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HomeMy WebLinkAbout9AAppointmentsPart2Site Plan and Architectural Review Committee (SPARC) Applications: Two vacancies for two-year terms expiring June 30, 2008 Application from David B. Rapp. W a City of Petaluma, California�� - - City Board, Commission =86$ and Committee Application f,`r uuN 2oa6 CITY CLFRK `- �o c Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Bod � Committees.Please fill the form If does type out completely. a question not apply, 77nthe* or writ pacprovided. When completed, please forward to the Office of the City Clerk, I I English Street, PefAll by the City Council." applications ore reviewed Name: 9 Home Address, City, State and Zip Code: Ct�,ln Ov-. Home Phone: (If appointed, do you want this number to be available to the public?) Work Phone: X YES ❑ NO (-70'7) -76,3-72oo (7o-i) 135=7?c[f- E-Mail: (If appointed, do you want this address to be FAX: available to the public?) t/J.YES ❑ NO CCIO ri3S�-- GGt1j ,A u"c.tPo ov, Are you a registered voter in Petaluma? If so, for how long? C� YES ❑ NO Board(s), Commission(s), or Commii-tt_e_e1(s) of Interest: Have you attended a meeting of this body? Have you served on, interviewed, or applied for this body previously? 5d YES ❑ NO IC�4 YES ❑ NO r - Present Employer: �/ F� ISM /'��-el..r��.•i—�rr� LYj(b37 I-Z,--NLorhS"c•ti cQ, S 0 v, ci t C u¢ cJ �-+7 C 0 n V� r 47 Job Title: 'p IVLCI r cG Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: e+�IVFu��c rv� t�eatic d� t��(aDc�S Zecl Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: -PaC1�wC'aeQ ���re /-i✓/��c�.-., iv.S'F�'Y+-�c� I���.�5 C<:.v^ey,�'-,yJ4„✓�.e _ To�2 j✓sv zacZ What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? As AS rcL- k ck� College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): c(ckze� UsVn ��, CcSLV"1tr/ -(Zp U Special Awards or Recognition Received: Pc'� �c �y Incl l lti�tz CGvatit �f=,*i (&,-A C� f Ct�4-�.t d-� '1cv.ul ,k1 4,1 ^^p al�/ 0t,-e.:-._'-iLr4'' I $-I Q A tC *— e..-- Please state reasons why you want to become a member of this Board, Commission or Committee, including what specific objectives you would be working toward as a member of this advisory body: SPArgcc -/Z. 9--a-V , Gan,v�wv.�ci iba ctii � k4,q ct) � r rr E✓� �c� 7ii+ t � ��? P. vE c hzc'�v Fr i tlLd cc/�'� (2p f° ll„ pv-e t,i•q G �iJ�jgJJ i� I�.t cc(>-c� Sza �p lZ i. --ev 0 C c Sf? l 4wr'�r�-av'T',.-CISto (�tr2i'.'N' U'f •"L,.z G' c� /f C� TLt..: lv�cl/C V Is there any other information that you feel would be useful to the City Council in reviewing your application? fly G"(Jyw,..''s W Ji c l`-f ce"\- [Q-e G.c eeSs-ed� 0 Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES 4NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? Vsl YES ❑ NO W How did you hear about thisr opening? (fit W v4� S Applicant's Signature Date ilil G� �2CG� Revised June 1. 2005 50 Technology and Telecommunications Advisory Committee Applications: Three vacancies: • Two vacancies for two-year terms expiring June 30, 2008; • One vacancy to complete a two-year term expiring June 30, 2008 Application from Carol Eber. She is currently a member of this committee, and has been serving one of four initial one-year terms established in 2005 when the committee was formed to prevent all members' terms from expiring the some year. Going forward, all terms will be two years. 