HomeMy WebLinkAboutAgenda Bill 4.A.Part3 03/07/2011SENIOR ADVIS.ORY COM:M'ITTEE
ONE VACANCY TO COMPLETE AN UNEXPIRED TwO -YEAR TERM EXPIRING
JUNE 30 2012
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Moors, Paula
Senior Advisory Committee
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City Board, Commission and Committee Ap ai
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Instructions: Use this form to apply to serve on any Hof the City of Petaluma, Cali 's Boar s,.
Co mmission s , or Please fill out the form completely. If a question does not a per 0
to N/A n t provid
ded. When completed, .please forward to the City Clerk's Office
Petaluma, I 1 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council.
Name:
Paula A Moors
Home Address, City, State; and Zip Code:
Petaluma, CA 94952
Home Phone: (If appointed, :do'you went this
number.to be available to the ,public ?):
Work Phone:
❑✓ YES ❑ NO
(
(
E - Mail (if appoirifed, do you want this address to
FAX:
be avarlable,� �to fthe� ublic .
public?) 0 YES NO
( _
Are you a registered voter in Petaluma?
If so, for how. long?
®✓ YES ❑ NO
3 years
Board(s); of Cbmm of Interest * :
Animal Advisory commiftee
Senior Advisory committee
*Note: To, serve on the Senior Advisory Committee, you must be age 55 or above.
Have you attended a ;meeting of4his
Have you served on, interviewed, or applied for
body?
this body previously?
D YES 0 N
® YES Z NO
Moors, Paula
Senior Advisory Committee
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Present Employer:
Old Adobe School / District (Part time) semi retired
y
Job Title:
Campus aide and substitute for special needs children
Previous Governmental Bodies /Elective Offices you have served, Position /Office Held and
Dates:
Civic or Charitable Organization io which -you have belonged,- Position /Office Held, and
Dates:
have worked for COTS as a volunteer
What Special Interests /Skills/Talents would you bring to this Board, Commission,, or Committee?
love animals and I think they need a voice. I am very computer literate and 1 have 22 years
in property management.
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College, Professional `Vocational Schools Attended (Major Subject, Dates; Degree /Date):
Special Awards or Recognition .Received:
CBA (Certified Balloon Artist)"
Please state reasons why you want to become a member of this.'Bo.ard, Commission or
Committee, including what specific objectives you would be working toward as . a member of
this advisory body:
love Petaluma. I have lived here for 3 years and I would .like -to give back to my community
and be more involved.
Is there any.other that you feel would be, useful to the City Council in reviewing
your application?
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.Are, you associated with any Organization /Employment that might be deemed a conflict of
interest'in 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 El 'NO
How did you hear about this opening?
Petaluma Patch
Applicant's Signature
Date
2/22/20.1
Revised August 12, 2008
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