The URL can be used to link to this page

Home My WebLink AboutItem 2a: Annual Board and Commission AppointmentsDATE: June 15, 2010 TO: Honorable Mayor and City Council SUMMARY: DISCUSSION: 1 STAFF REPORT Office of the City Clerk FROM: James Barrows, City Clerk Lisa Mussenden, Chief Deputy City Clerk/Records Manage SUBJECT: ANNUAL BOARDS AND COMMISSIONS APPOINTMENTS Recommendation: Make appointments and /or reappointments to fill vacancies on Arcadia Boards and Commissions Annually, the City Council appoints residents to serve on Arcadia's various Boards and Commissions. Tonight's City Council action will fill annual vacancies created by the end of appointment terms. Boards and Commissions exist to advise the City Council on matters that impact Arcadia residents. There are currently seven (7) active Boards and Commissions: Arcadia Beautiful, Historical Museum, Human Resources, Library Board of Trustees, Planning, Recreation and Parks, and Senior Citizens'. Each appointed Board and Commission member may serve up to two (2) consecutive four -year terms. The exception to this rule is the Senior Citizens' Commission, where members may serve up to two (2) consecutive two -year terms. Each term begins on July 1 and ends June 30 The City Council will fill the following vacancies created by the end of appointment terms: Historical Museum Commission (4 positions open - 2 recommended by the City Council and 2 recommended by the Arcadia Historical Society) Human Resources Commission (1 position open) Library Board of Trustees (2 positions open) Planning Commission (3 positions open) Recreation and Parks Commission (1 position open) Senior Citizens' Commission (2 at -large and 2 service club positions open) In order to facilitate City Council action, staff has provided the following documents: 1. An "appointment summary" matrix that lists each Board and Commission, incumbent members who are eligible for reappointment, and residents interested in first -time service (Attachment I). 2. Copies of all Citizen Service Resumes and letters of recommendation from Arcadia Service Clubs or Board /Commissions, if required (Attachment II). 3. Current City Council /Boards and Commissions Roster (Attachment III). FISCAL IMPACT: There is no fiscal impact from City Council action on this item. RECOMMENDATION: Staff recommends the City Council make appointments and /or reappointments to fill vacancies on Arcadia Boards and Commissions. APPROVED: Donald Penman City Manager Attachments 2 HISTORICAL MUSEUM Eligible for Reappointment Applications on File Applications on File Applications on File LIBRARY BOARD Eligible for Reappointment Applications on File Eligible for Reappointment RECREATION AND PAR Eligible for Reappointment Applications on File Council Appointments: At -Large Position Service Club Appointments: Golden Age Club Assistance League Applications on File 2010 BOARDS AND COMMISSIONS APPOINTMENTS SUMMARY current as of June 1, 2010 2 Positions O R ecommended by the City Counc 2 Positions open Recommended by the Arcadia Socie Ruth Gilb Antonia Baiunco Ruth Dunlop Rigoberto Garzona John McCrea Lee Segal Patty Wong -Dion Jessie Ramirez Tammy Woloski Patty Wong -Dion Dorothy Denne Anne Joseph Daniel Bump Felix Chien Esma Ali Ching Chiao Felix Chien Sam Falzone Nader Samaan Sho Tay Tommy Thai Richard Beranek Anthony Parrille Posit John Curtis Antonia Baiunco Robert Gerber Nader Samaan Gene Glasco Ann Iarossi - Armenio IN onep Le�o�npendec� „ : Ruth Dunlop Monty Lindsey Tammy Woloski City Council Appt. Eligible for reappointment Yes Eligible for reappointment Yes Interested In 2010 Yes Yes Yes Yes Yes Yes Yes ATTACHMENT I Updated 03 -10 -09 ATTACHMENT II CITY OF ARCADIA Citizen Service Resume Office of the City Clerk - 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 APR 2 8 2010 CITY OF ARCADIA CCi Y CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission. Human Resources Commission Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Applic,�tion Name C ktk-r Last First Middle Address r Home Phone_41. Business Phone ( ) S E -mail address (Optional) How long have you been a resident of Arcadia? )7 j c't.itU Are you a registered voter? Yes x No �-� ., 8ro � �. Occupation 1 - Lt) M.E. Cvy. (m (4 Employed Education (Include professional or vocational licenses or certificates) A. S C4J2.12.-- 1 ' 2 Co T unity involvement (List organization memberships and committee assignments) C r \z G1ub S CAh PI se describe any background, training, edu tion or interests tliatfitiali yo a an pppointee rS r o Cr t`e& n n'1 �m6'( �- � E S a e.. hvitr( (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you e as the objectives and goal of the ,, advisory board or commission for which you are applying? 1 .LS>CL �P ` -fit I n -ADO re ct i-L-f v-' 1 0-cc i- `uv-e- Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No ("applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Signature (1- ate Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY :: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments - scheduled- forthe -purpose -of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 APR 1 4 2010 CITY OF ARCADIA F'Y''`'° CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission ✓ Planning Commission Human Resources Commission Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission ************************* P **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application 'T 19 1 4.,0l t� Name t) NC ..I NTnKJ i 0. m Last / First Middle Address Home Phone Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? 4 Are you a registered voter? * Yes v/ No Occupation - Z in r 12)2.4 c 3 ear / 7P A-00 or 6 �c.a Employer,JtJ+( r ate e "C -imors - 3-5 1 r st PVC_ Education (Include professional or vocational licenses or certificates) ! a .'e . • t,Hci U th i N a. .1 A.A (-WA. P F . ; D Community involvement (List organization memberships and commi assignments) .. ,CO.,/.ar� (e■,a 1 94' ¢ - c.� ( r �` tee. A , le Ad-444 -- c�' -0 € l r e_ h4 1( 4 4.4.., (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) •ice -de l 02 - (2 c f r L .. !,O a9, c kgr G- i�N'►� �vr-.1 cr-�v ' ) P`lease n �describe arlbacounu, tFainir , educat or intere tstthat qualify you as an appointee CXl _� ra l.,i. `v ..� �d.r e � r Q- l 4-or Y h b/A What do you see as the objectives and goals of the advisory board or commission for which you are a ppl y i ng ? I . �,q� - - - Y�J i': r�.�. /... .,a: Ater a " Are you aware oft time commitment necessary to fulfill the obligations of an appointment to this position? Yes No ZarAor, / �•A State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if app lying to be a Library Board Member or Planning Commissioner) AP' 11 9 A 1*-4ie I her ify that the foreg • g information is correct to the best of my knowledge. cic) Sig =ture Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: Date 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and or time commitments scheduled for the - purpose - of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? ' e _ - 0k0 d l l 25kp 1.1 cu t aktd- Lio- a 15 kixd, l: 3 7 r p� �, , � � ire 'f d a-3/ ?.?