee members will be leaving, I feel my personal skill set and direct experience will be an enormous asset in moving projects forward. Also, my extensive experience on numerous City committees and commissions will definitely help expedite City obligations to procure meaningful Public Art as described in the General Plan and Public Art Ordinance while satisfying the needs and wants of the community at large. Is there any other information that you feel would be useful to the City Council in reviewing your application? As 2 year chair of the Parks Recreation and Music Commission and a 3 year special subcommittee member of the same commission, I believe I have demonstrated a strong ability to moderate and mediate issues and proposals for the best possible mutual outcome. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? NO If so, please state name of Organization/Employer: NA City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? How did you hear about this opening? ity email and flyer Applicant's Signature Ax/ May 9, 2017 V YES ❑ NO Date <S LL U City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fors completely, if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Cli of Petaluma, 71 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you hove questions about this form, pleas call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@cf.petaluma.co. us. Name: Jorge Servin Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (If appointed, do you want this numberto be available to the public?) E -Mail: (If appointed, do you want this address to be available to the public?) VJ1 YES NO YES 0 NO Do you live within the Petaluma City limits.? If so, for how long? I YES NO I 13 years Are you a registered voter in Petaluma? I If so, for how long? 1 'YES 0 NO IF__ 10 years 1 Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: To serve on the Senior Advisory Committee, you must be at least 55 years of another City Board, Commission, or Committee? Please age indicate ONE additional choice. Youth Commission Have you attended a meeting of this or other City bodies? ®41 • Present Employer: Hood & Strong LLP Job Title: Recreation, Music, and Parks Commission Have you served on, interviewed, or applied for this or other City bodies previously? Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: a�_ 2 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Community Foundation - Treasurer August 2014 - June 2016 Bay Area Hispano Institute for Advancement, Inc. June 2011 - December 2013 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I am an audit partner working with mid-size to large social service organization, private foundations and community foundations. I might be able to provide insight on the financial impact / assessment of costs related to proposed changes by the committees. Due to my client service background, i have worked with organization servicing all areas of the bay area and seen first hand some of the challenges they have faced. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Bachelor's degree in Business - Sonoma State University (graduated 2001) Certified Public Accountant - State of California 3 Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: 4 Is there any other information that you feel would be useful to the City Council in reviewing your application? If there are any other committees that continue to have open positions i would consider those as well. Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? YES (j) NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? How did you hear about this opening? Nextdoor mobile app Applicant's Signature April YES 0 NO Date 5 City of Petaluma, California City Board, Commission and Committee Application JUN' 0 8 20V7 z85$ City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.peta Iuma. C!aT ° c � o .N a instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the ~ completely., If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's OfficE Petaluma, I I English Street, Petaluma, CA 94952. All -applications are reviewed by the City Council. if you have questions about this form, plec o ` the City Clerk's Office at 707.778.4360 ore -mail us atcityclerk@ci.petaluma.ca.us. U N Name: c a U Home Address, City, State and Zip Code: o a Q) Phone: (if appointed, do you want this number to be available to E -Mail: (If appointed, do you want this address to be available f, Q) the public?) N public?) YES NO 1 YES NO Do you live within the Petaluma City limits? If so, for how long? YES NO Are you a registered voter in Petaluma? If so, for how'long? YES C3 NO 4,6 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate years of age; Two (2) members may be 18 or over. ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO YES NO Present Employer: Job Title: A�ffwn Previous_ Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: A40; imxlv- Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: �®1 qa 46 I What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I-have been actively involved in education and recreation my entire life, and I have been an active member of the Petaluma Community, always with a focus on our youth and recreation, for nearly 30 years. Thus I bring hands-on experience regarding our youth and their programs, be it education or sports, to the table. I served on the Election Committee for Petaluma's two successful Bond Campaigns, 1991- 1992, and understand alternative aspects of finance, and how to achieve their success. I served on the Petaluma Recreation, Music and Parks Commission for 8 years, and on the Pedistrian & Bicycle Advisory Committee for 4 years, and during that time I became knowledgeable regarding the recreation department itself, city finances, the importance of public hearings, and have learned how to creatively use what we have for the greatest benefit for all. I took an active role regarding the discussion, directions and, the sometimes, difficult decisions and recommendations which the Commission and Committee were asked to make. I am known for my leadership and organizational talents, as well as for my approach to consensus building and decision making skills. I am an enthusiastic leader anti tined College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): c� loll/ t� l �� �Oed P74-o9m6- -601L 4V6�0,ye Ad Special Awards of Recognition Received: FAWM IMAUUdl Re&yw1w�,AaozJ,. Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: If appointed, I would like to continue working on strengthening our partnerships with other cities and the County in order a build and maintain a more inner- connected series of of bike and pedistrian friendly lanes and trails; ones which could be used by both commuters and outdoor recreational enthusiasts, as we move about the County. I'd like to work on updating the Bike and Pedistrian Map for Petaluma, and see that this was published and made available to our youth, business & professional, civic and charitable organizations. We need to increase trail signage downtown and on our major thoroughfares; continue to make available & support Bike Rodeo's, and promote Bike to Work and Bike to School days. I would also like to see continued discussion regarding a public process of working with the citizens of Petaluma, both youth and adult, regarding current and future pedistrian and bicycle needs and desires. I realize that in this fast-paced and ever-changing world, we need to actively seek, provide and contribute to the growth of leisure-time activities which will promote strong mental health and help relive the stress of living in the 21" century. All recreatonal alternatives need to be vigorously investigated and explored along with creative methods of finance. Coming from a family of active recreational users, bicyclists and pedistrians, and having been a volunteer administrator in many of our youth sports programs, and having previously served on the Pedistrian and Bicycle Committee, and the Recreation, Music and Parks Commission, I have first hand knowledge of Petaluma's "recreational" programs and challenges. Add to this my enthusiasm and drive, my consensus building and decision making skills, and you have, once again, a most likely candidate for this Commitee. Are you associated with any Organization/Employer that might be deemed a .conflict of interest in performing your duties if appointed to thisposition? lvmb If so, please state name of Organization/Employer: I City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would yo u be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date 9 H May 9, 2017 M, , City of Petaluma, California C n, VK Ck SII "aJ i City Board, Commission and Committee Application City Clerk's Office l 1 English Street a Petaluma, CA 94952. 707.778.4360 a cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the forrr completely. If a question does not apply, type or wrile N/A in the space provided. When completed, please forward to the City Clerk's Office City of Petaluma, I 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, please coil the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co.us. Name: David Taylor Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) 1=1 YES El NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑ YES ❑ NO 24 years - Are you a registered voter in Petaluma? If so, for how long? 9 YES ❑ NO 24 years Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: To serve on the Senior Advisory Committee, you must be at least 55 years of other City Boards, Commissions, or Committees? If so which? age. Airport Commission Recreation, Music & Parks Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? ❑ YES ❑ NO ❑ YES ❑ NO Present Employer: Car -Bio LLC 1129 Industrial Ave., Ste 105 Petaluma, CA 94952 www.car-bio.net Job Title: Founder & CEO Founded 2004 Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: 100 Club of Indian River County, FL. The 100 Club was founded to aid families of law enforcement and first responders in case of death on duty. I was Director of Disbursement to the family(ies) of a slain officer to provide immediate cash needs and college education for children of the slain officer. 1987-1992. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I am a former USMC pilot and general aviation pilot. That background will aid in understanding the aviation issues the commission may face. I have founded 3 companies which experience provides good insight to new projects, budgeting and staffing. I consider my strenghts to be in analysing, planning, organizing and excution of the plan. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Mercer University, Macon, GA. BA History & Literature. Attended on a basketball scholarship. 1966-1971. Naval Aviation Flight School, Pensacola, FL & Meridian, MS. 1971-1973. Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: It's time in my life to "give back" to my community and church. Hopefully my life experencies will allow me to contribute in many ways. Before moving to Petaluma, my family and 1 had moved over 15 times in the first 20 years of our marriage with the military and corportate relocations. Petaluma has been a great place to settle and stay. ''J Is there any other information that you feel would be useful to the City Council in reviewing your application? As my background in aviation and business should be a plus to the Airport commission, I am willing to consider serving in any capacity that is needed to help our community. Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES ❑ NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ❑ YES ❑ NO How did you hear about this opening? Message on- NextDoor Applicant's Signature Date _ 5/17/2017 Revised October 11, 2012 609 '71 r Jd City of Petaluma, California AM 18 City Board, Commission and Committee Application City Clerk's Office P y' 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.0-s Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's C Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, i the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca. us. Kathy Wallace home Haaress, Uty, state and Zip Code: Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) 2 YES ❑ NO ®o you live within the Petaluma City limits? ❑✓ YES R NO Are you a registered voter in Petaluma? F✓ YES ONO Board, Commission, or Committee, of Interest: Note: Five(5) members of the SeniorAdvisory Committee, must beat least 55 years of age, Two (2) members may be 18 or over. Youth Commission E� E U U V p � p U .N 0 0 0 U N E -Mail: (If appointed, do you want this address to be available to the public?) �✓ YES F� NO If so, for how long? 7 years If so, for how long? 7 years If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music and Parks Have you offended a meeting of this or other City bodies? YES F,/] NO Present Employer: Retired .lob Title: Have you served on or applied for this or other City bodies previously? ❑YES PINO Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Mentor Me Petaluma, Mentor 2010-2015 American Association of University Woman, Board member 2012-2015 American Heart Association, Team Captain for Heart Walk 2005-2010 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? My role as a Registered Nurse Case Manager allowed me to work on very complex medical/social situations which required looking at a "big picture" as well as understanding the patient's and family's situation. Prior to becoming a nurseI was an administrative assistant at Stanford University in the English Department/Creative Writing Program where, in addition to working with students arranged and coordinated numerous public events. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): De Anza College, Registered Nurse, AA/AS degree June 2001 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory bodv I love living in Petaluma. In this political climate I feel compelled to be much more active in the community and have always been drawn to both education and youth. As a grandmother to six children, it is extremely important to me to be a positive role model. I would thoroughly enjoy working with the team on the Youth Commission. If a position on the Youth Commission is not available m experience of setting up and organizing public events at Stanford would be valuable in working on the Recreation, Music and Parks Commission. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am attaching my most recent resume to help give you more information about myself. As you well know, a resume or application does not fully represent a person so the only other thing I would want to add is that I am, as my friends say, "A Renaissance Woman" who has built her own house, repairs cars, loves to dance and feels that music and humor are two of the most important things to enhance a good life. Are you associated with any Organizafion/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would -you be wMinq to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Neighborhood e-mails Applicant's Signature Date May 9, 2017 Me Kathy Wa l lace A Experience May 2001 to December 2016 - Kaiser Permanente Case Manager/Project Coordinator, Continuum of Care, Skilled Nursing August 2014 to December 2016 Project Coordinator for numerous projects including system development for Life Care Planning of all Kaiser members at Marin and Sonoma county nursing facilities (skilled and custodial—over 700 patients); distribution of flu vaccines for all Kaiser members in Marin and Sonoma counties; initiation of new technology to department for increased security, specifically faxing to/from facilities. The Life Care Planning program not only is designed to address and honor patient's choices but also to help educate staff at the nursing facilities regarding Advance Directives and POLST. Wrote training manuals for Directors of Nursing at facilities throughout Marin/Sonoma to facilitate increased knowledge of Kaiser systems. Wrote training manuals for new Case Managers in the department. Case Manager for coordination of care at skilled facilities throughout Marin and Sonoma counties. Duties include evaluation of patients, coordination with skilled nursing facility staff to ensure patients are receiving appropriate care, assessment of therapy goals, leading multi -disciplinary team conferences as well as individual patient/family conferences, ordering all appropriate durable medical equipment and coordinating transitional care, ie, Home Health, appropriate clinic follow-up. Case Manager Continuing Care Outreach Program (CCOP) Outside Services. Department/Continuum March 2008 to August 2014. Developed Continuing Care Outreach Program—an intensive, proactive outreach program designed to improve quality of care for members by resolving barriers to appropriately utilize Kaiser Permanente and community resources. Coordinated care, completed full assessments in the home, provided health coaching and case managed complex patients throughout Marin and Sonoma counties. Assisted patients and their families with Advanced Life Planning and completion of Advance Directive and POLST forms. In 2013, became "Next Steps" Facilitator and "POLST" Facilitator for Life Care Planning Program. Attended weekly meetings and coordinated with Palliative Care Teams in both Santa Rosa and San Rafael. Facilitate Life Care Planning conversations with patients and their designated agents at either their home or at nursing facilities. Conversations were very in depth and lengthy to explore concerns and understand goals and values. Created care plans in accordance with NCQA requirements for all patients in the case management program and documented all notes in HealthConnect. Covered Outside Services Case Management to assist with repatriations of Kaiser members from outside hospitals. Assisted in training new employees to Outside Services Case Management and CCOR Patient Care Coordinator/Utilization Manggement Coordinator Coordinated discharge planning and monitored utilization management using Inter -Qua[ criteria. Determined inpatient and home care needs and implemented ' plans for services and equipment. Collaborated with patient and health care teams, specifically MDs, therapists, staff RNs, social workers. Resource person for staff RNs. Set up staffing requirements within the department. Wrote and edited training manual. On numerous committees including Medical Ethics and Patient Care Services. Kaiser, Redwood City, May 2001 to August 2003; Kaiser, Vallejo, August 2003 to August 2005; Kaiser, Santa Rosa, August 2005 to March 2008 December 2000 to May 2001 and October 1998 to May 1999 - Stanford Home Care, Stanford, CA Hospital Liaison Nurse/Staff Nurse Coordinated services for all hospital-based referrals. Determined home care needs. Collaborated with patients, their families and the health care teams in planning required Home Care services, supplies and equipment. Delivered specialty nursing care to pediatric and oncology patients. Independently visited and assessed patients (pediatric and adult) in home and hospice care and followed up with all medical needs. Kathy A Wallace March 2000 to October 2000 - TechPlanet, Menlo Park, CA Pa e Product Manager—Product Development Designed service products for a fast growing start up of 400+ employees at 23 offices across the United States. Originated, edited and wrote weekly product training newsletter for the sales force. Developed, launched, and managed a group of products featuring ASP channel partners. Initiated a cross -functional committee to improve communications between departments in the corporate office. Anticipated market trends and consumer demand. Developed internal customer relations program for corporate office. May 1999 to March 2000 - ALZA Corporation, Mountain View, CA Drug Safety Associate Medical Safety and Services Responsible for product safety functions, primarily with post -marketed oncology products. Reconciled safety data, reported adverse events to the FDA (Food and Drug Administration), conducted telephone interviews to obtain and follow-up on adverse events reported by health care professions, medically evaluated safety information. April 1992 to October 1998 - Palo Alto Medical Foundation, Palo Alto, CA Clinical Coordinator - Family Practice Supervised sixteen staff and ran all nursing operations while providing primary service and support networks to fifteen physicians. Key achievements include initiated clinic -wide Flu Immunizations Clinic, initiated RN -run clinics for UTIs and sore throats, and initiated BRAVO program for patient feedback to all staff. Also established training protocols for all nursing staff—from Medical Assistant to RN. Collaborated with Nurse Recruiter and DeAnza College to develop a summer training program for medical assistants. Successfully transitioned department from one-on-one to team nursing model. Served on numerous committees including Electronic Medical Record, Nursing Quality Assurance, Pediatric Immunizations, Flu Clinic, Infection Control Committee, and Women's Health. Assisted in designing buildings and work flow for new facilities (Los Altos Clinic and Palo Alto Medical Foundation move from downtown Palo Alto to current site on El Camino Real in Palo Alto.) Also assisted in determining electronic medical records needs and decision of which system to utilize. Telephone Triage/Staff RN Provided staff nurse functions to Family Practice and the Los Altos Satellite. June 1991 to April 1992—Sequoia Hospital, Redwood City, CA Staff nurse for nursery and pediatrics. August 1980 to June 1990 - English Department/Creative Writing Program, Stanford University Administrator/Public Events Coordinator Monitored all budgets and program admissions, coordinated public events including Jean and Bill Lane Lecture Series. Provided secretarial duties to the English Department of forty faculty. Planned and executed introduction of computers into the department. Kathv A Wallace Awards Service and Safety Alt Year (SASAY), Kaiser Permanente, Continuum of Care, February 2009 Science of Caring Award, Kaiser Permanente, Continuum of Care, August 30, 2011 Community Service Team Captain and VIP fundraiser for start! Heart Walk, American Heart Association, Santa Rosa, CA (Annually since 2007) Mentor Me Petaluma; Providing Individual mentoring for children at high risk (since 2011) American Association of University Women (AAUW)—Vice President of Membership (2013-2014) Presentation to Nursing Student Body "Choosing Nursing as a Career", De Anza College, January 5, 2015 Education June 1991 Associate of Arts, De Anza College, Cupertino, CA. Registered Nurse License 471099 References available upon request. p L Lr a City of Petaluma, California City Board, Commission and Committee Application X85$ City Clerk's Office 11 English Street • Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us o E N Ea 0 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill ou U completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's C L Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, 0 42 the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. CL_ Name: o U Adam Wiskind Home Address, City, State and Zip Code: o Petaluma, CA 94952 0 m e Phone: (If appointed, do you want this number to be available to the public?) ❑ YES � NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 1 yr Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 1 yr Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Pedestrian and Bicycle Advisory Committee Recreation, Music and Parks Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO DYES ❑ NO Present Employer: Exit Strategies Group Job Title: Business Broker, M&A Advisor Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: n/a Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Presidio Alumni Organization, President, 2009-2010 Pacific Community Ventures, Business Advisor, 2013 -present SCS Global Services Advisory Board, President, 2016 -present What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I enjoy working with people to achieve shared objectives. I am a good organizer. I am comfortable both leading and being led. I take my responsibilities seriously and will complete any tasks assigned to me. In my day job I do financial analysis which is a skill that 1 am happy to bring to the commission as necessary. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): UC Berkeley, BA Architecture, 1989-91 Oregon State University, MA Forestry 2001-2003 Presidio School of Management, MBA Sustainable Business, 2006-2008 Special Awards of Recognition Received: n/a Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Petaluma has the potential to be an amazingly walkable and bikeable city but it lacks infrastructure and culture that promotes these activities as preferable forms of transportation. I would like to work on infrastructure projects that promote safety and connectivity of bike and walking routes and events and activities that promote walking and biking within the city limits for example, Ride to Work and Ride to School initiatives. I tried to attend the May meeting of the Committee but was surprised to learn that it had been canceled for "lack of agenda items". Given the abundance of opportunities to make Petaluma a more walkable/bikeable city, I hope to bring new energy and ideas to the committee. Is there any other information that you feel would be useful to the City Council in reviewing your application? For over twenty years I have been a regular bike commuter and bicycle -for -transportation advocate. I was an active member of the San Francisco Bicycle Coalition and am currently a member of the Sonoma County Bicycle Coalition. I look forward to serving the City of Petaluma that has given me and my family so much. Thank you for the opportunity. Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? no If so, please state name of Organization/Employer: n/a City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO Sara Sass - Member of Recreation, Music and Parks Commission A late ' 05/19/17 L Five Vacancies: • Four Vacancies for Full Two -Year Terms Expiring June 30, 2019 • One Vacancy to Complete an Unexpired Two -Year Term Expiring June 30, 2018 p, L U L``L aw City of Petaluma, California JU�� City Board, Commission and Committee Application X85$ City Clerk's Office C ; LEEI 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's O of Petaluma, 71 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this fora call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: Phone: (If appointed, do you want this number to be available to the public?) E -Mail: (If appointed, do you want this address to be available to E' YES ❑ NO the public?) ❑ YES ®• NO Do you live within the Petaluma City limits? if so, for how long? YES ❑ NO J Are you a registered voter in Petaluma? If so, for how long? FZ I 11f_1 YES ❑ NO r, Z 1 Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note:-To serve on the Senior Advisory Committee, you must be at least 55 years of another City Board, Commission, Or Committee? Please age. indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or Other City bodies previously? Fq YES ❑ NO ❑ YES NO Present Employer:: da .' 6 y�� '�'0,>� �"d^s�e 'b',^' tr $,•;'.�' "tui A 8�"� ,� d�„�r" �.,r Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Z- - sJ °-i to Z ��/�� ���� /- � � / - 0 — / � 7 �" " t' s/-'✓��y' ss�"4A "a '��� � —= jF °ero i' �{ c 'y/"+ J 7 �I ® Nj4^•9 V "'a 6✓M .7 ryy�y`��� y/ Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committeejnclud,ing what specific objectives you would be working toward as a member of this advisory body: I have always thought that part of being a citizen was an obligation to support your community in any way that it called you to; jury duty and civil defense for example. But those instances are random and uncertain. Recently, at the Petaluma Community Engagement fair, it pleased me to see our city government reaching out ask citizens to consider serving on its commissions and committees. As a retired but still working teacher I knew that I could make some kind of contribution through the Youth Commission. It also occurred to me that with my experience with Mentor Me. and 10,000 degrees as a mentor that I, with others, could look for a way to increase the number of these invaluable and impactful relationships. 0 Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES C NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? 0 YES ❑ NO How did you hear about this opening? Applicant's Signature Date KeviseO Aprp —2-,�; 2u I /. Fred Carroll Petaluma, CA 94952 Work Experience: 1967-1979 Journeyman Clerk s.� Ralphs Markets 1980-1981 Press Secretary Hon. Matthew Martinez 32nd Congressional District CA 1982-1999 Benefits department UFCW Local 1442 Santa Monica, CA 310-322-8329 1999-2010 Teacher, English Department Sherman Oaks Center for Enriched Studies Tarzana, CA. Retired 818-758-5600 XT -1110 (school secretary) 2013 Volunteer tutor Mother's Club for Learning, Pasadena Mentor Me, Petaluma 10,000 Degrees, Petaluma Education Bachelor's Degree 1989 Antioch University Silver Spring, MD California State Teaching Certificate s.� School Red Cross Club Sponsor Activities Work Experience Coordinator Status Married, three Adult Children Hobbies Reading, Writing and Gardening References Mike Streater President UFCW Local 1442 Louise Leff Leff Landscape Design Maureen Charles 313-3 City of Petaluma, California JW4 2017 0 (1) City Board, Commission and Committee Application g �� Iss$ City Clerk's Office - - - � � 11 English Street - Petaluma, GA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us o c U a Instructions: Use this form to apply toserve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill outtF, p U completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's OffT' Petaluma, 11 En glish Stre et, Petaluma, CA 94952. All a pplic a tions are reviewed by the City C o un cil. If yo u have q uestions a b o ut this form, pl Q the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: 'i✓ 0 lelar Home Address, City, State and Zip Code: ile At /xtoz- Phone: (If appointed, do you want this numberto be available to the public?) YES I I NO Do you live within the Petaluma City limits? ti► � Are you a registered voter in Petaluma? �m Board, Commission, or Committee, of Interest: Note: Fivef5) members of the Senior Advisory Committee, must beat least 55 years of age; Two (2) members may be 18 or over. E -Mail: (If appointed, do you want this address to be available to the public?) LLffYES M No If so, for how long? If.so, for how long? If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously?_ E2"*,YES N 0 OYES [D<O Present Employer: L- 1111,,4- 1 Job Title: e- Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? 