410 ZPetaluma, California ty Board, Commission t85$ �y ar% Committee Application Instructions: Use this form to�6'I�f�y to serve do na\N, , r the City of Petaluma, California's Boards, Commissions, or Committees. Please fill tli YER &- f out £am I a question does not apply, type or write N/A in the space provided. When completed, ple e Office of the City Clerk, I I English Street, Petaluma, CA 94952. All applications are reviewed by the Cl ouncil. Name: /I r C� Ql`d G -0-4— Home Address, City, State and Zip Code: -ka q Ke�n-f S-/- F-e--�a l tw �/+ Home Phone: (if appointed, do you want this number to be available to the public?) ❑ M Work Phone: YES NO 707- 763- S7vi y�� - 9v5 - 37�7-7 FAX: E-Mail: (If appointed, do you w9pt this address to be available to the public?) YES ❑ NO .�-- daro(G 6,er C"' N1 i N d sp r ;,A7 . Gb *N Are you a registered voter in Petaluma? If so, for how long? ' reYES ❑ NO Board(s), Commission(s), orCommittee(s) of Interest: A8'u.a--f; C- —le C-4"/07y f Te k ro,-to-t Have you attended a meeting of this body? Have you served on, interviewed, or applied for this bodypreviously? —/ tJYES El NO — 10 YES ❑ NO Present Employer: l aAvfa �ai s Z1(4 td n 52 Job Title: IrGG�4r DT/ TtI,5 ra c-' 6N Previous Governmental B o dies/Elective Offices you have served,, Position/Office Held and Dates: SU4Omo-- Cdr.-fY Urr�9 Ilia5�,[ Cocc'nc:/ /i%S-' /ha. Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: PG/�- ��G-/ / �' GMnrra o._ @ d'! -) / Teo s Drr,�Ll& F//oun�ia/g5?r-,zoo-y gac AllSeV/tO eAI� , hZ. 67' (�,O gGJWCa What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? �° o na ss9t �sq cali1 dw �, �; fa i J i ✓; K�SP0.Cc�j College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): uc he,k,14r Po1.f;«( S<< ca 1967 SSq — SSu - f (45t4S lit �(�tlffd/L�ionA ly8/9 q(/ SS�c ' /`r"R�t t/IrS�✓a.(liriF_. l s+�Gr,d� �ce I � � / 53 Special Awards or Recognitit`ion Received: i W-v p�- //,e yIeA - 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: To ��;�� e�,- 10-y tvod-ce� �-6 %6 i w p rc)rte— C; &6:e_ 6-1�1- Is there any other information that you feel would be useful to the City Council in reviewing your application? NO Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing our duties if appointed to thisposition? �� ❑ YES L� NO If yes, please state name of Organization/Employment: City policy directs all appointed, advisory body mem ers not to vote on matters where there exists a otential conflict of interest. Would you be willin abstain from votin if such a conflict arises? YES ❑ NO 54 How did you hear about this opening? //!! eu.rre,qrj%/ D✓1 e6mm;gc Applicant's Signature Date Revised June 1. 2005 55 Tree Advisory Committee Applications: Two terms are expiring; however, there are currently three extra members on this committee. No vacancies were advertised; three applications were received. 1. Application from Kit Lofroos. She currently serves on the Tree Committee. 2. Application from Lawrence Reed. 3. Application from Frances Wilson. She currently serves on the Tree Committee. 56 AL try -1 . R 'j a2 O City of Petaluma, Cali 0 ` _ -6 o =85a City Board, Commission . � and Committee Applicati� w Ins{ructions: Use this form to apply to serve on any of the City of Petaluma, California's Boar .em� � Jor Committees. Please fill out the form completely. If a question does not apply, type or write N/AR1e>ace provided. When completed, please forward to the Office of the City Clerk, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. Name: c� 5 Home Address, City, State and Zip Code: Home Phone: (If appointed, do you want this number to be available to the public?) Work Phone: YES ElNCO 3` S FAX: E-Mail: (If appointed, do you want this address to be available to the public?) DYES ❑ NO P`V'e,3r,VV- I C_ 1A-6+,Aa.. LG,Y, Are you a registered voter in Petaluma? If so, for how long? YES ❑ NO ` Za y5 Board(s), Commission(s), or Committee(s) of Interest: I Have you attended a meeting of this body? Have you served on, interviewed, or applied for this body previously? YES ❑ NO YES ❑ NO Present Employer: a,, Lxj e9a 61�1 C 57 Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: 6tke Civic orCharitableOrganization to which you have belonged, Position/Office Held, and Dates: f1.vM�,vvw,��U^i`"'�t,-�-�� ,QLa-•Z�o� �•�r�.z.fa.rs CCU,.