„0. Toni M. Baiunco Interior Design CREEk Please describe any background, training, education or interests that qualify you as an appointee 5 Years Arcadia Planning Commission, 8 Years Duarte Planning Commission. Attended courses of the American Planning Association and the UCLA extension classes in Planning subjects What do you see as the objectives and goals of the advisory board or commission for which you are applying? The Planning Commission provides assistance to the Citv Council and serves at the pleasure of the Council in planning matters. Also it brings sound and fair judgments to land use situations where strict enforcement of codes would result in the wrong result because of unique property situations. The Planning commission applies the General Plan and planning codes at open public meetings to preserve the City as a Community of Homes. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes x No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes x No_ (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. 6.1Attivt.0-- s - u - lu Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission _ Library Board of Trustees ,x CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 * See additional questions on reverse Planning Commission _ Recreation and Parks Commission Senior Citizens' Commission ********************** q ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** M Date of Application Gx-YC 'i / ' 7 , 0 Name 13u p I n r 11 /4 Last First Middle Address Home Phone Business -Phone E -mail address (Optional) How long have you been a resident of Arcadia? V / C9 yew Are you a registered voter? Yes X / No Occupation TecLcAer Employer l 7"('RIL P 1/� ►�t� -r i 2 • /- �y Education (Include professional or ocational licenses or rtificates) 6 Fort-pm G2 le. e, l 7 S f 5 C,'o to / ° l�?�l�` �� 6� jec7 l�eetck' re n -h'ct( Ca(, e ,�a.r�� 9'c�� f'YL Cr. m, 'Los Any, I es t Glom eac�u�n & lis as . c6 n uo< j Community involvement (List organization memberships and committee assignments) ties iC en-t AY'c c fil t' alas c1 u 6 (AY cal ck -) 02 00 FS - a Ofd 9 l VV , P. ( Y occli V}\ s c Clwb aO0(, a 00 E Menrkher t i.r , v-e A- r�c.cpo(jv, Te cr_ � l� ,eYs S5 cxicd i n SurL�ay Cc k "Tear, L- k-e ,�_ Cic $ec / ( Piz sadenr&) Please describe any background, training, education or interests that qualify you as an appointee OVef �' - •� -t .3 Rcers eA. m 14 -i 1- hO }xevr invole - eC i vt i er ieavE-r`v S (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) MAR 1 9 2010 CITY OF ARCADIA CilY CLERK What do you see as the objectives and goals of the advisory board or commission a for 1 which you are applying? 4S a. rriern be{ c d(L' 4 L� bray �rc 1' Am) IA U t1.01 7P Gi't Ot&r Oa . 5ouofht cz5 fh Li'brt t con - nut's r+$ cnkts-€u -pG)'rrn c &d- ye0.c 1A +0 t e cclinkcLrt,i R 2S eCi rx 2 4v urC o a r'c J r�5 kJ y'k5 YW 4D khe ci s a arreof edu *' i & }-t s c if ►. e� �' could 5`�ar ied e rence i�� the oa-i'09. l � Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Signature 4 wiaza / 7a or0 Please attach additional pages if necessary and return to the address listed on the reverse side. *Additional Questions for Arcadia Beautiful Commission applicants ONLY. Date 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfil this time commitment? Arcadia Beautiful Commission _ Historical Museum Commission _ Human Resources Commission _ Library Board of Trustees Date of Application Name CAIN.° Last CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 MAR 2 5 2010 CITY OF A,PCADIA CilY CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See addition/ questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission Cat First Middle ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** k &. '1.3 2 Address Home Phone Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? 2S yvoras Are you a registered voter? Yes Y No Occupation M`R*.Wf crCR' e• Employer CAk'S PcO LLP Education (Include professional or vocational licenses or certificates) J�►i t \5 VCco'l. Community involvement (List organization memberships and committee assignments) NAC* CAPOASSCL aF CorWW*CE j gorcAs9.4 G41.kviceer.A Cat4P.se Lowsietc Ilic4c otCitri .o %oAO L. f4' L. C_l-.1 N ‘G ', Los Pol E.I S C m.). -s PcssociNRoa . Please describe any background, training, education or interests that qualify you as an appointee s's3t 4 iv otr Pc - eareS1 & ictToeQSS eS C tce ) L.P 4'fl - "Vi•I iSIone ) NS 4 1 Cice. E'FCFAS■JSc czS*443k R2t VV-D 10 LP# V.SE 4'n TI 6 d 4 t4ir4Ec . Aktle4E <i t4 SExISVM.- CooeSES rasuo'CED ro LMT JStc P t$ Prl sO 46/G Pc RPaio+J 'rCt. 'CAS p of V (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? C1k'E G-fai41.. 15 -Cb o+10 - C V- 141. COo�D INTE CQVdRil c t-S,JE . Lo� - RoG�ir �.N�ct la 1 iJ f i 6�Rou5t r 9 ' Ww-N i P1l P�+`�AC tEwlE$V, s �4A 10,1 Pc^'c' Cof4Q -1 IOr '�SSvf�S P 0siGai t- T V1RDt•1N∎6 \ -- ?QS* )1P 1A'S e tSr4.% ∎1q, E'Co X400-9 INOCIN60.4 .MN9 k coot.\ a- tvlosVe - ra•`+�'v t-A pEG�s► o rJS Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yesj/No (if app /ying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Please attach additional pages if necessary and return to the address listed on the reverse side. tl\mckk 23 t 2ot 0 ignature Date *Additional Questions for Arcadia Beautiful Commission applicants ONLY. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? G P LF0 4 rere.rcL h ckciev „ A (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 MAPS 3 1 2010 ow OF PCADIA PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission Human Resources Commiss Recreation and Parks Commission Library Board of Trustees / r r Z` Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application 0 3 - 3 I- Z o 1 3 Name CNiEt■ (=ELJX Last First Middle Address Home Phone_SIMMIBusiness Phone ( ) E -mail address (Optional) 1111 How long have you been a resident of Arcadia? S )' c ...i Are you a registered voter? Yes ✓ No Occupation P h/ s■ cl - A U o rne/ Employer S e Education (Include professional or vocational licenses or certificates) IcgnSGS C v Cc11e5e 1'hc *t 1tpl cfc', + <<+t U ig-tttok -i (t)lese q r l� e.J 'lurk” P P£�rZj , , J -fr)-n �f v>9.2 1 Caj Vhl Vnivrti $ cblltj t Community involvement (Lis organization memberships and committee assignments) d Sv cr-e = """ Please describe any background, training, education or interests that qualify you as an appointee L;4 e ton. Le-rnr What do you see as the objectives and goals of the advisory board or commission for which you are applying? crt '.