6qu College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): ,AZ 4 . Special Awards of Recognition Received: Please state reasons why you wantto become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisor body: ' . , Is there any other information that you feel would be useful to the City Council in reviewing your application? l Are you associated with any Organization/Employer that might be deemed a conflict of interest in perform ingour duties if appointed to this position? y /VD If so, please state name of Organization/Employer: 0 City policy directs all appointed advisory body members notto vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? D ■� How did you hear about this opening? Applicant's Signature I Date May 9, 2017 a0 _ City of 'Petaluma, California � �� trq (D v _ City Board, Commission and Committee Applicationftz ��� �! z85a City Clerks Office v ' E 11 English Street • Petaluma, CA 94952 - 707.778.4360 • cityclerk@ci.petaluma.ca.us - 7,; o Q _ U U Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the t completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office o U Petaluma, I I English Street, Petaluma, CA 94952. All'applications are reviewed by the City Council. If you have questions about this form, pleas > Q) the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petafuma.ca. us. Q Name:o w Home Address, City, State and Zip Code: Phone: (If appointed, do you want this numberto be available to the public?) YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑ YES NO Are you a registered voter in Petaluma? If so, for how*long? YES ❑ NO , Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members maybe 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional Choice. UTIK C 0 MtA ISSNf V � 1J �d I p - U VSo k- Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES / NO YES v NO Present Employer: ti 4 NOTE 111 1 i' , Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 3, k in aim V� Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: ® 12 2®�3 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject,, Dates, Degree/Date): . hexh� 60" �' . ®f 11A -nom Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward asa member of this advisory body: � � _ -� -- - ° as _ 5 a= I�1 /off �� � i� (� y, �.d rr✓( k� � T7�� L ---- Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date May 9, 2017 y LU ���f� 7a R City of Petaluma, California U e City Board, Commission and Committee Application zs5a City Clerk's Office -� 1 1 English Street • Petaluma, CA 94952 • 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fc completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office C Petaluma, 1 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, please the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: .5- -0 CL Andrea L. Pierotti Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑� NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑YES ❑� NO Do you live within the Petaluma City limits? If so, for how long? 0✓ YES ❑ NO 7 years since 2010, 20 years prior (1973-1993) Are you a registered voter in Petaluma? If so, for how long? 0✓ YES ❑ NO 7 years since 2010, 2 years prior (1991-1993) Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Tree Senior Advisory Committee (under the age of 55) .5- -0 CL Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑✓ YES NO WIYES NO Present Employer: Self employed Job Title: Attorney Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Senior Advisory Committee, 2015 to current Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Sunrise Rotary Club, board member 2011-2016, regular member 2010 to current Petaluma People Services Center, board member, 2011 to current North Bay Rowing Club, Advisory Committee, Legal. 2010 to current Sonoma Land Trust, Monitoring Lead, 2009 to 2016. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Current Secretary of this committee, with nomination to be Chair. I am certified specialist in Estate Planning, Probate and Trust Law, with many aging clients, and aging parents who are also residents of Petaluma. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Santa Clara University School of Law. 2006-2009. JD Mills College. 1993-1996. BA Santa Rosa Junior College. 1992-1993, transfer St. Vincent's elementary and high school, 1980-1992 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: am reapplying to the committee to continue the work addressing transportation, housing, access to health care for seniors in our community. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? I am a board member of Petaluma People Services Center. My term ends July 2017. If so, please state name of Organization/Employer: Petaluma People Services Center City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Current member Applicant's Signature Date May 9, 2017 FR E v City of Petaluma- California City Board, Commission and Committee Application ° City Clerk's Office 11 English Street - Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plea; the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: c Kristine Rebillot Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) 1:1YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to public?) W1 YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? YES ❑ NO 15+ years Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO 15+ years Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members maybe 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Senior Advisory Committee Pedestrian & Bicycle Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO DYES NO Present Employer. Buck Institute for Research on Aging Job Title: Director of Communications Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N/A Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: N/A What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Knowledge of aging science, communications (both written and spoken), interest in healthy aging College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Graduated 1972 from Bowling Green State University, Bowling Green, OH. Bachelors degree in Journalism Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives -you would be working toward as a member of this advisory body:. I want to get involved in my local community. I work in Novato in a great job that is very intellectual. I am eager to participate in projects that would have real world, physical benefits to older adults - myself included. Initiatives that benefit older adults make for a better community overall. I have no specific objectives at the moment - I am interested in many aspects of well being, which include health care, food and nutrition, employment opportunities for older adults, public transportation and physical activity. Is there any other information that you feel would be useful to the City Council in reviewing your application? I include a resume Are you associated With any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? No If so, please state name of Organization/Employer. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Nextdoor social media app Applicant's Signature I Date May 9, 2017 Kris Rebillot Petaluma, CA 94953 Current employment: Buck Institute for Research on Aging, Novato, CA Director of Communications Public Information Officer January 2011- Present July 2003 - December 2010 Responsible for strategic communications and media relations for the nation's first independent biomedical institute dedicated to extending human healthspan through research focused on the intersection between aging and chronic disease. Work with the Resource Development Department to produce and write most print materials, including annual reports, newsletters, member communications and brochures. Oversee content development for the website and supervise social media activities. Hire and supervise freelance writers and designers. Produce Institute videos as needed. Responsible for all media relations; write news releases and e -blasts, pitch stories to reporters and science writers. Prep scientists and staff prior to interviews. Placements have included most Bay Area print and broadcast outlets. Nationally the Buck Institute has been featured on The National Geographical Channel, CBS Sunday Morning, the PBS NewsHour, and the NBC News Channel. Stories have appeared in Reuters, Newsweek, and The Los Angeles Times. Institute scientists have been quoted in The New York Times, Wall Street Journal and USA Today, among others. Coordinate with documentary producers and film crews videotaping at the Institute, including The BBC, HBO and NKH (Japan). Moderate Institute Community Seminars and Member events. When needed, act as the Institute spokesperson. Former Clients The Certification Commission for Healthcare Information Technology (CCHIT) Wrote and produced audio reports highlighting new certifications and new resources for physicians and software developers. Produced a series of multi -media training programs for vendors and developers. The California HealthCare Foundation Produced and wrote many multimedia programs, including initial videos for Health -e - App, the nation's first online application tool for public health financing programs and "Project Connect: Frequent Users of Health Services Initiative." Rebillot Resume June 2016 The Advisory Board Company Produced and wrote audio reports for CaliforniaHealthline.org and iHealthBeat.org. Kaiser Permanente Advised Northern California physicians on appropriate media and messaging for the rollout of new Adult Primary Care teams. Wrote and produced tapes used in the rollout of new call centers. Produced a videotape highlighting "Open Access" programs in Sacramento clinics. Segment producer for "Partners in Health", Kaiser Permanente's award-winning national video magazine focusing on consumer health issues. Stories produced involved genetic testing for breast cancer, treatments for depression, travel medicine, and advances in laparoscopic surgery. Past employment West Coast Director for TVN Communications Group (NYC) 1999 - Spring 2002. Worked with numerous public relations firms and biotech companies to determine messaging for product launches, public service campaigns and educational efforts. Wrote and produced a variety of video news releases and patient/physician education tapes. Clients included Ketchum Public Relations, Burson-Marstellar, Publicis Dialog, Genentech, Scios, SangStat, Berlex, McKesson, Elan Pharmaceuticals, Gilead Sciences and The Healthcare Information Management Systems Society. Produced Satellite and Radio Media Tours. Free-lance reporter for National Public Radio's "All Things Considered," WNYC's "On the Media," Voice of America's "Our World" and KQED Radio in San Francisco. Broadcast Journalist: WFLA-TV, Tampa FL 1977-1982 General assignment reporter, live field anchor for local NBC affiliate. Key interviews included President Jimmy Carter and the Rev. Billy Graham. Acted as state media witness for execution at Florida State Prison. Education B.A. Degree in Journalism, minor in Speech; Bowling Green State University, Bowling Green, Ohio References available on request Rebillot Resume June 2016 N I City of Petaluma, California City Board, Commission and Committee Application } City Clerk's Office C i" '' Q°" Ei 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us�`°�"` Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic Petaluma, 11 English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pie( the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.co.us. ( IMelody Sea `) Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) Z YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) Z YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? 0 YES ❑ NO 30+ years Are you a registered voter in Petaluma? If so, for how long? 0 YES ❑ NO [30+ -years Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on _ another City Board, Commission, or Committee? Please indicate ONE additional choice. Animal Services Senior Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES FI NO DYES NO Present Employer: Petaluma People Services -Center Job Title: Fair Housing of Sonoma County Resource Specialist Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None - Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: PPSC-Volunteer for any benefits we hold. Was voted Volunteer of the year for Senior Services about 8 Yrs. ago. Also, worked as a Social Worker in 2 long term facilities about 10 - 15 years ago. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I am a dog and house sitter for many of the employees here at work. (My nick name is "The Dog Whisperer"). I have own dogs all my life from Dash Hounds to Pit Bulls: Also, for the second pick w/ Seniors, I have always had a big heart for Seniors. They deserve more attention and better treatment. Worked and Volunteered for them for many years. %-011ege, rroress'onai, vocar'onai bcnoois Attended (Major Subject, Dates, Degree/Date): Graduated from High School in 1969. Graduated as a CNA(Certified Nurses Asst.) around 1977 Am a certified Mediator. Have taken many courses that were all job related. Special Awards of Recognition Received: Volunteer of the Year working with Seniors Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Because I am concerned about the fair life of animals and l love being around them. For my other choice working for Seniors, I know they deserve more and better respect and care. Especially now, because of the effects that our current Administration is and will have on them.. Is there any other information that you feel would be useful to the City Council in reviewing your application? Everything was covered well with your questions. If I should be chosen as a volunteer, l will be glad to answer any other questions you I am very hard working and take any task given me seriously.y have for me. I am excited about applying with the City Council and do hope I make your list. 0 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? No. My best reference is my boss, Elece Hempel. If so,_ please state name of Organization/Employer: Petaluma People Services Center.. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? 1 YES ❑ NO How did you hear about this opening? From reading the ARGUS Applicant's Signature May 9, 2017 Date 3/18/2017 Phone; (If appointed, do you want this number to be available to the public.) E,Mail''.(If appointed, do you want this address to be available to YES NO the public?) ES NO 1 Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note. To serve on the Senior Advisory Committee, you must be at least 55 years of another City Board, Commission, or Committee? 'Please age. indicate ONE add tionafchoice. 4c Rt 2 Civicor Charitable Organization to which you have belonged, Position/Office<Held, and bates: What Special Intere ills/Talents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (major Subject, Dates, Degree/Date):' .99 Special Awards or Recognition Received: y you want to become a member, of this Board, Commission or Committee, including what specific e working toward as a member of this advisory body: 0 Is there any other information that you feel would be use u'1 0 the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of Interest in performing your duties if appointed to this position. YES O Ifyes„please state name of Organization/Employment: Applicant's Signature Date is d Anri) 25. 2017_ 5 Three Vacancies for Full Two -Year Terms Expiring June 30, 2019 Ltr � 177 City ®f Petaluma, CaliforniaL� City Board, Commission and Committee Applications( �85s City Clerk's Office ` � (D a 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petalumC�,a'us�� 7 E o -6 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill c U > completely_ if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk',, of Petaluma, I 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this f 0 call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Q Dylan Lloyd o 0 Home Address, City, State and Zip Code: U aD Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?) E -Mail: (if appointed, do you want this address to be available to YES 0 NO the public?) aYES (DNO Do-youlive within the Petaluma City limits? If so, for how long? YES C) NO 3.5 years Are you a registered voter in Petaluma? If so, for how long? a YES 0 NO 3.5 years Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of age. if not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Technology Advisory Committee No Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? YES 0 NO YES 0 NO Present Employer. Sitecore USA, Inc. Job Title: Director, Global IT infrastructure Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Technology Advisory Committee - 9/21/15-6/30/17 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have now been serving on the technology advisory Commitee from 9/21/15 through 6/30/17 and feel that I have added an experie nced voice to the committee. I would be honored to serve the city for another term. I have been managing and supporting various company IT Departments for the last 15 years. At the moment 1 am the Director, Glo bal IT Infrastructure for a software company, managing the company's Global IT Infrastructure Department. I think I have and can continue to use my experience in my career to advise the city when it comes to technological choices. I also make make sure I keep up to dates on the current technology trends as a hobby and for my career. I also have the ability to easily explain technology and current trends in technology to people, which has and will continue to be ben eficial on this committee. I always have been very interested in politics and the inner workings of local politics, I think if you combin e my career and my interests I would be a great match to continue on this committee and could continue to help the city achieve its goals when it comes to technology. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): California State University, Chico - BA in Communication Design with an option in Media Arts - 2002 - Special Awards or Recognition Received: Certified in A10 Networks Palo Alto Networks Ambassador Certified Information Systems Security Professional (CISSP) Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am very concerned with the state of broadband in our country and the city. I fee! that high speed internet is something that everyo ne needs to have access to at a reasonable cost. Right now in the city we don't have that many choices of providers. I feel that w e need to do something that will drive the cost down while bringing the speeds up. There are many ways to do this, 2 options coul d be: 1. We could have new providers build their networks in the city to increase competition. I think this would force current providers to upgrade their networks and lower their prices. 2. The city could build its own fiber network and let providers run their services over that network. I feel I can help the city in the area of broadband to make sure we get all citizens high speed internet at a reasonable cost in a way that would be in the best interest of the city of Petaluma. I think there are many more places that the city could help the citizens of Petaluma in the area of technology. Things like a citywide WiFi network to help save on mobile data costs for people, making sure our schools have the broadband and technology that will make sure our kids have the skills that they need in today's society, and many more things where technology can help everyone. I feel that I can help advise the city in many of these areas and would make a great addition to this committee. I also have many other objectives I feel that we can complete as a city if I am honored by appointed for another term. 0 Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? YES a NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? YES 0 NO How did you hear about this opening? 1 am a current committee member who can be appointed for another term Applicant's Signature Date Kevisea Hpni zu i i. 2 ALrr g City of Petaluma, California City Board, Commission and Committee Application pp n City Clerk's Office r 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.peta 0.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fdl_out the completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward toe s C� G!e_�J;� l " fid Petaluma, 1 i English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions abcut his form, ole the City Clerk's Office at 707.778.4360 or e-mail us atcitycIerk@ci.peto1uma.ca.us. Name: ngelo Sacerdote Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (if appointed, do you want this number to be available to the public?) ❑ YES ✓❑ N0 Do you live within the Petaluma City limits? ✓❑ YES ❑ NO Are you a registered voter in Petaluma? ❑✓ YES ❑ NO Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. Pedestrian and Bicycle Advisory Committee E -Mail: (if appointed, do you want this address to be available to the public?) ❑ n vr. S NC If so, for how long? If so, for how long? years If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. echnology Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other Cit bodies reviousl ? �✓ YES � NO YES � NO Present Employer Petaluma Pie Company Job Title: Co-owner Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board. Commission, or Committee? I bike and walk in this city between the east side and west side. 1 am interested in improving safety and encouraging alternativesto riving. As an employer and owner of a downtown business, I am an advocate for encouraging walking and biking in the downtown area. In terms of the Technology Advisory Committe, I worked for 10 years at a technology non-profit in San Francisco called Bay Area ideo Coalition. I have a strong interest in and wide knowledge of technology issues. may Y, LU I Six Vacancies: • Three Vacancies for Full Two -Year Terms Expiring June 30, 2019 • Two Vacancies for Partial Terms Expiring June 30, 2018* Pill III IR City of Petaluma, California J U 0 City Board, Commission and Committee Application City Clerk's Office Com, hTY, 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.u.') Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic Petaluma, 1 l English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pie the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petalum a. Co. us. Name: Dave Alden Home Address, City, State and Zip Code: Petaluma, CA 94952 I Phone: (If appointed, do you want this number to be available to the public?) ❑✓ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑✓ YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 115 Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO 115 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music, and Park Commission Planning Commission, but see answer under Other Informati -�-ra.)A 6t t- Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously,7. 0✓ YES NO W]YES NO Present Employer: None, semi -retired Job Title: None Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: City of Petaluma, Transit Advisory Committee, Member (2011 -present), Chair (2013 -present) City of Petaluma, Recreation, Music, and Park Commission, Member (2013 -present) City of Petaluma, Pedestrian Bicycle Advisory Committee, Liaison from RMPC (2013 -present) Bend LaPine Public Schools (Bend, Oregon), Member (1998-2000), Chair (2000) Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Urban Chat, Co -Founder, Executive Director (2012 -present) Urban Community Partnership, Director (2016 -present) Rebuilding Together Petaluma, Director (2002-2008), President (2005-2008) Broken Top Community Association (Bend, Oregon), Design Review Committee, Chair 1996-1999) What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I'm a Registered Civil Engineer with over forty years of experience in Petaluma and elsewhere. I'm keenly aware of the connections between land -use patterns and community values such as housing affordability, mobility options, greenhouse gas reductions, and municipal finances. In my semi -retirement, I've chosen to become active in these fields, through membership and participation in national organizations and through local organizations that I've helped found. This background will be brought forward to any City body to which I might be appointed. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): University of California (Berkeley), 1971-1975, Bachelor of Science, Civil Engineering University of California (Berkeley), 1975-1976, Master of Science, Civil Engineering (Water Resources) Special Awards of Recognition Received: Recognition from Urban Land Institute for participation in UrbanPlan (2007-2014) City of Petaluma proclamation noting tenure as Board President of Rebuilding Together Petaluma (2009) Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I have a passion for land -use practices that will align cities for success in the 21st century. Regardless of the body to which I may be appointed, I'll find a way to bring that passion to bear on making Petaluma the best place possible. If I'm appointed to the Recreation, Music, and Park Commission, my goal will be to configure parks so that they can accessed without a car and provide a good experience for those seeking a respite from urban activity. If I m appointed to the Planning Commission, 111 be proactive in seeking standards that encourage good development. If I m appointed to the Transit Advisory Committee, I'll continue to work for the improved integration of land use and transit. Is there any other information that you feel would be useful to the City Council in reviewing your application? As a current Recreation, Music, and Park Commissioner, my primary goal is reappointment to that body. However, numerous acquaintances have strongly encouraged me to apply for the�Planning Commission. To mollify them, I've submitted the supplemental Planning Commission application form. However, I fear that being a Planning Commissioner would result in numerous conflicts, both with actions I've previously taken and with actions that I'llli y ke in the future. I will serve with attention and passion if appointed a Planning Commissioner, but also wouldn't mind by bypasslastly, I was recently termed out of the Transit Advisory Committee. The terming -out was the result of a resolution that was intended to be revised but was mislaid administratively. Therefore, I've been encouraged by others to express a willingness to continue serving on the Transit Committee in the event the Council sees a role for me there. In summary, I'll serve happily wherever I can benefit the City] Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? In my role with Petaluma Urban Chat and the Urban Community Partnership, along with my extensive history of blogging on land -use issues, I have taken and likely will take positions that may result in a perceived inability to judge an issue fairly. To the extent that those concerns arise, I will recuse myself. If so, please state name of Organization/Employer: Petaluma Urban Chat Urban Community Partnership City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑✓ YES ❑ NO How did you hear about this opening? Current member of Transit Advisory Committee and Recreation, Music, and Park Commission, plus frequent visitor to City Hall. Applicant's Signature Date June 8, 2017 May 9, 2017 9 a J U N0820117 City of Petaluma, California City Board, Commission and Committee Application C "if C LER �85$ City Clerk's Office - -------------- --- 11 English Street • Petaluma, CA 94952 •707.778.4360 • citycierk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California'sBoards, Commissions, or Committees. Please fill out th completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi Petaluma, 11 English Street, Petaluma, CA 94952. All a pplic a tions are reviewed by the City Council. If you have questions about this form, pif the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: ,e l�� Home Address, City, State and Zip Code: Phone: (If appointed, do you want this numberto be available to the public?) 1:1 YES ONO E -Mail: (If appointed, do you wantthis addressto be available to the public?) ❑AYES ❑ N 0 L - o you live within the Petaluma City limits? If so, for how long? YES ❑ 0 Are you a registered voter in Petaluma? If so, for how long? EI�YES ❑ NO �—'"' Board, Commission, or Committee, of Interest: Note: Fivef5) members of the Senior Advisory Committee, must be atleast55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. L�Ii J / 0 /' '5��V/5 4),/ /y i Have you attended a meeting of this or other City bodies? Have you served on or applied for this or otherCity bodies previously? YES ® NO ®YES L!fN0 Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): A Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisor body: A4<-) i G'1� j Lszi �/ i C1�L Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? /V2) If so, please state name of Organization/Employer: 141A City policy directs all appointed advisory body members notto vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ❑ YES ❑ NO How did you hear about this opening? vim+ Applicant's Signature Date �3z- M ay 9, 2017 -0 City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office �'17� 11 English Street • Petaluma, CA 94952 - 707.778.4360 • cityclerk@ci.petalumC<.!a ups Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the, completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Officc Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plec the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: —I Home Address, City, State and Zip Code: y Lu &\,A-) 9 C �g Phone: (If appointed, do you want this number to be available to E -Mail: (If appointed, do you want this address to be available to the the public?)public?) ❑ YES ®NO ❑ YES NO Do you live within the Petaluma City limits? If so, for how long? aY—ES ❑ NO Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO S Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES NO fES F] NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? �-1 Vt� A College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: '?, Fc-i2- S,4-F—/�- -—� r a�—�A— Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: o m T ✓ W I i14— T-T S I S� ®ev" l 14'e�.p AIeJ Is there any other information that you feel would be useful to the City Council in reviewing your application? 1 *4 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties N appointed to thisposition? If so, please state name of Organization/Employer: b f- t V �� ) tO .MO `TiZ A X)5� ) `i. t 1 pt City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date May 9, 2017 r85a City of Petaluma, California City Board, Commission and Committee Application s 'E 00170 City Clerk's Office 11 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out ttl completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi Petaluma, I I English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, ply the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Tim Howard Home Address, City, State and Zip Code: ?e:tCZA ' Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑YES ❑✓ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 4 Yrs Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO Yrs Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Transit Advisory Commission Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO E]YES Z NO Present Employer: Marriott International, Courtyard Marriott Novato Job Title: General Manager Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Active Economic Development Commissioner City of Novato Past President 2015 & Active Board Member (6 years) Novato Chamber of Commerce Past President 2015 & Active Board Member Marin Convention & Visitors Bureau Board Member Marin Economic Forum Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Novato Rotarct, Novato Rotary What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? In 2014, 1 Chaired a Committee for the Novato Chamber of Commerce related to 1st and last mile commute for SMART train riders. We analyzed multiple options, including public, private, and hybrid funding options for shuttle services. The Committee's primary result as facilitating meetings and collaboration sessions for the larger employers in and around Novato. While, public grant dollars were not obtained for the purpose of "shuttle" services, the private sector of employers were expossed to additional information and contacts that ultimatly added a new private shuttle for a large area empoyer. I am an advocate of SMART, and public tranist in general. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): B.A. Business Administration, UNC -Charlotte Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am interested in adding value to my community. I am excited for new transportation options coming quickly on the horizon, as well as ant to bring my business background, and analytical decision making skills to the conversation. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am a balanced, logical, level minded decision maker. Althought I lean towards financial conservitive, I am open minded and thoughtful towards making complex decisions beyond just dollars and cents. Are you associated with any Organization/Employer that might be deemed a conflict of interest In performing your duties if appointed to thisposition? n/a If so, please state name of Organization/Employer. City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting If such conflict arises? YES ❑ NO How did you hear about this opening? lNextdoor posting of Get Involved poster_ Applicant's Signature Date 61& `/% May 9, 2017 RPl:v� 4 : City of Petaluma, California JUN 0 G 2011 , City Board, Commission and Committee Application X85$ City Clerk's Office p I t 11 English Street •Petaluma, CA 94952 -707.778.4360 • cityclerk@ci.petalu.maca.Ls�_.°_ w Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or 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. Ifyou have questions about this form, please call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: Q� 41 L4,oqA; cl I Phone: (If appointed, do you want this number to be available to the public?) YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) � YES ❑ NO I Do you live within the Petaluma City limits? If so, for how long? FV L�.�YES ❑ NO eAieS Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO Board, Commission, or Committee, of Interest: Note: Rve(5) members of the Senior Advisory Committee, must be at least55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Transit Advisory Committee McCarthy, Chris 31� Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies reviousl ? YES NO NYES NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: �2�� � '�/�/�✓JSi3� �'D�1�� SCJ C. d /Y/r►'a• `�� Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: �eA45 45/ /,t�.�� What Special Interests/Skills/Talents would you bring t�of this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisor body: Is there any other information that you feel would be useful to the City Council in reviewing your application? 39 v Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ® YES ❑ NO How did you hear about this opening? 19 / Applicant's Signature Date s 201`7 May 9, 2017 3131 City of Petaluma, California: 0 5 121 01 1 City Board, Commission and Committee Application City Clerk's Office -- N 1 1 English Street • Petaluma, CA 94952 • 707.778.4360 • cityclerk@ci.petaluma.cia: -} U Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out o completely_ If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of U Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, 1✓� the City Clerk's Office at 707.778.4360 or e-mail us of cityclerk@ci.petaluma.ca.us. p > Name: Q Michael Regan Home Address, City, State and Zip Code: ~ Petaluma, CA 94954 Phone: (If appointed, do you want this number to be available to the public?)public?) ❑ YES WINO E -Mail: (If appointed, do you want this address to be availab ❑YES ❑✓ NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 24 Are you a registered voter in Petaluma? If so, for how long? ❑✓ YES ❑ NO F24 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age; Two (2) members may be IS or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. �ransit Advisory Committee N/A Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? RI YES 11 NO OYES RI NO Present Employer: The Regan Team Home Loan Group Job Title: Mortgage Banker Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: N/A Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Educational Foundation Vice President - Current Petaluma Chapter of Realtors council member and Treasurer - Current Petaluma Host Lions Board member 2011-2015 Petaluma Young Professionals Board member 2011-2015 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I moved to Petaluma in 1993 so I've got a good history and understanding about local issues as well as my involvement in the real estate community on how important and critical having a great transit system is. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): B.A. Radio and Television San Francisco State University 2005 Special Awards of Recognition Received: 017 North Bay Business Journal Top 40 under 40 2017 National Mortgage News Top 400 Originator in America 2016 North Bay Association of Realtors (NorBAR) Affiliate of the Year 2011 & 2014 Petaluma Chapter of Realtors Affiliate of the Year Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: With Smart Train service starting any day now having an effective city transit system is critical to maximizing the benefits and to provide more options for residents in Petaluma to be able to use public transportation and take cars off our over crowded roads. My goal is to help achieve these results. Is there any other information that you feel would be useful to the City Council in reviewing your application? NIA Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? No If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ AVO How did you hear about this opening? Mike Harris Applicant's Signature Date ' 6/5/2017 May 9, 2017 Lrr V City of Petaluma, California City Board, Commission and Committee Application X85$ City Clerk's Office 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petalumamc--a use i o a Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out th U completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Off( Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. if you have questions about this form, plE L the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca. us. Name: - r r Q a Home Address, City, State and Zip Code: Phone: (if appointed, do you want this number to be available to the public?) ❑ YES ❑ NO Do you live within the Petaluma City limits? ❑ YES ❑ NO E -Mail: (if appointed, do you want this address to be available to the public?) ❑ YES ❑ NO If so, for how long? r-:.5 Are you a registered voter in Petaluma? I If so, for how long? ® YES ❑ NO Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age; Two (2) members may be 18 or over. ONE additional choice. v 9 Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑ YES 13 NO ❑ YES ❑ NO Present Employer: 4) 1 e. jc Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: —Z -/7�) Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: -<Z YIVSI rw /19 C� What Special Interests/SU Is/Talents would you bring to this Board, Commission, or Committee? kr '5 42 I College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 19 7 Special Awards of Recognition Received: a- Af (YLIq- ZU/ Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as amember of this advisory body: L11111 rm WN -JO Is there any other information that you feel would be useful to the City Council in reviewing your application? ;. /Irti 7 fie, '� b7A&,441� Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date e, i May 9, 2017 A Four Vacancies: • Two Vacancies for Full Two -Year Terms Expiring June 30, 2019 • Two Vacancies for Partial Terms Expiring June 30, 2018 c0 11 i 111 = p, L r7 Iss$ City of Petaluma, California �G City Board, Commission and Committee Application City Clerk's Office71� r- 1 1 English Street • Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.c ''" V,,�t=f Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offic! Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plec the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. 0 U 0 V) Q m Name: '— �-� C) Home Address, City, State and Zip Code: Ly Phone: (If appointed do you want this number to be available to the public?) YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) .YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? .a Y ES ❑ NO Are you a registered voter in Petaluma? If so, for how long? OYES ❑ NO - T \> 3 Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. W Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO - YES ❑ NO Present Employer. r Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: L 0 A-) sktkv L 1 - , t /___j C� e r-- Civic or Charitable Organization to which you have belonged,. Position/Officfe�Held, and Dates: ?,�� L� — - (a- !/ 67 'L) d What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? V� ®r s,;-:,er_ ls' 'L -Al Y- 2 0' V <t- ) J �4� Se"-Cj a College, Professional, Vocation I Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: g A-/ Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: Lf �zz�- v VL,/)& Is there any other information that you feel would be useful to the City Council in reviewing your application? 1 Are you associated with any Organization/Employer that might be deemed a conflict of interest in performin.g your duties if appointed to this position2 If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date yh May 9, 2017 a City of Petaluma, California �, > City Board, Commission and Committee Application a X85$ City Clerk's Office C� 1 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.peta Iumama°a s— E O � U Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill i' i ,y completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk': 0 3 of Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this t call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petolumo.co.us. Q Name: L vi 1 Home Address, City, State and Zip Code: 1 c(S Phone: (If appointed, do you want this number to be available to the E-Mail: If public?) ( appointed, do y94 want this address to be available to the ❑ YES ®' NO public?) ❑ YES NO Do you live within the Petaluma City limits? - if so, for how long? LNIYES ❑ NO Are you a registered voter in Petaluma? If so, for how long? +'C` YES ❑ NO y Board, Commission, or Committee, of Interest: Note.-To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. I Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? YES ❑ NO ❑ YES NO Present Employer: C) 2� ® Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? q-�L- � 7 r Pvt.\) )\A4 L -S L '- Dt College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): qL I Special awards or Recognition Received: �p a Please state reasons why you want to become a member of this Board, Commission or Committee,including what specific objectives you would be working toward as a member of this advisory body: co -It l�'D l_F �IZ_ \ � CJ`i/'�� �� '0'��l �l `(td\ \`i ��LL�-u 4�-�� i �� 1 fv ""cV�°`�.-,�'�./ ® ����f•'`���� S,s�` tJG�y i2� a i C�i Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? YES ❑ NO How did you hear about this opening? ApplichnFs Signature Date 0 Kt:'-VISt:'-U /April LJ, LU 1 /. Pa zS6$ City of Petaluma, California City Board, Commission and Committee Application CiU111v1, City Clerk's Office 1 1 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.c Us, -\,,f Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tl completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offl Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pl the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: _ Q aD a� [Katrina Miller Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑✓ NO E -Mail: (If appointed, do you want this address to be available to the public?) ✓❑YES ❑ NO Do you live within the Petaluma City limits? If so, for how long? ✓❑ YES , [:]NO one year Are you a registered voter in Petaluma? If so, for how long? ✓❑ YES ❑ NO one year Board, Commission, or Committee, of Interest: Note: Five(5) members of the Senior Advisory Commiffee, must be at least 55 years of age: Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Groundwater Advisory Committee Tree Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑✓ YES 1:1 NO OYES k NO Present Employer: Gemini Title & Escrow, LLC Job Title: Client Relations Manager Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged; Position/Office Held, and Dates: Sierra Club - ongoing membership since 2001 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have a law degree with a concentration in environmental law. I am particularly interested in preserving natural resources for current and future Petaluma residents. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Hood College - B.A. Law/Sociology - May 2007 University of Maryland Carey School of Law - J.D. - May 2016 Special Awards of Recognition Received: Hood College (Pi Sigma Alpha honor society, SGA Academic Advisor Chair, Dean's Honor roll) University of Maryland Carey School of Law (Cum Laude, Environmental law certificate, graduated top 15% of class, Excellence for Ithe Future Award in International Law. Maryland Administrative Law, and Government Contracts- Leadershin Scholars Award.) Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives _you would be working toward as a member of this advisory body: I grew up in Petaluma until I moved to the east coast in 2003. After completing school, I returned home to Petaluma last June. As a native to Petaluma, I want to get involved in my community. Because my educational background is in environmental law, I feel I can be the most effective in areas related to my expertise. By serving on this committee, my objective is to make Petaluma as environmentally sustainable as possible, while balancing the needs and input of Petaluma residents. Is there any other information that you feel would be useful to the City Council in reviewing your application? I would be happy to provide academic or professional references upon request. ointe Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your dutied I s ifapp to this position? No. My employer is in Maryland. I work remotely from home from 7AM -3PM. If so, please state name of Organization/Employer: N/A City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would ou be willing to abstain from voting if such conflict arises? How did you hear about this opening? Sara Sass (Recreation, Music and Parks) Applicant's Signature Katrina Miller (e) May 9, 2017 ❑✓ YES ❑ NO Date 6/7/17 �p L rT �- JOY City of Petaluma, California a a`T City Board; Commission and Committee Applicatic m City Clerk's Office 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us al 0c Y' C' �! u U �a�.r L..+ i O Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tf o O completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi > > Petaluma, 11 English Street Petaluma, CA 94952. All, applications are reviewed by the City Council. if you have questions about this form, plE Q the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. (D Name: �Z, 102 Home Address, City, State and Zip Code: /" Phone: (if appointed, do you want this number to be available to the public?) YES NO Do you live within the Petaluma City limits? E -Mail: (If appointed do you want this address to be available to the public?) n YFC If so, for how long? YES 0 NO [ I Yzev-S Are you a registered voter in Petaluma? If so, for how'long? 10 YES C3 NO Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age: Two (2) members may be 18 or over. !Cd,d%-,e, If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES M NO YES M NO Present Employer: JobTitle: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/pp�SBkills/Talentsf wouldplA. you bring to this Board, Commission, or Committee? n College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 1 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: ( 6 i-Ct I 1�1 ..