HomeMy WebLinkAboutAgenda Bill 4.A.Part2 03/07/2011ANIMAL SERVICES ADVISORY
ONE VACANCY TO COMPLETE AN UNEXPIRED THREE -YEAR TERM EXPIRING
JUNE 30, 2011,
Moors, Paula
Animal Services Advisory Committee
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Instructions: Use this form to apply to serve on any of the City of Petaluma, Cali 's Boar
Commissions, or Committees. Please fill out the form completely. If a question does not a
write N/A in the space provided. When completed, please forward to the City Clerk's Office
Petaluma, 1 I English Street, Petaluma, CA 94952. All applications,are reviewed by the City Council.
Name: w.
Paula A Moors
Home Address; "City, S #ate acid Zip "Cotle A_
Petaluma, CA 94952
Home Phone (If apponted'%do you - wantfh�s
:number to be avau6bib to th i1506664-,
Work Phorie:
YES` ❑ :NO ..
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(
E Mdil (If appointed, dq .you want this to
TAX:
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be avdilableto the, public ?) ✓❑.. YES Ell tN0
( _
youaa - registered: w
Are 'steretl:voter in Petaluma?
s
if'so; for how long? ,
®✓ YES ® NO
3 years
aid(s) Commission(s), orCommittee f I ,: ...
(s) onterest*
1
Animal Advisory committee
Senior Advisory committee
` *Note: To serve on the" Senior Advisory Committee, you must'be age 55 or above.
Have you attended a meeting of this
Have you servetl '6n terviewed, =or applied -for
1
body? 3 `'
r 1 9
this s body previous
1
❑ YES ✓❑ NO
® YES ❑ NO
Moors, Paula
Animal Services Advisory Committee
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Present Employer:
Old Adobe School District (Part t ime ) semi retired y
1616
Campus aide and substitute for special needs children
FP Bodies /Elective Offices you have served, P osition /Office Held and
ates
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Civic'or Chantdble�Organization,to,whick you have belonged Position %Office Held, and
Dates
I have worked for COTS as a volunteer
What Special Intere "sts /Skills%Talents ° would you „bnng'to this Board; Commission; or 'Committee?
I love animals and I think they need a voice. I am very computer literate and I have 22 years
in property management.
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College;'Professional Vocational Schools'Attended (Mafor�Subject Dates; Degree /Date):
Special Awards'or Recognition R'&6IV6d.-
CBA (Certified Balloon Artist)
Please state red "sons w.hy you wantrfto become a membetAbf this Board,kCommission or
Commrtteey body: incl ing what specific obtectives you woultl be workmg`to
this d& ward`as a member of
6s
I love Petaluma. I have lived here for 3 years and I would like give back to my community
and be more involved.
Is there an'y other informationFthat'0 feew
l ould be useful to the City Council, in reviewing
yourapplication?
. 1
/' A
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Are; you associdted with any. Organization /Employme'nt that might be deemed a conflict of
interest rn `performing your�duties , if,apponted :to this;posrtion?
l ..
® YES ❑✓ NO
If yes, please state' name of Organization %Employment
City directs all.appomted,` advisory body members not to �ote:.on. matters where there
�ezists a potential conflict of °interest
W . you be wiil R&I .`abitdin from voting" if such a
�`
conflict arises?
®✓ YES ® NO
How. did you hear about this opening.
Petaluma Patch
,Applicant's Signature Date
2/22/2011
Revised August 12, 2008
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