� yc.e 4 to - -rUr �) pc tec,e t-L e preS +i'3 Signp(ure d th in -4 :1-v J Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). D9-you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_/ No app lying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: Date Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 MAY 19 CITY OF ARCADIA CITY CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See addition/ questions on reverse Historical Museum Commission Planning Commission Human Resources Commission Recreation and Parks Commission ✓ Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application MR 5 11 r H 2O I 0 Name Ccc 2t t S Neu St- Last First Middle Address Home PhonellIMIIMMIP Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? 3G piKs jc."c-5 Are you a registered voter? Yes X Occupation AO of-Odell t r Employer L Woo c € C.e) or 51•1:4 Z.-c.e- Education (Include professional or vocational licenses or certificates) CCC(er 6. A L. 4 Setloo t: S•b • Community involvement (List organization memberships and committee assignments) CL4 .IV -• rt r 5gre1.041'1._ &gc e - tr-ltiTto ✓2SCS C3MMtSSro$J A 2.C4 LA N T L.. L -. Trat Lein 6u ( rcf6e.... 34.42?1 to Ell 6L2. ipift jo\ -- 900_ - ro'Asc bF 2.. C.Tiz s tr,tnM Cv +r1 ission) Please describe any background, training, education or interests that qualify you as an appointee 5ce Al3avcl (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) No What do you see as the objectives and goals of the advisory board or commission for which you are applying? To tv Aximiu RtiC/J Tl oeN -4 Plarlic S O -v iG[%S Roe_ CtT1 ZOP S e>P R/Lc.Ab I Ft eeSe V 3 u.DLeT c?-G- ilibru "S '4 l o M AX 1 71' I 11 ci • Al P a e r ? L o- V T i t i e o ry oP 714 L s 2 e z z t s w i i t P f j t t KS 6o fics 1 - 0 4 i zc b tit) '`r-!G M ,qsr&Q ?Low. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes ✓ No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. S L 1 --is tit 11 20 t D Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission Human Resources Commission Recreation and Parks Commission Library Board of Trustees ' e_ Ito; fl - ttv1. r\t Senior Citizens' Commission ***************************** 1 * *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application n/'X f r _ V ' 1 3D ; D t i) Name n )1 F'_ nr) r-LA - h y/ M i aa e Last First / Address Home Phon Business Phone ( E -mail address (Optional) J J �7 How long have you been a resident of Arcadia? / y ro Lk. f S Are you a registered voter? Yes / No Occupation -t' r e G l a vl C P t o t.! i• o J1 st /a/Allow/ YE ±i l'cc/ I to a-41e v Employer Education (Include professional or vocational licenses or certificates) R., .5, � / A , H , /.-- , b,, CIS Lief. re_. �' a_ c ( rp�c�,�ii a I CDC l�ciyr► iri )_ct -ro th° /- / POS C�7 t Se_ ` g cl U ec ho) 0. I - e_cie ilia 1 Ci`edivfl'a I Community involvement (List organization memberships and committee assignments) /rCac4- l a. 9D /iC. De-pt Velari7tier - aninrri t ,/ n; , ,S�rV► QT - , A, fir bhorP_`i t FoLe 4dat' o rl pc_ , C o yn rrt Go -1.) rd Lou n. c) 19 rc , c h 4in be r (-owi eiN'ee 11 cad �- �hI it . -i ii' 14^ ke zS X pi`s✓ir2ksJ'/y, J r c-adis iBetut� �tc.) C • - 411 pis f l I f3 r ( 1 tenfl 1 Q) Copt m • — - se - c - e e ac r` y l eas, Please describe any background, training, education or interests that qualify you as an appointee ��µ,r D' . I f . o r'; a'lt_ 'Sst o e - - ,,`mot... a tomx in' - a M r'-e_ad i a_ H SOC ) Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 111e ►.I3N r ,cJv i Scar &c - IP/em er C u rr',` rub/ i4 be A/4i o ut,e ,tlti ~cL Pep o ve tv E itCe `t✓i Assns (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) CITY OF ARCADIA Citizen Service Resume .-a aim in is MAR 3 0 2010 CITY OF ARCADIA r l c�i t�.a. m- Star1P> I PIV St'Y\ tr�Th held 'r+'s.11'1a eld, D( ∎ce- in C Ret reel T.a chPrs 41- 71 s e Ni e-d as Fehr aa, t' t' L9 Lori ii t. &6e � 1 S�r`v cts )T2e i �- won Su 1 �"anT 6Sc7 Cu Pr- en`'l7 Carr�yy- -Du:1' piavive Ne%ii t rati v_ act v w►tk. re-rftet pm ertte What do you see as the objectives and goals of the applying? J. 4 f' t � �5P l ii ;00, 2fl ± L -r b (-1 cl )41 r - )� i r-a `t� i VP e �'J1L 71 rh-) r ra crlit.j k z-7Crcl Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No ("applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. advisory board or commission for which you are PA" 9 7)0e � LJ vL ^) / )z),(� I 1 ;`' 7 ..5 514-44e- (:)?/ Date Please attach additional pages if necessary and return return to the address listed on the reverse side. I 1-11 A it ly z° `J�G'� rn �[ 'C' i rs } �G `N 1 L2 /tot 6_1 i e _ v ►-+�� j. you �� e e e- offor� f �D S e . r ✓e_ Se-clo rrIl * Additional Questions for Arcadia Beautiful Commission applicants ONLY: l AD/& 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? K \J vc-M,vt-e_e,1- ,(/' ai -e- ./- --e-eir:t, z AV-W-24 DOROTHY DENNE F A11 ` Historical Museum Commission X Human Resources Commission _ Library Board of Trustees CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 MAY 1 3 2010 CITY OF APCADIA 17:7. CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission _ * See additional questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission X. ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application ; j � A y )� Q o l 0 Name j) /JAIL O f , ijtl 7'y 1, 0 / Last First Middle Address Home Phon Business Phone ( ) E -mail address (Optional) How long have you been a resident of Arcadia? yE�� Are you a regist red voter? Yes / No Occupation l��T 1 R Employer Education (Include professional or vocational licenses or certificates) Community involvement (List organization memberships and committee assignments) A R/ .1269 ,i;. G-a:yi ,E� . R�'Y.N )Mq /A(LO, ne --RXEs f o P �a?, 44 j . 4 .in D'G Idiom #•' 'iL 7J - -bIr 0_ • ,lt Plea a describe any backgr und, training, education or interests that qualify you as an a pointee gThviiv � i ".c i P .o . 7 / (e 1 ; Z/W 1 r .r ALA. . .�. (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goalss of the advisory board or commission for which you are applying? te n , Z'A.: . / 6-- /J 7 , f /Ax/e, Av11 J 1 ✓c'YL4 A7 7L) lA/I__- d , ✓� i(/ri / Q t� /l� '- 2� a r t / 1' ! , n C�L ? /. t�- t is 2,e-r∎ -•J .4-- 14L G L' �-- k G LA-i ` L vv? ' ptiti` /t- m2_ -2f.c, _,,'; , ii , L1c- r . 2 ,� vni,i ,,/� -- Are y of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes4 No Signature State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Date Please attach additional pages if necessary and return to the address listed on the reverse side. 06/10/2010 10:55 6264459612 June 8, 2010 To: Ms. Lisa Mussenden Chief Deputy City Clerk Fm: Gene Glasco Arcadia Historical Society With best regards I remain... Since -ly Yours, Glasco President Arcadia Historical Society /gg CENTURY 21 LUDECKE ARCADIA HISTORICAL SOCIETY 380 West 1luntington Drive • P.O. Box 60021 Arcadia, CA 91066 -6021 Via Facsimile (626) 446 -8512 Page One of One Re: Member Recommendation for Museum Commission Ms. Lee Segal, former Arcadia Historical Society Director and historical society member in good standing. Ms. Ruth Dunlap, past president Arcadia Historical Society, and historical society member in good standing. 