� 1 ,i, :e'D R' �„ �' b tfi�i, � � d'✓�� Q: �i &/ I!'45 �. �i �/A1F �san �lvt'/9 C ' e Vy ¢nlG'�.: rV � G'L 4� � �, Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a.conflict of interest in performing your duties if appointed to thisposition? :V U If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? u Applicant's Signature Date May 9, 2017 rU � � r� � �'` t .y r� ,J City of Petaluma, California City Board, Commission and Committee Application rs5g City Clerk's Office 1 1 English Street - Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fo completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office C Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, please the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petolumo.co.us. Name: [Andrea L. Pierotti Home Address, City, State and Zip Code: Petaluma, CA 94952 I Phone: (If appointed, do you want this number to be available to the public?) ❑ YES W1 NO E -Mail: (If appointed, do you want this address to be available to the public?) ❑YES W1 NO Do you live within the Petaluma City limits? If so, for how long? ❑✓ YES ❑ NO 7 years since 2010, 20 years prior (1973-1993) Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO 7 years since 2010, 2 years prior (1991-1993) Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at feast 55 years of age; Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, Or Committee? Please indicate ONE additional choice. Senior Advisory Committee (under the age of 55) Tree cY� 0 0 Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? ❑✓ YES 1:1 NO WIYES El NO Present Employer: Self employed .Bob Title: [Attorney Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Senior Advisory Committee, 2015 to current Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Sunrise Rotary Club, board member 2011-2016, regular member 2010 to current Petaluma People Services Center, board member, 2011 to current - North Bay Rowing Club, Advisory Committee, Legal. 2010 to current Sonoma Land Trust, Monitoring Lead, 2009 to 2016. What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Current Secretary of this committee, with nomination to be Chair. I am certified specialist in Estate Planning, Probate and Trust Law, with many aging clients, and aging parents who are also residents of Petaluma. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Santa Clara University School of Law. 2006-2009. JD Mills College. 1993-1996. BA Santa Rosa Junior College. 1992-1993, transfer St. Vincent's elementary and high school, 1980-1992 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am reapplying to the committee to continue the work addressing transportation, housing, access to health care for seniors in our community. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to this position? I am a board member of Petaluma People Services Center. My term ends July 2017. If so, please state name of Organization/Employer: Petaluma People Services Center City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? ✓❑ YES ❑ NO How did you hear about this opening? Current member Applicant's Signature I Date May 9, 2017 F16 ALU X85$ City of Petaluma, CaliforniaLT City Board, Commission and Committee Application 11 1z' 1 City Clerk's Office I I English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma? Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Tree Advisory Committee Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously?' YES 0 NO 31"YES C) NO Present Employer: Petaluma City Schools Job Title: Substitute Teacher, Horticulture Assistant Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Petaluma Tech Committee, about 10 years ago for one term Tree Advisory Committee, current term Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Board Director and Webmaster for Petaluma Wetlands Alliance, co -manager of St. James Church Community Garden What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? PhD in Horticulture, licensed Pest Control Operator, avid gardener, public school teacher for 17 years, College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): PhD Horticulture from NCSU, MS in Pest Management from UCR, BS in Biology from UCI. Teaching Credential in CA from Chapman U. Special Awards or Recognition Received: name on over 10 patents with agricultural chemicals. Please state reasons why you want to become a member of this ,Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisorybody: I currently serve on this committee and wish to continure my efforts there. I rewrote the Tree page for the city web site. I am working with Ron Denicola to find funding for tree survey and want to help develop a masterplan for city trees. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? 0 YES NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? YES 0 NO How did you hear about this opening? icurrenly serve on this committee Applicant's Signature Date Revise&,Appil 25, 2017. M� C t�,� i r` . Petaluma, CA 94952 T APR 17 201' T_ City of Petaluma, California _ Do you lave within the Petaluma City limits? City Board, Commission and..Committee Application i �4 LER' h City Clerk's Office X85$ 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out i completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Of, of Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: - Jeannine (Mini) White Home Address, City, State and Zip Code: Petaluma, CA 94952 T 0� T_ E -Mail: (If appointed, do you want this address to be available to the public?) 0 YES ❑ NO Do you lave within the Petaluma City limits? If so, for how long? E c E If so, for how long? LJ YES Q NO I used Marin County registration in last election. Will change to Petaluma this month. 0 Q N N Phone: (If appointed, do you want this number to be available to the public?) ❑ YES ❑ NO E -Mail: (If appointed, do you want this address to be available to the public?) 0 YES ❑ NO Do you lave within the Petaluma City limits? If so, for how long? FOR YES ❑ NO 1-1/2 r years Are you a registered voter in Petaluma? If so, for how long? LJ YES Q NO I used Marin County registration in last election. Will change to Petaluma this month. Board, Commission, or Committee, of Interest: Note: To serve. on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on other City Boards, Commissions, or Committees? If so which? Petaluma Youth Commission Tree Commission Have you attended a meeting of this or, other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? D YES ❑ NO ❑ YES 0 NO Present Employer: Self .lob Title: Educator/Consultant/Author/Public Speaker/Founder of educational materials (Kids' Own Wisdom)/Retired Teacher Previous Governmental Bodies/Elective Offices you have served,Position/Office Held and Dates: none 2 Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates:; Pachamama Alliance -volunteer 2007 - 2010 (pachamama.org ) Environmental Forum of !Marin - student + volunteer 2008 - 2010 (marinefm.org ) Students Rising Above -volunteer mentor since 2012 ( studentsrisingabove.org ) I have volunteered in many classrooms and educational conferences for 10+ years What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? My interests are centered around enlivening the ability and inclination of today's youth to make their own well-informed decisions and meaningful contributions. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): MIU - Iowa. Major: Philosophy / Minor: Writing Graduated with BA in 1997 Cal State -(Northridge. Studied Landscape Design - Completed 2 -year certificate program in 2002 (1 was a professional landscape designer for 12 years: 2002-2014) Special Awards or Recognition Received: Nothing "official," but many, many of my former students have invited me to be 'friends' on FaceBook. I've always taken that as true recognition and mutual appreciation / respect. Please state reasons why.you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I've attended 5 or 6 meetings of the PVC. There have only been 2 presentations. One of those presentations was given by a youth member of the commission. I gave the other, in which I broadly emphasized the importance of critical thinking when presented with advertising claims, media reports, and politicians' statements. As a former teacher (grades K-12 for 20+ years), I always prioritized HOW to think over WHAT to think. If accepted to serve on the Hoard of the PVC I would be honored to: 1.) Make suggestions about, and/or help to organize, presentations that will expose youth members to a wide range of topics with local and/or global relevance. 11.) Encourage and promote active efforts to engage representation from all sectors of Petaluma's youth population - including all public, private and home -schooled youth - for the purpose of establishing in their awareness the life-long importance and advantages of community/civic engagement. 111.) Facilitate youth members' discovery of meaningful projects that would, ideally, become long-term projects, continuing and evolving through the years, even decades - with multiple benefits to: 1 - Petaluma, the town and its surrounding rural areas. 2 - Youth members' direct experience of making a real difference that carries forward in time - a"difference they can see, with increasing pride, over the years. 3 - Youth members' resumes/college applications. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am perfectly clear that the PYC is about and for the youth, not about its adult members. I always have ideas, but I never expect all of them to "fly." I'm a life-long learner and have been a good listener my entire life; 1 listen to understand, including when people have different perspectives from my own. Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑YES NO If yes, please state name of Organization/Employment: n/a City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. ould you be willing to abstain from voting if such a conflict arises? LSI YES ❑ NO How did you `hear about this opening? Openings for youth and adult members were discussed at the most recent PYC meeting, and Dave King asked if I'd be applying. I thought that sounded like a great idea. Applicant's Signature Date H 15 April 2017 Ke°VIsea UCTOoer < <, lu 12 L IS543 CE City of Petaluma, California _ 7 City Board, Commission and Committee Application - City Clerk's Office �F k 11 English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us .- Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out t completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, plE the City Clerk's Office at 707.778-1360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: GV 'C%il£ Home Address, City, State and Zip Code: /gh�- lzlllll,� 0� Phone: (If appointed, do you want this number to be available to the public?) ❑ YES � NO E -Mail: (If appointed, do you want this address to be available public?) Do you live within the Petaluma City limits? I If so, for how long? ❑ YES 0 NO IAl YES ❑ NO I Z��,�� Are you a registered voter in Petaluma? I If so, for how long? YES ❑ NO N dJ 4 E C3 E O H Q Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five (5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age; Two (2) members may be 18 or over. / / , , G _ , ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES ❑ NO YES ❑ NO Present Employer: ZI Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: What Special Interests/Skills/Talents wouldyou bring to this Board, Commission, or Committee? MI College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): 41 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board; Commission, or Committee, including what specific objectives you would be working toward, as a member of this advisory body: 77 A;;711 4 Is there any other information that you feel would be useful to the City Council in reviewing your application? �46 Ace1 eZ�70 7�'� a4-�I'�l N Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date May 9, 2017 RESUME WAYNE M. WILSON STATE OF CALIFORNIA POSITIONS - DEPARTMENT OF SOCIAL SERVICES DEPARTMENT OF MENTAL HEALTH Department of Social Services 1987 - 2008 • District/Regional Manager, Community Care Licensing Division - 1992 - 2008 • Sonoma County Grand Jury, Year of 2004 - 05 (concurrent) Department of Mental Health 1956 - 1969 • Director, Alcoholism/Drug Abuse Services (Demonstration programs for State of California); Chief, Social Services, Mendocino State Hospital • Consultant, American Psychiatric Association/National Association for Mental Health • Consultant, Alcoholism and Drug Abuse Planning - National Institute of Mental Health FEDERAL POSITIONS - DEPARTMENT OF HEALTH, EDUCATION & WELFARE/ HEALTH AND HUMAN SERVICES Region IX - San Francisco 1974 - 1987 • Regional Inspector General, Office of Analysis and Inspections; Region IX, X: National inspections providing reports to HHS secretaries and federal agencies • Regional Inspector General, Office of Health Financing Integrity, Regions IX, X: Civil Fraud, Waste and Abuse Management in eight western states • Director, Service Delivery Assessment, National program and policy evaluations for HEW/HHS Secretaries • Assistant Regional Director for Planning and Evaluation • Special assignments such as Departmental liaison to U.N. Pacific Trust Territories, Indo-Chinese Refugee Resettlement (Guam, Hawaii, California); Federal/State policy coordination Washington DC 1969 - 1974 • Director, Regional Affairs, Office of Secretary - DHEW • Director, Departmental Coordination, Office of Secretary • Director, Management and Program Analysis, Office of Secretary • Chief, Federal Assistance Review Task Forces (on site) - U.S. Office of Education - National Institutes of Health • Chief, Community Services, Drug Abuse Division, National Institute of Mental Health PROFESSIONAL RECOGNITION • World Health Fellowship (Europe) • Who's Who in Health, Who's Who in Government • More than 20 professional publications; over 20 research/evaluation studies • Federal: National Leadership Award; National Certificate of Recognition • State: Distinguished Employee and Outstanding Employee Awards; Governor's Certificate of Merit; Assembly Concurrent Resolution recognition for Drug Abuse Programming • Speaker at national professional and government conferences EDUCATION Secondary - Los Angeles City Schools BS - Sociology - Brigham Young University Graduate Certificate - University of Utah Master of Social Work - University of Nebraska OTHER WORK EXPERIENCE US Marine Corps., US Forestry Service, VA Hospital; Cattle Rancher, Farm Worker, Aircraft Factory Worker, Truck Driver, Mental Hospital Attendant 431v Adult Members: Four Vacancies: • Three Vacancies for Full Two -Year Terms Expiring June 30, 2019 • One Vacancy to Complete and Unexpired Two -Year Term Expiring June 30, 2018 Youth Members: • Seven Applicants Recommended by the Youth Commission �i Icy 4, i7t i City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office QTF\1 11 English Street - Petaluma, CA 94952 - 707.778.4360 - cityclerk@ci.petaluma.ca.us 7 -54 Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill o a 1. completely. If a question does not apply, type or write NIA in the space provided. When completed, please forward to the City Clerk's < of Petaluma, 71 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this fc coil the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petoluma.ca.us. 0 V, Ln Name: E E 0 zv, iT ;3�5-r U Home Address, City, State and Zip Code: Phone: (if appointed, do you want this number to be available to the public?) E -Mail: (If appointed, do you want this address to be ovoilc YES ❑ NO the public?) El YES NO Do you live Within the Petaluma City limits? If so, for how long? YES F-1 NO Are you aregisfered voter in Petaluma? If so, for how long? YES ❑ NO r,,-( R Board, Commission, or Committee, of Interest. If not appointed to your first choice, are you willing to serve on Note. --To serve on the Senior Advisory Committee, you must be at least 55 years of another City Board, Commission, or Committee? Please age. indicate ONE additional choice. Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? t0 YES ❑ NO ❑ YES W NO Present Employer: ,e y Job Title: l \J Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 7 � ` � ye l f9 �� ✓ he j`� � ice% "� �` � rLV eff p Civic or Charitable Organization to which you have belonged, Posi#ion/Office Held, and Dates: What Special Interests/Skills/Tadents would you bring to this Board, Commission, or Committee? College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I have always thought that part of being a citizen was an obligation to support your community in any way that it called you to; jury duty and civil defense for example. But those instances are random and uncertain. Recently, at the Petaluma Community Engagement fair, it pleased me to see our city government reaching out ask citizens to consider serving on its commissions and committees. As a retired but still working teacher I knew that I could make some kind of contribution through the Youth Commission. It also occurred to me that with my experience with Mentor Me and 10,000 degrees as a mentor that I, with others, could look for a way to increase the number of these invaluable and impactful relationships. Is there any other information that you feel would be useful to the City Council in reviewing your application? Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES C NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ® YES ❑ NO How did you hear about this opening? (/ "1 f®.V � 6u � I "'t �% /G'Y ✓' Vf �Y I%y 1� / �'-"�.s V"'b� � I ' Applicant's Signature Date Revised Hprn —zo; 20 17. Fred Carroll Petaluma, CA 94952 Work Experience: 1967-1979 Journeyman Clerk Ralphs Markets 1980-1981 Press Secretary ' Hon. Matthew Martinez 32nd Congressional District CA 1982-1999 Benefits department UFCW Local 1442 Santa Monica, CA 310-322-8329 1999-2010 Teacher, English Department Sherman Oaks Center for Enriched Studies Tarzana, CA. Retired 818-758-5600 XT -1110 (school secretary) 2013 Volunteer tutor Mother's Club for Learning, Pasadena Mentor Me, Petaluma 10,000 Degrees, Petaluma Education Bachelor's Degree 1989 Antioch University Silver Spring, MD California State Teaching Certificate School Red Cross Club Sponsor Activities Work Experience Coordinator Status Married, three Adult Children Hobbies Reading, Writing and Gardening References Mike Streater President UFCW Local 1442 Louise Leff Leff Landscape Design Maureen Charles zz ff City of Petaluma, California City Board, Commission and Committee Application City Clerk's Office 11 English Street • Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us-a, Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's O Petaluma, I I English Street, Petaluma, CA 94952. All, applications are reviewed by the City Council. If you have questions about this foam, I the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Home Address, City, State and Zip Code: V11one: (If appointed do you want this number to be available to the public?) YES ❑ NO Do you live within the Petaluma City limits? ❑ YES 13 NO E -Mail: (If appointed, do you want this address to be available public?) If so, for how long? re you a registered voter in Petaluma? I If so, for how long? M YES ❑ NO YK YES ® NO . Board, Commission, or Committee, of Interest: If not appointed to your first choice, are you willing to serve on Note: Five(5) members of the Senior Advisory Committee, must be at least 55 another City Board, Commission, or Committee? Please indicate years of age, Two (2) members maybe 18 or over. ONE additional choice. o � .:.A'v � _ ;� �-l� I� 012- Have you attended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? Zt- ❑ YES DA NO ❑ YES NO Present Employer: Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Civic or Charitable Organization to which you have belonged,. Position/Office Held, and Dates: S f-- t!. ®-Icx Ye- & �\ 9 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? xt- College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as -a member of this advisory body: /oC Pfij Is there any other information that you feel would be useful to the .City Council in reviewing your application? ut4 e , ps Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would _you be willing to abstain from voting if such conflict arises? YES ❑ NO How did you hear about this opening? Applicant's Signature Date May 9, 2017 fatty of lretaluma, caujornla V ., U, I City Board, Commission and Committee Application City Clerk's Office 11 English Street - Petaluma, CA 94952. 707.778.4360 - cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the form completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office City Petaluma, I 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, please coi the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: L (--.I I'VI V) Home Address, City, State and Zip Code: rnone: lit oppomtea, ao you want tnis number to be available to E -Mail: (If appointed, do you want this address to be available to the the public?) public?) ❑ YES 19 NO � YES ❑ NO L Do you live within the Petaluma City limits? If so, for how long? YES ❑ NO �&- lqq�-22,0Q1 -r 2D15 Are you a registered vot r in Petaluma? If so, for how long? YES 1:1NO Sirail� i�j Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at least 55 years of age, Two (2) members may be 18 or over. If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. A Have you offended a meeting of this or other City bodies? Have you served on or applied for this or other City bodies previously? YES 1:1 NO KIYES NO Present Employer. Job Title: �.�v�.co►�`�5 ft ok+u"/— Previous Governmental Bodies/Elective Offices you have served, Position/Office Heid and Dates: Wov- W 'S (9v° o, %Ss, . rjii 7�q- ZojO .�✓ �ci�o -Zapf fte �J Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: f/ Gr'�=J �¢,�•, G` ri� r j41»�'� w. t�� c�I;�.S �a as -kr o $5� votes k ?AI - What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? (,, oki nq Wil^ eg- 5 'v, d - I ,,�,,.5 -1 ,�o�oar (,.N¢ 1 ��, rece, ps College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): UC &Jlo — 9 - A • ?01 -'. CO 0 `�'�c� 2} c) Cad' c� 2,o 11 li 0(- Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be worldng toward as a member of this advisory body: ITW-puke_ f F"C:A07 I f IM AA 34 Is there any other informs on that you feel would be useful to the City Council in reviewing your application? - AK GW a4I4 `` .?� rD ,7► e an9 g, c..r DIu 16 O d$ (JQPt_ o"L Ofl , Are you associated with any Organization/Employer that might be deemed a conflict of interest in performing your duties if appointed to thisposition? 0 If so, please state name of Organization/Employer: City policy directs all appointed advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such conflict arises? YES ❑ NO How you hear about this opening? j�did - ApplicanJ4 Signature Date May 9, 2017 4, City of Petaluma, California :3 - City Board, Commission and Committee Application City Clerk's Office I I English Street * Petaluma, CA 94952. 707.778.4360 * cityclerk@ci.petalumac-atis---' Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out z completely. If a question does not apply, type or write NIA in the space provided. When completed, please forward to the City Clerk's 0; of Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this forn 0 call the City Clerk's Office at 707.778.4360 or e-mail us at cityglerk@ci.petalumo-ca-us. Name: E E Neal Bradley Ramus, MBA 0 U Home Address, City, State and Zip Code: 0 Petaluma, CA 94952 Phone: (If appointed, do you want this number to be available to the public?) E -Mail: (If appointed, do you want this address to be avallc ❑ I YES 54 NO the public?) SO YES D NO I Do you live within the Petaluma City limits? L YES 1:1 NO Are you a registered voter in Petaluma? FQ YES El NO If so, for how long? If so, for how long? 31 years 13 years 1 Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of age. If not appointed to your first choice, are you willing to serve on other City Boards, Commissions, or Committees? If so which? Youth Commission NA Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies previously? ❑ YES * NO ❑ YES ® NO Present Employer. California Academy of Sciences Job Title: Senior Manager of Youth Programs Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: NA Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Petaluma Wildlife and Natural History Museum Interim Executive Director August 2010 -August 2012 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? I have over 13 years experience working with children, teens, and young adults in a variety of arenas, including youth development, workforce development, informal science education, classroom teaching, and environmental education. Additionally, I have significant education and experience in nonprofit/NGO governance, management, and strategy. As the Senior Manager of Youth Programs at the California Academy of Sciences, I also bring an expansive network and knowledge base of best practices and youth serving organizations. Lastly, as a long time resident and Petaluman, I have a demonstrated commitment and vested interest in serving the community and providing life changing opportunities for the City's next generation_ College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Sonoma State University, Bachelors of Art with Distinction, Cum Laude, 2009 MAJOR: Biology/Zoology MINOR: Paleontology Sonoma State University School of Business and Economics, Master of Business Administration 2012 CONCENTRATION: Nonprofit Management Special Awards or Recognition Received: American Alliance of Museums (AAM) Emerging Leader Fellow, 2016 Parent and Teacher Association, Community Service Award Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: As a born and raised Petaluma resident, 1 have deep family and cultural connections to the City of Petaluma and Sonoma County. As a child and teen, I attended Cherry Valley Elementary, Petaluma Junior High and Petaluma High School, Santa Rosa Junior College, and Sonoma County's local university, Sonoma State University. Through time, I have built relationships and partnerships with a variety of nonprofit organizations, including the Petaluma wildlife Museum, the Casa Grande Fish Hatchery, Point Blue Bird Observatory, Summer Search, The Institute for Environmental Inquiry, the Petaluma Farmers Market, the Petaluma Education Foundation, and others. I pride myself in giving back to the community and I hope serving on the Youth Commission will allow me to leverage my expertise for the benefit of Petaluma's young people. Over the past 13 years, I have been developing, directing, and managing youth educational programming a variety of settings, from small nonprofits serving the Petaluma Community to creating a portfolio of youth programs for one of the top 10 science museums in North America. I believe in building strong youth -focused ecosystems of learning, growth and development. I believe I would make an excellent addition to the Petaluma Youth Commission. 0 Is there any other information that you feel would be useful to the City Council in reviewing your application? References are available upon request. Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? El YES ®NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? ® YES ❑ NO How did you hear about this opening? Online announcement Applicant's Signature Date / J Revised October 11, 2012 LU . City of'Petaluma, California City Board, Commission and Committee Application 285a City Clerk's Office 1 1 English Street • Petaluma, CA 94952. 707.778.4360 . cityclerk@6.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out the fora completely. if a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Office Cit of Petaluma, 71 English Street Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, pleas call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petoluma.ca.us. Name: Jorge Servin I Home Address, City, State and Zip Code: Petaluma, CA 94954 Phone: (if appointed, do you want this numberto be available to the public?) E -Mail: (if appointed, do you want this address to be available to Yes NO the public?, YES ONO Do you live within the Petaluma City limits:?: . 141 Are you a registered voter in Petaluma? YES U NO If so, for how long? 13 years If so, for how long? 10 years 1 Board, Commission, or Committee, of Interest: if not appointed to your first choice, are you willing to serve on Note: To serve on the Senior Advisory Committee, you must be at least 55 years of another City Board, Commission, or Committee? Please ase indicate ONE additional choice. Youth Commission Have you attended a meeting of this or other City bodies? Present Employer: od & Strong LLP Job Title: dit Partner Recreation, Music, and Parks Commission Have you served on, interviewed, or applied for this or other City bodies previously? Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: a91 KA Civic or Charitable Organization to which you have belonged., Position/Office Held, and Dates: Petaluma Community Foundation - Treasurer August 2014 - June 2016 Bay Area Hispano Institute for Advancement, Inc. June 2011 - December 2013 What Special Interests/Skills./Talents would you bring to this Board, Commission, or Committee? I am an audit partner working with mid-size to large social service organization, private foundations and community foundations. I might be able to provide insight on the financial impact / assessment of costs related to proposed changes by the committees. Due to my client service background, i have worked with organization servicing all areas of the bay area and seen first hand some of the challenges they have faced. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date); Bachelor's degree in Business - Sonoma State University (graduated 2001) Certified Public Accountant - State of California 3 Special Awards or Recognition Received: Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I am a long time resident of sonoma county and have lived in Petaluma for the past three years, i care for this community and want to find ways to give back. I also have two young children at home (9 and 5 year old boys) and are particularly interested on issues and changes that might impact them and the youth of Petaluma. 4 Is there any other information that you feel would be useful to the City Council in reviewing your appliication? If there are any other committees that continue to have open positions i would consider those as well Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if .appointed to this position? YES NO r If yes, please state name of Organization/Employment: I City policy directs all appointed, advisory body.members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? How did you hear about this opening? Nextdoor mobile app Applicant's Signature April YES CD NO Date t01 City of Petaluma California City Board, Commission and Committee Application X85$ City Clerk's Office 41� " I I English Street • Petaluma, CA 94952. 707.778.4360 • cityclerk@ci.petaluma.ca.us A Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's C Petaluma, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form, the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. ivu me: Kathy Wallace nome Aaaress, city, State and Zip Code: Petaluma, CA 94954 Phone: (If appointed do you want this number to be available to the public?) 