-v�'� What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Slv J College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): CD C Fed Q" 3 ,A 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: Lo L G 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 PNO 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 59 How did you hear about this opening? Applicant's Signature Date Revised Ju e 1, 2005 RE a V. City of Petaluma, Califon^ O City Board, Commission =85$ and Committee Application s' d Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boords, Committees. Please fill out the form completely. If a question does not apply, type or write N/A i=Vace provided. When completed, please forward to the Office of the City Clerk, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. Name: Home Address, City, State and Zip Code: So (i1664vP SST CA- 9t/4.5z Home Phone: (If appointed, do you want this number to be available to e public?) ❑ Work Phone: S 3 Z 15100 YES NO FAX: �� 0 (l!I E-Mail: (If appointed, do you want this address to be ZYES ❑ available to the public?) NO t,R&EzP e57fvaGR0QPt �aM Are you a registered voter in Petaluma? If so, for how long? IV YES ❑ NO l tv(p lj Board(s), Commission(s), or Committee(s) of Interest: LzfiS'oN 7r ' C®iwaal j1=� Have you attended a meeting of this body? Have you served on, interviewed, or applied for this body previously? Lnj YES ❑ NO I YES ❑ NO Present Employer: TWA- owC4 Z:Z,ov t3 tZl nC►�`hj 73w� L11 0yg616 A' i 61 Job Title: LAW O S4fFF Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: Sty-c�G Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dates: t� n� What Special Interests/S011s/Talents would you bring to this Board, Commission, or Committee? Gt6--V ' l��Sr6N CAUGc� SAS College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): ?5°' Cv wb:5 l 71' lvo tnoN^- 135 62 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 workinq toward as a member of this advisory body: rn 47VQ M41NL0 Ll 0 �9&/TI A! C- 7-0 � Is there any other information that you feel would be useful to the City Council in reviewing your application? ���yfiV(,;'✓rrttl (S IN ,4 Cat% � c� POtY0 2�P D v ll*f CFwt� MOON 7n MrxNMf7N 7 7�1r-*U D(47a&4 C ry - G&W 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: , Fite FSslaiv�b 'a >GU EI-0 F 6a4 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? XYES ❑ NO 63 How did you hear about this this opening? eiOry a/C�K Applicant's Signature Date f,57 Revised June 1, 2005 F J� City, of Petaluma, Califo to CRY Board, Commissio ',6C' , 1�6a and Committee Arrraliccifi ' 6, °s Instrucrions, Use !his form fo app!y to serve on any of the ON of Petclurna, Coltfornie's Ba Committees, Please fill cut the form complelely. ?; a question does not apply. yce or w prop,der_ When Completed, please forward to the Otiice of the Cify Clerk. I I Enrd!ish Street. All apolicclions ore rc'lieweJ by the City Coorci?. Name: VIC_e5 Home Address, Cily, State and Zip Code: ( !S- -70 A 11 n"'z- �e vl CA 5 Home ?hone: (If appointed, o you want this number to be available to the public?J TWorkPhon: _- ® YES ❑ NO z-7 �L� �� :COL tIP— FAX: a` i EMail: (If appointed, do you want This address to be A U0 l � U/ l oL available to the public?) DYES ❑ NO Are ycu a registered voter in Petaluma? If so, for how long? ---�__ YE5 ❑ NO Boardls), Commission(s), or Committee(s) of Interest: �rA O�2_) Have you attended a meeting of this body? Have you serv, on, Preserir Employer: YES ❑ NO vkvVl Oy 0'J 3 or YES ❑ NO 65 Job Fitle: Previous Governmental bodies/Elective Offices you have served, Position/Office Held and Dotes: p.e�alu mc, r2e �,AV t�'ar/ l "I?7tilV2IP `78 -VDerPS vrJ Aal\lh Comllykw 4q ColleVg as As4r,c+ Ae,�oopxietf, 148-Z— tc%cty Civic or Charitable Organ¢ation to which you have belonged, Position/Office Held, and Dates: PeF�L�vv�w �JUStnpss (�t���ssion� ic��tmen's 0-("6 . tq75-y66) IICjn}euw u11e �). `CreaSunev�11 QPestR2zu�l D15Jr•�i-Trerz5L;r-er Qe<cil�tatia �ogS�jriS�reSS C'�ub Icl`i(F-I4 '�? Cdfs-Vc,\'J .PrP�,l0 What Special Interests/skills/Talents would you bring to this Board, Commission, or Committee? C\drJ1? vt ) I%t5 JkCCOU vA )IJ R10-11�"1ot-e -rJCLn�� College, Professional, Vocational Schools Attended [Major Subject, Dates, Degree/Date): Co 0-ec e ©� Aar Iv; --A A Aerr-.e Iu(oq - {lecc)uvc-r . 5, F. 4to Un2versr4y -Odft �e Iq t3� /tleco,��t CiaRevt C&-4-e uKIVGtS'Fy —Ag cQpre 1485-�c�a�lo�d. m Special Awards or Re(c�ogNion Received: pp cp jj _ m�t rac,�l7kTYc� GIfY� `Gt U d Q J E J�i l Uvt tCINYS I� 7 Please state reasons why you want to become a member of this board, Commission or Committee, includin, what s ecific eb-ectives -ou would be workin . toword as a member of this advisory body: 'Co �tasur��t rvE ��e �1 —razes tl� Care arc&evu�74 �9"Yl�VtwovrlEut % ln�orrnt Gt�1� eYtS o t Many (2 �On••I�ti�(cn�ccr��e �4111i G�ttzews eF P�%Q1u�t�c io �i<<fVC� a" �?1'dr l� CceJ1eDT 1r�Ps. 10 r�-s 12v U2 Hers+s1e OAIJ 1qci! taco r I eES CeS AAA v e� as �0 r'S Is there any other information that you feel would be useful to the City Council in reviewing your application? h vte slktC--- alyl �y 4-c)f, ayi CCc dl� l L) h2-ar re-L_ Are you associated with any Organization/Employment that might be deemed a conflict of interest in .E2horming your duties if appointed to this posflion4 ❑ YES O�NO If yes, please state name of Organization/Employment: Al 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 willinn to abstain from vatinq if such a conflict asses? M YES ❑ tJ0 67 Now did ycu hear about this opening? Applicant's Signature Date Revised June 1, 2005 im Youth Commission Applications: Five vacancies for two-year terms expiring June 30, 2008 1. Application from Anne Abbot. She is currently a member of this commission, and has been serving one of four one-year terms appointed in 2005 to prevent all members' terms from expiring the same year. Going forward, all terms will be two years. 2. Application from Lynn Carolin. 3. Application from Carol Fullerton. N f 4 2P r O City of Petaluma, Califon I ` *a City Board, Commission t� cv," �85s and Committee Application , q�HIV Instructions: Use this form to apply to serve on any of the City of Petaluma, California's Boardds, •'�l(,i`��i��� 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 Office of the City Clerk, I I English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. Name: AlQ t�JC 8vF- 02D A,3130i t Home Address,City, State and Zip Code: �E l A vtit�9, CH 0/ Home Phone: (if appointed, do you want this number to be available to t�hheeyypublic?)', El YES 10 Work Phone: NO D0-7 1-707) -7Z-2-Q9gB FAX: E-Mail: (If appointed, do you want this address to be available to the public?