01300 P 001/001 The Arcadia Historical Society is most pleased to recommend the following two members for appointment to the Museum Commission: CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission Historical Museum Commission Planning Commission X Human Resources Commission Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application May 24, 2010 Name Falzone Last Sam Joseph First Middle 6'6S t�F'{h ...� . MAY 2 5 2010 CITY OF ARCADIA C"1 CLERK Address Home Phone inmpla Business Phone How long have you been a resident of Arcadia' 32 Years Are you a registered voter? Yes X No Occupation Building & Developing Employer Self Education (Include professional or vocational licenses or certificates) Illinois Benedictine University, Commerce — De Paul University, Pre Law — Army Counter Intelligence Corp School — California Real Estate Brokers License — California Contractors License. Community involvement (list organization memberships and committee assignments) Arcadia Tournament of Roses Association — Arcadia Chamber of Commerce Please describe any background, training, education or interests that qualify you as an appointee Extensive experience in Residential and Commercial Real Estate — Consulting, Building, Developing and Financing. Experience in Land Planning and Developing. What do you see as the objectives and goals of the advisory board or commission for which you are applying? To see that new developments comply with the City of Arcadia Zoning Ordinances and meet the General Plan Guidelines. Maintain the high quality of development in the City of Arcadia and to work with applicants to resolve any problems that may occur. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes_X_ No State law and the City Conflict of Interest Code requires you to file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_X_ No I hereby certify that the foregoing information is correct to the best of my knowledge. l gnature Date Please attach additional pages if necessary and return to the address listed on the reverse side Date of Application Name 6 dr 2 n Y`t Last /0 CITY OF ARCADIA r p . Citizen Service Resume / 2, Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 Middle Address APR 29 CITY OF ARCADIA C:i + CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission Human Resources Commission Recreation and Parks Commission _ Library Board of Trustees Senior Citizens' Commission * * * * * * * * * * * * * * * * * * ** ** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Home Phone Business Phone E -mail address (Optional How long have you been a resident of Arcadia? e y A Are you a registered voter? Yes No Occupation Std 1e3 — a r- - i s f — ` Employer Sf��rf t)taf1 Co , ( �,1 // s-� �: rc1 �' s 9ro4' / 7x/& re C dS.c� Education (Include professional or vocational licenses or certificates) /// � /Ll . C. / j e of f� L ? D 'v/ ' `I t6 Pr 9.7/C 8�' C ; `f /47 fas‘e;.) "77" Community involvement (List organization memberships and committee assignments) A ?yYl E,- L- '- f 17`/¢- Please describe any background, training, education or interests that qualify you as an appointee i`'I z, i``4e --4 -- r 0 ,// /)Fc /C 4/ . ,p (. c•, a / S) S -i . 4,., 7'P61:: , /3rZW > / , /1.(e rk -�z-e. i(/ -e,,.i j PeC . * WAyysis ketvm /X ..S: 74 fre5n7 L/A 011 apt q , ( / F d i'-1i C 4 j D'tl ji { Shr ' , C 3./� -ma , T S9', f04 - ' 01-_, (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are a ppl y i n g? ;1' ti,. e-, t ,Fly y;. -G Avf i171.7 s • �-c) -rZe g' J Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No Of applying to be a Library Board Member or Planning Commissioner) I hereb - rtify that the foregoing information is correct to the best of my knowledge. 0 Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and/or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees _ Name Address Are you a registered voter? Yes CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See additional questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application Ak A V 2 t 0 a/F IT Last First Middle Home Phone Business Phone E -mail address (Optional How long have you been a resident of Arcadia? 12- Yc kg No MAY 2 5 2010 CITY OF ARCADIA CLERK Occupation epovrrizaexL Employer SC. N / ND (-6Y- £Z.0/A Education (Include professional or vocational licenses or certificates) (3s powv s r4- 14'v )vnts, Ty /QP AogA WA L ty PF Sc L,TNOt.r ' all6/Ftv I gtt Community involvement (List organization memberships and committee assignments) , a1Qt, t CA r• y ct 1 . eC Ex__ a/CG r7 /0A Please describe any background, training, education or interests that qualify you as an appointee X///1/ ,rJ AC'rry E /N � CG u,' i r y -s r1' 6! 4'rT 6u6 A k , 74rvo etuA What do you see as the objectives and goals of the advisory board or commission for which you are app �' v/O gcr-z.�''-CArr PP.i6 q/4IS !av_ Cf1 > >Dc=mtT f �7 0 ✓!L c' er' 2e=r)/S IV -b a• ,,iit N vm/C diu !T'V d F G /)cam %79 (( /v5(r/ ✓6 ,2eZ.e614T4,') , GC?SLt24 ertb gm- Fr Fa'A G(c k7' D�51c � c �.` G',�rx lk t(iV c r y 1-/ � - � ; �2 ��Tlr �l r Cu c.7rl �-R � If ri0 1..6"? 511/14 511/14 r'r �� Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes V No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfil/ this time commitment? Arcadia Beautiful Commission _ Historical Museum Commission X Human Resources Commission Library Board of Trustees _ CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 MAY 1 3 2010 CITY OF APCADL CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See addition/ questions on reverse Planning Commission _ Recreation and Parks Commission _ Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Appliccation t�IA I ? L, 7 ° 1 Name G I L g R04 - ) Address Last First VA r_AtoN Middle Home Phone Business Phone ( ) E -mail address (Optional) How long have you been a resident of Arcadia? 