2 YES FI NO Do you live within the Petaluma City limits? E -Mail: (if appointed, do you want this address to be public?) ✓YES FINO If so, for how long? ✓� YES FINO 7 years Are you a registered voter in Petaluma? ✓� YES 1:1 NO Board, Commission, or Committee, of Interest: Note: Five (5) members of the Senior Advisory Committee, must be at feast ss years of age, Two (2) members may be 18 or over. Youth Commission If so, for how long? 7 years If not appointed to your first choice, are you willing to serve on another City Board, Commission, or Committee? Please indicate ONE additional choice. Recreation, Music and Parks Have you attended a meeting of this or other City bodies? FIYES FVJ NO Present Employer: Retired Job Title: Have you served on or applied for this or other City bodies previously? FIYES P/I NO Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: None Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Mentor Me Petaluma, Mentor 2010-2015 American Association of University Woman, Board member 2012-2015 American Heart Association, Team Captain for Heart Walk 2005-2010 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? My role as a Registered Nurse Case Manager allowed me to work on very complex medical/social situations which required looking at a "big picture" as well as understanding the patient's and family's situation. Prior to becoming a nurse I was an administrative assistant at Stanford University in the English Department/Creative Writing Program where, in addition to working with students arranged and coordinated numerous public events. vncye, rrvressionai, vocational Schools Attended (Major Subject, Dates, Degree/Date): ' ^"t—ca vuuvyC, rieyisLerea ivurse, AA/AS degree June 2001 Special Awards of Recognition Received: Please state reasons why you want to become a member of this Board, Commission, or Committee, including what specific objectives you would be working toward as a member of this advisory bodes I love living in Petaluma. In this political climate I feel compelled to be much more active in the community and have always been drawn to both education and youth. As a grandmother to six children, it is extremely important to me to be a positive role model. I would thoroughly enjoy working with the team on the Youth Commission. If a position on the Youth Commission is not available, my experience of setting up and organizing public events at Stanford would be valuable in working on the Recreation, Music and Parks Commission. Is there any other information that you feel would be useful to the City Council in reviewing your application? I am attaching my most recent resume to help give you more information about myself. As you well know, a resume or application does not fully represent a person so the only other thing I would want to add is that I am, as my friends say, "A Renaissance Woman" who has built her own house, repairs cars, loves to dance and feels that music and humor are two of the most important things to enhance a good life. i Are you associated with any Organization/Employer that might be deemed a conflict of interest in erf to this position? p orming your dunes if appointed No If so, please state name of Organization/Employer. City policy directs all appointed advisory body members not to vote on matters where there exists a potential confect of interest. Would you be willing to abstain from voting if such conflict arises? How did you hear about this opening? Neighborhood e-mails Applicant's Signature May 9, 2017 ❑✓ YES ❑ NO Date Kathy A Wallace experience May 2001 to December 2016 - Kaiser Permanente Case Manaeer/Proiect Coordinators Continuum of Care Skilled Nursing August 2014 to December 2016 Project Coordinator for numerous projects including system development for Life Care Planning of all Kaiser members at Marin and Sonoma county nursing facilities (skilled and custodial—over 700 patients); distribution of flu vaccines for all Kaiser members in Marin and Sonoma counties; initiation of new technology to department for increased security, specifically faxing to/from facilities. The Life Care Planning program not only is designed to address and honor patient's choices but also to help educate staff at the nursing facilities regarding Advance Directives and POLST. Wrote training manuals for Directors of Nursing at facilities throughout Marin/Sonoma to facilitate increased knowledge of Kaiser systems. Wrote training manuals for new Case Managers in the department. Case Manager for coordination of care at skilled facilities throughout Marin and Sonoma counties. Duties include evaluation of patients, coordination with skilled nursing facility staff to ensure patients are receiving appropriate care, assessment of therapy goals, leading multi -disciplinary team conferences as well as individual patient/family conferences, ordering all appropriate durable medical equipment and coordinating transitional care, ie, Home Health, appropriate clinic follow-up. Case Manager Continuing Care Outreach Program CCO Outside Services Department/ Continuum March 2008 to August 2014. Developed Continuing Care Outreach Program—an intensive, proactive outreach program designed to improve quality of care for members by resolving barriers to appropriately utilize Kaiser Permanente and community resources. Coordinated care, completed full assessments in the home, provided health coaching and case managed complex patients throughout Marin and Sonoma counties. Assisted patients and their families with Advanced Life Planning and completion of Advance Directive and POLST forms. In 2013, became "Next Steps" Facilitator and "POLST" Facilitator for Life Care Planning Program. Attended weekly meetings and coordinated with Palliative Care Teams in both Santa Rosa and San Rafael. Facilitate Life Care Planning conversations with patients and their designated agents at either their home or at nursing facilities. Conversations were very in depth and lengthy to explore concerns and understand goals and values. Created care plans in accordance with NCQA requirements for all patients in the case management program and documented all notes in HealthConnect. Covered Outside Services Case Management to assist with repatriations of Kaiser members from outside hospitals. Assisted in training new employees to Outside Services Case Management and CCOR Patient Care Coordinator/Utilization Management Coordinator Coordinated discharge planning and monitored utilization management using Inter-Qual criteria. Determined inpatient and home care needs and implemented plans for services and equipment. Collaborated with patient and health care teams, specifically MDs, therapists, staff RNs, social workers. Resource person for staff RNs. Set up staffing requirements within the department. Wrote and edited training manual. On numerous committees including Medical Ethics and Patient Care Services. Kaiser, Redwood City, May 2001 to August 2003; Kaiser, Vallejo, August 2003 to August 2005; Kaiser, Santa Rosa, August 2005 to March 2008 December 2000 to May 2001 and October 1998 to May 1999 - Stanford Home Care, Stanford, CA Hospital Liaison Nurse/ Staff Nurse Coordinated services for all hospital-based referrals. Determined home care needs. Collaborated with patients, their families and the health care teams in planning required Home Care services, supplies and equipment. Delivered specialty nursing care to pediatric and oncology patients. Independently visited and assessed patients (pediatric and adult) in home and hospice care and followed up with all medical needs. Ah� T Kathy A Wallace March 2000 to October 2000 - TechPlanet, Menlo Park, CA Pa e Product Manager—Product Development Designed service products for a fast growing start up of 400+ employees at 23 offices across the United States. Originated, edited and wrote weekly product training newsletter for the sales force. Developed, launched, and managed a group of products featuring ASP channel partners. Initiated a cross -functional committee to improve communications between departments in the corporate office. Anticipated market trends and consumer demand. Developed internal customer relations program for corporate office. May 1999 to March 2000 - ALZA Corporation, Mountain View, CA Drue Safety Associate, Medical Safety and Services Responsible for product safety functions, primarily with post -marketed oncology products. Reconciled safety data, reported adverse events to the FDA (Food and Drug Administration), conducted telephone interviews to obtain and follow-up on adverse events reported by health care professions, medically evaluated safety information. April 1992 to October 1998 - Palo Alto Medical Foundation, Palo Alto, CA Clinical Coordinator - Family Practice Supervised sixteen staff and ran all nursing operations while providing primary service and support networks to fifteen physicians. Key achievements include initiated clinic -wide Flu Immunizations Clinic, initiated RN -run clinics for UTIs and sore throats, and initiated BRAVO program for patient feedback to all staff. Also established training protocols for all nursing staff—from Medical Assistant to RN. Collaborated with Nurse Recruiter and DeAnza College to develop a summer training program for medical assistants. Successfully transitioned department from one-on-one to team nursing model. Served on numerous committees including Electronic Medical Record, Nursing Quality Assurance, Pediatric Immunizations, Flu Clinic, Infection Control Committee, and Women's Health. Assisted in designing buildings and work flow for new facilities (Los Altos Clinic and Palo Alto Medical Foundation move from downtown Palo Alto to current site on El Camino Real in Palo Alto.) Also assisted in determining electronic medical records needs and decision of which system to utilize. Telephone Triage/Staff RN Provided staff nurse functions to Family Practice and the Los Altos Satellite. June 1991 to April 1992—Sequoia Hospital, Redwood City, CA Staff nurse for nursery and pediatrics. August 1980 to June 1990 - English Department/Creative Writing Program, Stanford University Administrator/ Public Events Coordinator Monitored all budgets and program admissions, coordinated public events including Jean and Bill Lane Lecture Series. Provided secretarial duties to the English Department of forty faculty. Planned and executed introduction of computers into the department. Kathy A Wallace Paee 3 Awards Service and Safety All Year (SASAY), Kaiser Permanente, Continuum of Care, February 2009 Science of Caring Award, Kaiser Permanente, Continuum of Care, August 30, 2011 Community Service Team Captain and VIP fundraiser for start! Heart Walk, American Heart Association, Santa Rosa, CA (Annually since 2007) Mentor Me Petaluma; Providing Individual mentoring for children at high risk (since 2011) American Association of University Women (AAUW)—Vice President of Membership (2013-2014) Presentation to Nursing Student Body "Choosing Nursing as a Career", De Anza College, January 5, 2015 Education June 1991 Associate of Arts, De Anza College, Cupertino, CA. Registered Nurse License 471099 References available upon request. "1'�oq P, E i V e, City of Petaluma, California APR 17 20171,, City Board, Commission and Committee Application I� LE ] City Clerk's Office X85$ 11 English Street • Petaluma, CA 94952 * 707.778.4360 • cityclerk@ci.petaluma.ca.us Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boards, Commissions, or Committees. Please fill out tf completely. If a question does not apply, type or write N/A in the space provided. When completed, please forward to the City Clerk's Offi of Petaluma, 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. If you have questions about this form,', call the City Clerk's Office at 707.778.4360 or e-mail us at cityclerk@ci.petaluma.ca.us. Name: Jeannine (Nini) White Home Address, City, State and Zip Code: Petaluma, CA 94952 Phone: (If appointed, doyouwant this number to be available to the E -Mail: (If appointed, do you want thisaddressto be available to public?) ❑ YES W NO I the public?) 0 YES ❑ NO pe Do you live within the Petaluma City limits? I if so, for how long? I 0 YES ❑ NO 1-1/2 years Are you a registered voter in Petaluma? I If so, for how long? I ❑ YES ® NO I I used Marin County registration in last election. Will change to Petaluma this month. 1 Board, Commission, or Committee, of Interest: Note: To serve on the Senior Advisory Committee, you must be at least 55 years of age If not appointed to your first choice, are you willing to serve on other City Boards, Commissions, or Committees? If so which? Petaluma Youth Commission Tree Commission Have you attended a meeting of this or other City bodies? Have you served on, interviewed, or applied for this or other City bodies, previously? OYES 1:1 NO ❑YES 0NO Present Employer: Self Job Title: Educator/Consultant/Author/Public Speaker/Founder of educational materials (Kids` Own Wisdom)/Retired Teacher Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: none Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: Pachamama Alliance -volunteer 2007 - 2010 (pachamama.org ) Environmental Forum of (Marin - student + volunteer 2008 - 2010 (marinefm.org ) Students Rising Above - volunteer mentor since 2012 ( studentsrisingabove.org ) I have volunteered in many classrooms and educational conferences for 10+ years What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? My interests are centered around enlivening the ability and inclination of today's youth to make their own well-informed decisions and meaningful contributions. College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): MIU - Iowa. Major: Philosophy / Minor: Writing Graduated with BA in 1997 Cal State - Northridge. Studied Landscape Design - Completed 2 -year certificate program in 2002 (1 was a professional landscape designer for 12 years: 2002-2014) Special Awards or Recognition Received: Nothing "official," but many, many of my former students have invited me to be 'friends' on FaceBook. I've always taken that as true recognition and mutual appreciation / respect. Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: I've attended 5 or 6 meetings of the PYC. There have only been 2 presentations. One of those presentations was given by a youth member of the commission. I gave the other, in which I broadly emphasized the importance of critical thinking when presented with advertising claims, media reports, and politicians' statements. As a former teacher (grades K-12 for 20+ years), I always prioritized iHOW to think over WHAT to think. If accepted to serve on the Board of the PYC I would be honored to: I.) Make suggestions about, and/or help to organize, presentations that will expose youth members to a wide range of topics with local and/or global relevance. ll.) Encourage and promote active efforts to engage representation from all sectors of Petaluma's youth population - including all public, private and home -schooled youth - for the purpose of establishing in their awareness the life-long importance and advantages of community/civic engagement. III.) Facilitate youth members' discovery of meaningful projects that would, ideally, become long-term projects, continuing and evolving through the years, even decades - with multiple benefits to: 1 - Petaluma, the town and its surrounding rural areas. 2 - Youth members' direct experience of making a real difference that carries forward in time - a difference they can see, with increasing pride, over the years. 3 - Youth members' resumes/college applications. Is there any other information that you feel would be useful to the. City Council in reviewing your application? I am perfectly clear that the PYC is about and for the youth, not about its adult members. I always have ideas, but I never expect all of them to "fly." I'm a life-long learner and have been a good listener my entire life; 1 listen to understand, including when people have different perspectives from my own. Are you associated with any, Organization/ Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES ® NO If yes, please state name of Organization/Employment: n/a City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? _ YES ❑ NO How did you hear about this opening? Openings for youth and adult members were discussed at the most recent PYC meeting, and Dave King asked if I'd be applying. I thought that sounded like a great idea. Applicant's Signature Date a 15 April 2017 Rimed October 11, 2012 Seven youth applicants have been recommended by the Youth Commission to serve full two-year terms expiring June 30., 2019: Armstrong Matthew' Casa Grande High School Frias Alexis Casa Grande High School Hughes Tessa Casa Grande High School Kerr Kylie Petaluma High School Powers Cole Petaluma High School Schafbuch Ava Petaluma High School Singh Lila Petaluma High School lq / 5_ Attachment 7 Resolution No. 2017 -XXX N.C.S. of the City of Petaluma, California APPOINTING INDIVIDUALS TO CITY BOARDS, COMMISSIONS, AND COMMITTEES BE IT RESOLVED, the City Council does hereby appoint the following individuals to City Boards, Commissions, and Committees: Name Appointed To Term Ending Under the power and authority conferred upon this Council by the Charter of said City. REFERENCE: I hereby certify the foregoing Resolution was introduced and adopted by the Approved as to Council of the City of Petaluma at a Regular meeting on the 3`d day of July, 2017, form: by the following vote: AYES: NOES: ABSENT: ABSTAIN ATTEST: City Clerk Mayor City Attorney 0