/ ®YES, ❑ NO AA lobc-)f--F aq4 CO 001. corn Are you a registered voter in Petaluma? If so, for how long? ® YES ❑ NO OF5 Board(s), Commission(s), orCommittee(s) of Interest: ss�C�^j Have you attended a meeting of this body? Have you served on, interviewed, or applied for this body previousl ?' ❑ YES 10 NO ❑ YES ® NO Present Employer: you ,-I E cl4«-D.'- vS Youth Commission Anne Buford Abbott h 70 Job Title: Previous Governmental Bodies/Elective Offices you have served, Position/Office Held and Dates: IVIA Civic or Charitable Organization to which you have belonged, Position/Office Held, and Dotes: 5ect.�iq��-8L4�; VPrrt988-By� 7�r�s. �/9�9-9> - Pefca lcrlina Corti m. /th /`/e z-be Setif•iict47-q9)}✓P(i99q-aocS�J,/�r�s.<aE�Y-�?�s 19q7- What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? y,M y eM p /oy•�� f %us.r�ess ��d volcc�,�er c..vo h atJ - all e'-en C-rec.c.ncf Sc oD,/ 1970 - / 9 �9 F>�ne-r �- o�c � /YL e L[ /�� re.2s Cerl /er 198� Prese�r7` Cpreschoo/�c�a,tfGa,re c�.e5 a -s'� Advi5or fa Pei aZcvnQCornm• lleal7V9 Focenc/a�io.� yOu-1-/i % res e'� 01-S S �Lccz'e s uJho ra[fe move T-0eo// e scho%s s College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): -5AN7-f} f2F15/k ,12. coe-Ct9�vv`"= y 60Al6.041--4 s77AT(E cLhtU��2�19�9—/�/76 ,e!E-LeHty R-2y 76t4617LIAvC, e A Special Awards or Recognition Received: P& IALUR -ia4 t3Dys E 6 reL.s Please state reasons why you want to become a member of this Board, Commission or Committee, - including what specific ob'ectives you would be working toward as a member of this advisory body: %�/ocLG% c9GG� M yta�',a/ ✓G1 rS yo��`i1 E fn(I 4J012/G ��/es lrlli'%1 %f12 �D�7 r i �LUC GOn57�Q./�7��y ��.Y�i ° Y'here �s ho#r Inc/ r us fo ago �n.O���xvr� 7rWrCJ !S cc 2-!rlpl neE�-'9ir^0 lam/ eellkr L1*1? we) 0Id /alp 40 cW4Z-nc/ ce-l- c prvrn4e �5cc l��Qn Q' xX s prevet7he' , pry r&-M s n-'t 4 6 / leve4l s. Is there any other information that you feel would be useful to the City Council in reviewing your application? .T cam a.. f �� a Lc L m ct rt c� cl e ee n c! have raw Sed rn y olar� y pep l�ef2 �C S c �G/ a r/ii�9 ! cve�/ Giere al/ /ny li{e -T- ��e/ 0 Sf7-ony Coil r7eG-Af0-n L,vc1-)� `1l e-ornmu-�'?a76rl. �,17ce my c4Z4-4yhVCr is 4-h her S�hrn�re �e�s' cnllec haue boY-k `Hl l r? k� rest cc--n c/ cc_rk P/e r» e 'o di' u c7 c ` -o 'f'he yeC' �-h CD M MC S S5' coil . Are you associated with any;Organization/Employmentthat might be deemed a conflict of interest in performing your duties if appointed to this position? ❑ YES QI 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? ; JAI YES ❑ NO 72 How did you hear about this opening? f F-Es5 JC& y " 4 5 E"C77 o/v Applicant's Signature Date 7- Revised June 1. 2005 73 a0� City of Petaluma, California City Board, Commission jBSa and Committee Application 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 Office of the City Clerk 11 English Street, Petaluma, CA 94952. All applications are reviewed by the City Council. 6, Name: � v n � � Ct --_, /, -, C4 A �. Moos � Home Address, City, State and Zip Code: l /y re Ale Home Phone: (If appointed, do you, want this number to be available to the public?) Vd YES ❑ NO Work Phone: _ FAX: E-Mail: (if appointed, do you want this address to be available to the public?) AYES ❑ NO l _ Are you a registered voter in Petaluma? If so, for how long? P YES ❑ NO Z) �7 Board(s), Commission(s), or Committee(s) of Interest: Have you attended a meeting of this body? Have you served on, Interviewed, or applied for this body reviousl ? ❑ YES L -60 ❑ YES L�1 NO Present Employer. Z? L AC (cJ 74 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: CL 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 our duties if appointed to this, ositiioon? 