6 yea2s Are you a registered voter? Yes X Occupation 1A M t I n i Vo ICA e t'e - Employer Education (Include professional or vocational licenses or certificates) Uri v845 k.1 of Icialio a - Ivlosl✓oGO No Community involvement (List organization memberships and committee assignments) A 1,4 In avlczlTEne. of Pk2e.Ad l i �p s cad e-r a Assi54 1L,ce_ Al t P► i 54 CGS t &7f1( R-I elle) `fine. r Please describe any background, training, education or interests that qualify you as an appointee J- hPrVe-I 1Zeen nFL1 Strvecl alma tnd-e-r of rvi lar-e h125lzt►xl Fliies&71c.6 s - 1-e._r►' . h ve Pi -5o Se.42.vecl on nu A -eou5 card's *rou hou oonniu in t cdhic�► has gitre_n !vie an all- gout o Muc 14 Oen A- u�e e rzcaS i, .1 urrerstnr7d' hOGti -4tie d- owtn41€76t0 n aie0 0.4 ' ( Gloverzirvienf 'w sf bood e- viex. (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? Fac- d Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? YesJ No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. r3, zoo Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? HISTORICAL MUSEUM COMMISSION WHAT DO YOU SEE AS THE OBJECTIVES AND GOALS OF THE ADVISORY BOARD OR COMMISSION FOR WHICH YOU ARE APPLYING? I think that the Historical Museum is a vital and important entity in our city. It is important to share the history of our community with its citizens, especially the children. To grow, we must always remember our past as we look towards the future. The collections and programs that the Museum exhibits must educate and stimulate those in our community. It is important that we, as Historical Museum Commissioners, share the excitement of our past and the anticipation of our future with all who visit. As Historical Museum Commissioners, we should be a constant source of information between our citizens and city government. We should be the bridge between the two, as the Museum is the bridge from the past to the future. We need to involve the community with the museum, as well as the city officials. We need to be aware of all matters pertaining to the Historical Museum, and be prepared to resolve /solve conflicts, reconcile differing viewpoints as well as work towards making our Historical Museum an influential and essential foundation to all our citizens. Arcadia City Council 240 W. Huntington Drive Arcadia, CA 91007 Ruth V. Gilb May 13, 2010 Dear Mayor Amundson, Councilmen Chandler, Harbicht, Kovacic and Segal, Please find enclosed my application for the Historical Museum Commission. I am very interested in continuing my service to the City by being on this Commission. I think that the Historical Museum and its components are an extremely important aspect to our city. It is the Museum that reminds us of where we came from. Without the knowledge of our past, we would go blindly into our future. It would be a great honor and pleasure to continue my service with this Commission. I thank you for all consideration shown in regards to my application. With regards, Ruth Va(adon Gilb Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 Date of Application / Name Address Last First Gam/ (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) CITY OF ARCADIA Citizen Service Resume .-• h`� ✓,/ ,1s,i!/ Middle Home Phone E -mail address (Optional) How long have you been a resident of Arcadia? Are you a registered voter? Yes Occupation , Jr/4 L / Employer // I- ✓i°^J' X/ No MAY 1# 2010 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See additional questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission X CITY OF AP.CADIA CC1Y CLERK ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Education (Include professional, or vocational licenses or certificates) � �.�1/�= �l47i2 ,a1Z_ A/' /W Community involvement (List organization memberships and corn ignments �J Please describe any background, training, education or interests that qualify you as an appointee e /'041 ��, ) "'7/ What do you see as the objectives and goals of the advisory board or commission for which you are applying? / T ,' f% Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes / No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if app lying to be a Library Board Member or Planning Commissioner) I hereby c rtify that the fo - go' g information is correct to the best of my knowledge. //Xf/ 2 7/ 6) Signature 1 Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? Address 1 & e Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 a T 4 u ( (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) MAY 1 2010 CITY OF ARCADIA CO CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See additional questions on reverse Planning Commission Recreation and Parks Commission _ Senior Citizens' Commission J ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application t - / 3 — / O � Name _ AR.. S• Si - G�s2<n?'T N(c) 4--AJ Last First Middle Home Phone Business Phone ( ) E -mail address (Optional) How long have you been a resident of Arcadia? i ( Y R. s Are you a registered voter? Yes No Occupation ,2 7 2& Employer R Education (Include professional or vocational licenses or certificates) 14 (G' 5`c Wc2 aL 7o CI tM qc= dz5 - /2 B L / c_ Yp �(�k /A.-q' Community involvement (List organization memberships and committee assignments) D Gr* .� &"7,,) (.5:- C G, v t3 -- P re- L 5 , V" • Pr'Z s. - SE c t y - - l P O G 2 A NI S - ( 4o h , n/ L 5 (~ K ,) Q r /-i - a , = r 0 Rs au A Pk_os• . - (7'/1 -1-+ A ,lam C44-r F! , /=`L (M 74 y 1 S. 1 tid iV - 4. , 0 • Please describe any background, training, education or interests that qualify you as an appointee A.v n P V 0 I u r, T -P t^ GAl u r (� vet v 71 0 T 0/ 7 1 qt. f V' a WI Sc t v 0 l s ->!- A r s ' .r v c P cCi L•ri i A v r c 4 - rec. c4 4-7 o At( 6,, , P C k - el(- 1 7 1 e ni r . 9 f � i vi `i -- l -P (1-1 ( vti. S t I-1 . S S a - -e u ," A._ S G [-,l Gtr al eC* V o I u vl 1 -e 'e l,!-- o `f'' 7` y -P a. v Ci: r t -F L5 cz 4— �i ( a r C (,W t/ d e S C C 0- 7 -qtr` . What do you see as the objectives and goals of the advisory board or commission for which you are applying? 0 l i 'r C'1 J e c t• 5 - U u (cd 6e -t0 4 !` D c t 1r+ 'e L ° J E vi t o ur, o c9 Cr) up--1 M L' Yl (7 `? • IA + I k u eL G y 5 e S e h i � v-5 '/-c) e` r V Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (/f applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. i t/ 1 -1A. Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fu /f// this time commitment? rcadia Golden vige club 100 S. SANTA ANITA AVE,. ARCADIA, CALIFORNIA 91006 CITY OF ARCADIA PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission Historical Museum Commission _ Human Resources Commission Library Board of Trustees V * * * * * * * * * * * * * * * * * * * * * * ** Date of Application 9 Name Address 10 (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 APR 3 0 2010 CITY OF ARCADIA C: ' y CLERK * See additional questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Dse pA, n om Se.jc r.r Last First Middle Home Phone Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? .S CI era. Are you a registered voter? Yes U No Occupation �-t�r )D 1 ()c <,�� 5!)90 Vi '10i Employer Ari = f (,Z Etilk P :,._ , 1 7) I .1 (- Education (Include professional or vocational licenses or certificates) AA. - f aso.cler- Ci Col lecie , FA.— (CLA Community involvement (List organization membe ships and committee assi nments) L1� Bo o I ru ie s (r 'rrn e i (o oio) Fi- P or Arc a. Pub l r c_ L i _Cazn/'/)D Grzve c / rr c _ h Pi ,qu o. - 9 t, - fA(ei2G sVe_y-- Please describe any background, training, education or interests that ualify you as an appointee eI"C r- ,l- /4 ,c,_ /.._; -� , f & e that 6ex Vel / krin or) LI rd.r &a-rd i9 e - ( P �r � n r2 ,D Avid mil% ��)l -d-or ' 11 ,/l- /77c 8"r What do you see as )r as the objectives and goals of the advisory board or com ission for which you are PP Y a 1 ing? -- --171L '�-� a / �a �(� 1 � %eLL C /71ct A t15 ((/* - (Lie, he fictt l all/Ural A hLW re r� � Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes / No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes[ No app lying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. j 71(_46 /0 Date S i ture * Additional Questions for Arcadia Beautiful Commission applicants ONLY :: Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfil/ this time commitment? April 29, 2010 James H. Barrows City Clerk City of Arcadia 240 W. Huntington Drive Post Office Box 60021 Arcadia, CA 91066 -6021 Dear Jim, Enclosed is my Citizen Service Resume which I am submitting because would very much like to be reappointed to serve on the Library Board of Trustees for a second term. I have found the past four years to be a very rewarding- and interesting experience and it would be a pleasure to serve for another term. Sincerely, Anne Joseph Anne Joseph .yam- t -pF ARC � dr, Address Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees CITY OF ARCADIA MAY t 9 aMO Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application - - /3 Name L-/ NDSEY fldNTY Last" First Home Phone Business Phone ( ) (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) * See additional questions on reverse Planning Commission Recreation and Parks Commission Senior Citizens' Commission X Middle RECD CITY OF ARCADIA CITY CLERK E -mail address (Optional) How long have you been a resident of Arcadia? a2 ? Are you a registered voter? Yes X No Occupation �E r /4E49" A ('_GO tLNYA,'r Employer Education (Include professional or vocational licenses or certificates) //aw H MI /We , ddfrerE : 7G/1 gu..f i i 5 /Bori/ /9fb Community involvement (List organization memberships and committee assignments) 461 k/i /R e-A Ol K 565 /PBO ArF , i/ ,i-r L. /L ii S 14 ( /6 /9E7 /r g99 pfi /vim gk09/11,664 /f .y 4455/i r rH i, f'.rrr-4 1 /9g7 i .ZEDv dF 7 G�'G /f / etiinzk A 4(r5,136ir'r / f , &i� ,79 r,L' Aft t+ 1iisx55Oot- / 6 ' G ryt, NT) 1ornits51pit) ,c&i7 ei/Ntit iife /r rrsI,a�c, c�-7 Please describe any background, training, education or interests that qualify you as an appointee f , fly e iii tr) r m t nir" Td 11/C O fr CAA' AAd RAY What do you see as the objectives and goals of the advisory board or commission for which you are applying? riy 4r rr ' /'l l it' T Ga' TNr 641/C>/ Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes x No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. 1„<,4 / Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission *See addition/ questions on reverse Historical Museum Commission >( Planning Commission Human Resources Commission Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application 7 fr o a.010 Name lAcCike: A X it C3Lcit 14 Last First Middle Address CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 Home Phonell.1111.1111k Business Phone ( ) MAY 2 7 2010 CITY OF APCADIA Cis P" CLERK E -mail address (Optional) How long have you been a resident of Arcadia? 3 7 Lie-44s Are you a registered voter? rYe No Occupation Red - 4(51, SC tic I e he, C 4-11,4A,1", (k5 C. � I Employer Education (Include professional or vocational licenses or certificates) SA S( M ft Qf ea( 'art 2 DTI TE V ►.. L.o s r�(e5 ; 52c u,-,A y `i za c�i h 2 6,selei;1�i L0 C 4 r C. (t r e, j Qd \ s 4? 1\14 n pfi t . l Community involvement (List organization memberships and committee assignments) Fo — - & AVS6 Co act. 0,2 rerc -ree. D \ Aftc 46 :A 4164a t c'...-e ‘e c c e � �iai.wi 6L-1- CM ' hs,OQ.I��cc.l ' 7Au e u.. y1 Please describe any background, training, education or a i , interests that qualify you as an appointee fn �tY.er 1 SiZ 21CCX / Sect ett 6ocel I Mem 6-0" CjS- ,�G a C,:AL'n J n M:sica y AMe( pp eche.1f' /J •se c en,crt. : Cc•ekr VJ 1 t -.4aCAI ra ,•v4 j ribe�tf (A4..►^ ► r‘ sna4i S 1 ., 4 4-444 x+1• "‘c f; k Rare t)- .eZ e '`(?e- m,n .4, v4hi ' Ms OA • trb (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? 624 rnO e -the • i. 7 AA and A' .wfY. ) ,ifs j 2 tai- 6-440( . L; t) is , ill' Q i ,w�.Gend -- p eA-fi/ . c� . �o i� Wes' Q wrio;r+ g %)1(4W -co') " .4-, c 1 it u Cz-a- et. - -/�t�i 1 li ic: ( �1Cnce2 &) Oti C: ccc�i en C��^r v r IX pin d hex- t -�r►'s C c c: it is i P46 cl,c ci 11 6...A icy LVVirt_ I:4 40 _dYY frr -- iW: . Sc km .444\rvu Akteziia I S . Ci.. mKy • !'til v-i.�G Uo h,ai , AGfiY1� -fe, dec�,-F` ..i.,,t,, a�. { iy,,k, mere_ 1 c ,.� a�7l,,;;, , ,c,e,- r-Kt....e.,,( Ot i ' t s AO Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position es No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Signature Date * Additional Questions for Arcadia Beautiful Commission applicants ONLY :: 07 Z> /d Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfil/ this time commitment? Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees Name Parrille Anthony Last Address Are you a registered voter? Occupation Attorney CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See additional questions on reverse Planning Commission _X Recreation and Parks Commission Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application Mav 17, 2010 P. First Middle RECEWED MAY 1 92010 CITY OF ARCADIA CITY CLERK Home Phone Business Phone E -mail address (Optiona How long have you been a resident of Arcadia? 32 years Yes X No Employer Self Education (Include professional or vocational licenses or certificates) ]uris Doctor Bachelor of Business Administration Community involvement (List organization memberships and committee assignments)Planning Commission. Arcadia High School Boosters. Arcadia High School Music Club. PTA. Junior All- America Football. Arcadia Rotary. Law Day. Arcadia Bond Committee. Coach Little League. Arcadia Educational Foundation. Church of the Good Shepherd- Trustee. Church of the Good Shepherd Foundation.Director Please describe any background, training, education or interests that qualify you as an appointee 40 years as a specialist in Eminent Domain. Various Land Use Matters for the the Citv of Los Angeles, Southern Pacific Transportation Company, Santa Fe Railway. Have attended American Institute of Real Estate Appraisal Courses. Previous member of the American Right of Way Association. Tried cases involving land use issues. Counseled developer in land use matters. Appearances before the Coastal Commission; Public Utility Commission; City of Los Angeles Landmarks Commission. Have attended Planning Classes through UCLA (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? To implement the General Plan of the City of Arcadia. Ensure quality of construction and development. Coordinate decisions with the City Council. Oversee future development within the City consistent with the General Plan and Land Use planning goals. Work with the Planning Department to facilitate proper land use in Arcadia Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes X No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes X No_ (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that ' re nature information is correct to the best of my knowledge. 