9 YES ❑ NO If yes, please state name of Organization/Employment: j IPi.s ;>:/ ud /7d'7LPe- t �r ii%Yr g City policy directs all appointed, advisory body members not to vote on matters where there exists a L_potential conflict of interest. Would you be willing t Labstain from voting if such a conflict arises? YES ❑ NO 75 Job Title: r V 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: 6_ .5, %reefs-%�9"G %Y 4)1, rlY c"ve'.- 7`j�-e 7� ? c'' Jc c%rs ii� s -mot .m v 511� A VA J ,1 What Special Interests/Skills/Talents would you bring to this Board, Commission, or Committee? Zb%ice �4/17 1A, College, Professional, Vocational Schools Attended (Major Subject, Dates, Degree/Date): Dip txzhp r - 76 How did you hear about this opening? ILI Applicant's Signature Date Revised June 1, 2005 77 Lynn Carolin, MA, LCSW 11 Laurel Ave Petaluma, CA 94952 707 769-0664 lynncarolin(iyahoo.com 6/9/06 Dear City of Petaluma, I happened to see your announcement in the Argus-Courier last evening 6/8/06. Unfortunately since the application is due today, 6/9, 1 have had little time to follow your written recommendations which include speaking with other commission/committee members. Please know however that as a parent of one 14-year-old son and an11 year old daughter, I am very interested/curious about the ways our City supports our teens. Ten years ago we decided it was time to move from our Berkeley home to an area that better supported the needs of young children and their families. After one visit to Petaluma we knew that we had found our next home. Jimmy and I often talk about what a wonderful idyllic life our children have living in this City. Our kids have commented, on their own volition, how much they love this town. As we, as a family, move into our next phase of family life - "the teen years" - I am beginning to notice that the structures/organizations that helped to hold our kids so well in the early years seem to decrease of disappear as the kids become teenagers. My main interest in sitting on the Youth Commission is to help find ways that our community can still support our teens as they branch out to experiment with different identities and growing independence. I have included a brief Bio for your review and would like to include it with my application. Please feel free to contact me with additional questions. Thank you for reviewing my application and allowing me the opportunity to apply for the position on the Youth Commission. Sincerely, Lynn Carolin W BIOGRAPHICAL INFORMATION: - Lynn Carolin Lynn is a Licensed Clinical Social Worker, with a Masters Degree from UC Berkeley in Social Welfare. Lynn has over 20 years of Social Work Experience. Lynn currently supervises two Case Management Programs within the Adult and Aging Division at the Co. of Sonoma —The Linkages and MSSP programs. The main purpose of these programs is to work w/individuals and their families, enabling the client to remain living within the community. Lynn's responsibilities include both programmatic and clinical supervision with a staff of gifted social workers. These two programs combined serve over 450 individuals and their caregivers each year. Prior to this Lynn worked as a family consultant and program services manager with Redwood Caregiver Resource Center — An agency dedicated to providing caregiver resources, education and support for those family caregivers taking care of their loved ones with cognitive and neurological impairments. Lynn's other social work experiences include: 1. Work with numerous Senior Housing Projects, 2. Psychiatric Social work — As a Peace Corps Volunteer in Malaysia, and 3. Teacher— International School— Kuala Lumpur Malaysia 4. Teen Center/Family Counselor. —American Association - Malaysia Finally, on the personal side, Lynn is the parent of a 14-year-old son and 11-year-old daughter and has lived in Petaluma for 10 years. N City of Petaluma, CaliforniaO City Board, Commission and Committee Application Instructions: Use this form to apply to serve on any of the City of Petaluma, California's BoardsC0MMi5SiDns_ or Committees. Please fill out the form completely. If a question does not apply, type or write NIA ib,theI space' .' provided. When completed, please forward to the Office of the City Clerk, I I English Street, Petaluma, CA - 9 ,4952. All applications are reviewed by the City Council. Name: 12 C, P Lt C L_ C-T la--ro '� Home Address, City, State and Zip Code: f?- ci-"( C-,Av L 5, L� C C C\ C& _61 L t, rL, & L c` & q `I Home Phone: (if appointed, do you want this number to be available to the public?) Work Phone: 1� YES 0 NO 7 () -7 -7 -7 (21 'ER q 7 - FAX: E-Mail: (if appointed, do you want this address to be available to the public?) EIYEs El NO P-ADELIUL(2-rok Q_Comcas-V•no Are you a registered voter in Petaluma? If so, for how long? V� YES El NO Board(s), Commission(s), or Committees) of Interest: Have you attended a meeting of this body? Have you served on, interviewed, or applied for this body previously? YES ❑ NO ❑ YES NO Present Employer: L& 0 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? 011-0%Y- JCIJI a't"J lV & 1'(* 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 ashha member of this advisory body: ^,� C ,1 C t 2u-r. l c 7 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 thisposition? ❑ 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 W How did you hear about this opening? cvb i—,Ajt- Li ) (Z .�. j} ( C- M LPL j, Ccv)` Applicant's Signature Date EEt.c� 41..1taiG- Revised June 1, 2005 Resolution No. 2006-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 Body Term Expiring Airport Commission (PAPA Representative) June 30, 2007 Airport Commission June 30, 2010 Animal Services Advisory Committee June 30, 2008 Animal Services Advisory Committee June 30, 2009 Animal Services Advisory Committee June 30, 2009 Historical and Cultural Preservation Committee (Heritage Homes Representative) June 30, 2007 Historical and Cultural Preservation Committee (Petaluma Libra /Museum Representative) June 30, 2007 Pedestrian and Bicycle Advisory Committee June 30, 2008 Pedestrian and Bicycle Advisory Committee June 30, 2008 Pedestrian and Bicycle Advisory Committee June 30, 2008 Pedestrian and Bicycle Advisory Committee June 30, 2009 Planning Commission June 30, 2010 Planning Commission June 30, 2010 Site Plan and Architectural Review Committee June 30, 2008 Site Plan and Architectural Review Committee June 30, 2008 Technology and Telecommunications Advisory Committee June 30, 2007 Technology and Telecommunications Advisory Committee June 30, 2008 Technology and Telecommunications Advisory Committee June 30, 2008 Youth Commission June 30, 2008 Youth Commission June 30, 2008 Youth Commission June 30, 2008 Resolution No, 2006-XXX N.C.S. 84 Name Body Term Expiring Youth Commission June 30, 2008 Youth Commission June 30, 2008 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 19a' day of June, 2006, form: by the following vote: City Attorney AYES: Vice Mayor Canevaro, Mayor Glass, Harris, Healy, Nau, O'Brien, Torliatt NOES: None ABSENT: None ABSTAIN: None ATTEST: Mayor Resolution No. 2006-XXX N.C.S. 85