277 //7 e2 Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: Address 5G NooL 1 N THE UK; CITY OF ARCADIA i `Ar Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 Date of Application M ARCH 3 o? 01 Name RA M/RFz JEssfe LolaR /E Last First Middle ✓t 1- (N r - R ) 1440 5,° iTi4 -/_ VD L-G(/Y T� 7 /V /4 MAR 3 0 2010 CITY OF APCADIA CtiY CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission Human Resources Commission .k• Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Home Phone ollillimpow Business Phone ( ) E -mail address (Optional) How long have you been a resident of Arcadia? 3 7,//C S Are you a registered voter? Yes ✓ No Occupation r4 ET/ RED i74"C � l''JbelEg .200 Employer C r? y or- &SA P-A//4 67 y es Education (Include professional or vocational licenses or certificates) q UI9 i b FRof1 A ?i'&_I 114H Community involvement (List organization memberships and committee assignments) /i'tu $/& gdoS CL - UBS' DA 1417,1)1. AND .Mci9 /* NIgH 3 ,J-D c OSS Please describe any background, training, education or interests that qualify you as an appointee DvE2 30 >/ 14-/Z5 /N Sas //NBsS 64-1 S /+?,4,R.HE7'j/YC o>^ SCteNTie /NSrgumerv7S; 5 E vE N rE e'N v4% % R 5 A 5 hIA-A eiztv T ANA- Lys T / Ill HaM/4N RESat/pe°PS 4 r:,ry of- . Fig- Mil.i/3 -4 WiTH /+L.L PftASt'S oF- HR l Li9 -8oR t ee L oN 5 , at Ecie u, 7 -ft/T >- SELL= C-7% o1Y rw• PglY S 41 ! DIV 3- !RAN ELI TS � (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? A-nr► e/ p» rE /N Jeff-I/, ) of HR " c 1 C 5 AivD /E S/7 N/11 opV5 ) c1)1111 THE p,4L, MO,N A /N G1 I4u /r y /9-N 2' Ca 1615 r 'N c y j M ,41.(E AFCo MME/97/O1Y 5 To Tf/F C /T/ M41091ER 145 'Rep, /1? REr/4/ry ft DEb ,cArE> Wa FoRCE /ry 77,u1h► /e FN V/Roov El T. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes ✓ No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No (if app lying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. 3/30o Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. *Add /t/onal Questions for Arcadia Beautiful Commission applicants ONLY: 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? rvr poratvd wet i, tvn} Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees Date of Application 5 12a /lo Name SA1— IA.4.1v NAB► =2 Last First Address CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): * See additional questions on reverse Planning Commission r✓ Recreation and Parks Commission _f Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Home Phone 1111111k Business Phone Middle )N1O10 VVGV V :io M13 MAY 2 4 2010 r. �sMd�t aF .. E -mail address (Optional) How long have you been a resident of Arcadia? 22 years Are you a registered voter? Yes r/ No Occupation ArcJir'l /office rnanejer o 7 e the $i //d4jDe tbe Cly_Wia_awadstiLafrIcit e_ Employer LA 1ui t Se c�ntifed drehtfPcr Education (Include professional or vocational licenses or certificates) YA iH Arckltecifr. /F -0 iy perilxl 5e1erR/ crrdii1ials /Prvrams is C:') pLan/thi; /iesyh /r»m USc Community involvement (List organization memberships and committee assignments) nAtie4 f member 4,5 i A4izb 4 ' Saiafa Ann el Vi'// 1-/DA 5 i nce. March 169'3 Sc ,L resh frct / c.cyrdinafor Please describe any background, training, education or interests that qualiffy you as an appointeellLc tyre /27 voLvc.mch i :n The pZiiapin�j 1 dis y ASpec fs d mujar r�,mr�iwii t o roJ Pct s a 5 /J/i X, I u t/ enVfronmend/ s clies ieSenf f f uns at Ceuhcil vN %w i ct r ii*�.5� SP.hr;�r �2uNSiny 511��i�� CPn /cis —2� f-, P 1 Kethn/A9 C�srnrl/i 551c�n rrlleef i ?ofS 'f' various c, // eS_ �) Po /i% �rlgl��2r preseniln 622) f ry / _/e5 7h,, p c . 4) PaA'c p� a vn ,', res cr.ncir,ir,Ta4 r/i5 7� - s f7S ac '›ri a1' > 4t r+cv'c/en; (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are appiyingi)Re t /Ai the- hailer, urban, rleSyn fz adli'eve Wie- 4-111 Ate.' /fil par On ec0/1.-,m ;c /0 r er:1 , 5...; 21 culfur21 wcll -bein and fh- evivirvhtal h� „1f h o ur C nnit„,1: , rtse v -. - Me tin/ diar, / e CS csf' cx+r - L a ' ai 4 -rte e -- de - ��Glit4C _ 4-) Me¢xlinu,n crl � / v, n The. /7di%ra 1 t'P soUrCes , / ii4i*% . Provri._,fe - 74'bh iciai s fajo and €nhanc. -- pu+4i .7e 1(e - c.) 5xp avid cc7nfmnn/ui* 0 a channels hetueem 1 e C, ry Nhlic Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes V No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes ✓ No (if app lying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Signature * Additional Questions for Arcadia Beautiful Commission applicants ONLY: 5 /2.64 / Date Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular” meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission _ * See addition/ questions on reverse Historical Museum Commission X Planning Commission _ Human Resources Commission Recreation and Parks Commission Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application 11 / LI ' 3 02o i D Name S C G-A-L / r kren (Lee.) Last First Middle MAY 5 1010 CITY OF APCADU+ Cr CLERK Address Home Phone1111111111111111111111, Business P on E -mail address (Optional) How long have you been a resident of Arcadia? Z yieS Are you a registered voter Yes No rI Occupation U u Sew/ . ff. Employer -a Education (Include professional or vocational licenses or certificates) 8 5 i n AI t1fni 0 h Community involvement (List organization memberships and committee assignments) 13ua rd m cl'n bc;- / re d %7-► n - Guedarc., }A ch VC lib l Uii-ICe r - �s - s ,ft n c L f ea cj u e. rt� - c(t C� A c1ci. f +m ca. l 4-1 _ f):.- j1 . C.:4 -I'ar �zluc - ftor∎ _..._ Cei- kr- , c-j Please describe any background, training, education or interests that qualify you as an appointee ,5 cif 6r) ±he f° clard v/ +he 4s -b rie ( � SDL r e j 7�ir �nG �cQ r5" and am ve ill-kJ-es-It-at in tile, l h 5 ✓ of fl(cadro. 6od C) u r Su rra ui--) f a✓c a el pecl c v r-i-h e mu.5 11-1. on Vo c, cu (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as applying? i n 1. G Signature the objectives and goals of the advisory board or commission for which you are in✓ol vz.. - the, c:� „A, - r,1 in prc s`r v , of X1/71%, G /7) f .er r1 /) l 14- G- 1 A. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. 10,4- ( 44_ ),46241., * Additional Questions for Arcadia Beautiful Commission applicants ONLY: ,'/3/ /0 Date Please attach additional pages if necessary and return to the address listed on the reverse side. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular” meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? 06/10/2010 10:55 6264459612 June 8, 2010 To: Ms. Lisa Mussenden Chief Deputy City Clerk Fm: Gene Glasco Arcadia Historical Society With best regards I remain... Since , -ly Yours, Glasco President Arcadia Historical Society /gg CENTURY 21 LUDECKE ARCADIA HISTORICAL SOCIETY 380 West lluntington Drive • P.O. Box 60021 Arcadia, CA 91066 -6021 Re: Member Recommendation for Museum Commission Via Facsimile (626) 446 -8512 Page One of One Ms. Lee Segal, former Arcadia Historical Society Director and historical society member in good standing. Ms. Ruth Dunlap, past president Arcadia Historical Society, and historical society member in good standing. 41300 P 001/001 The Arcadia Historical Society is most pleased to recommend the following two members for appointment to the Museum Commission: oF'ARc —1„P IFOgA,., 'a CITY OF ARCADIA lose �C� pz.en V lir Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 MAY 1 9 2010 CITY OF ARCADIA CITY CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission * See additional questions on reverse Historical Museum Commission Planning Commission Human Resources Commission ✓ Recreation and Parks Commission _ Library Board of Trustees Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,.c Date of Application Name Address TAY sou Last First Middle Home Phone MOM 11111111110 Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? 9 yin Are you a registered voter? Yes V No Occupation -/ - "�yptoy � Employer Education (Include professional or vocational licenses or certificates) / s AX* �._l "• L C r,v Z) e)R P /S7 9 Z74N6 � ) Community involvement (List organization memberships and committee assignments) AEC4D //4 itiA _C4 /rn- / (')/).- 4 QC14/)j/4 ('E/-ly/s_&?_ , //J/` /�1Z�2CZ— /-12. C AO /A Cif7,1,7- Z- /a s's,0 GiA%�a A , L A (/ )G/Nly ,4t27347/fl I 1 ,4_ p (ADM P6 C Gd ilk , Please describe any background, training, education or interests that qualify you as an appointee SGT A A C4 (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals of the advisory board or commission for which you are applying? 4TrAO4E Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes V No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes'/ No (if applying to be a Ubrary Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: _C7 Signature Date Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? Pleas describe any background, training, education or interests that qualify you as an appointee. I have been a real estate broker since 1979 and have been involved in real estate investments and developments. I have law enforcement, business, management, and development. I also own several businesses and have developed important people skills that are crucial as a planning commissioner. I have a passion for Arcadia and love serving my community. What do you see as the objective and goals of the advisory board or commission for which you are applying? The planning commissions goals and objectives are to assist property owners, builders and developers with building projects. PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission Historical Museum Commission Human Resources Commission Library Board of Trustees *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application Name /4P1/2/ Last CITY OF ARCADIA Citizen Service Resume /Oti9/vR 3` First Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 * See additional questions on reverse Middle Addres Home Phone II Business Phone =11Blllllllli E -mail address (Optional) How long have you been a resident of Arcadia? Are you a registered voter? Yes V Occupation 4CA / C 5 ��► E /� / , Employer t4 C1e1`]T I A I &? / l L� r'ii 1 o /� ,(� e /, , Education (Include professional or vocations licenses r ce 'ficate ) ktt1 r2 #4 - � tokc.r` l'eease (let h' / ' e0 Uomrndea/ intte rime 4"/ Ale 0 - , r Lt c1�7 (1 r'1 (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) No Planning Commission Recreation and Parks Commission Senior Citizens' Commission f a w' APR 7 2010 CITY OF ARCADIA, v; CLERK Community involvement (List organization memberships and committee assignments) he haira ian) &m Gabr;L 1 eiVi P m e rher , (1,0 I m b e "- I Armd,'ia -ec,ard 1/ eeo 1-kr , � ' t' j `/ A2Qn of >OaJ/ti Please describe any background, training, education or interests that qualify you as an appointee 4,,g N2 t' x , Pf JlY1 CS TdfJ u- t San 6G t // `P ' �` �� 1/1►L'Tr`I �� iv f L�Or�I/J7PfY i. / CAS � S 1` 121 /� c"71-4 ° ,,tilt I i . l 9 r / _ _ I l'7 C)G1)/ What do you see as the objectives and goals of the advisory board or commission for which you are applying? ,Va' CominiS9iG . k " /✓� /1 Ai rl ,i ,!1: `i,). ; �/( f / r�,li ✓�/ j F✓/ ; ., / % 1 YYl 2 ; I i A , r f . T "/ % J t C. / (/ rit -. t / %i, 1 ) (/ 1/ 1`.:fj : C t,"/ t 1, . J� '7 Are you aware of,the time commitment necessary to fulfill the obligations of an appointment to this position? Yes /! No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes- No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. Signature 1' N `3. 7 :1 t Date Please attach additional pages if necessary and return to the address listed on the reverse side. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: (.�1 f,' l_ !'/ ii'■ / /';1. /f`f? *`7' 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? Date of Application / 144,1,4,t . a-S , o Name 1.00 Lo46. t IPrMM`( Last First 11 Address CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574-5410 Middle t.a+'d'naca't. , �a,...�.�.w u •Qr1�cLt .�.� r pie (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) 4.19 IY••: I L- MAY 28 2010 CITY OF ARCADIA CITY CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission *See addit/ona/ questions on reverse Historical Museum Commission _ Planning Commission _ Human Resources Commission V Recreation and Parks Commission Library Board of Trustees _ Senior Citizens' Commission ✓ ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Home Phone Business Phone E -mail address (Optional) How long have you been a resident of Arcadia? t �S Are you a registered voter? Yes V No Occupation C1714.ef - t , Employer O LT( 7 CoN41 oc_Ttow) Co R Education (Include professional or vocational licenses or certificates) " " — Z- c .Jz�R t+J E \ Community involvement (List organization memberships and committee assignments) Please describe any background, training, education or interests that qualify you as an appointee • 0 s. u Lc ZPs • e • _ cA_ tM t.4.1.4.4/4.44 t c t 1 e mod. t 1 L. dam :. ,,: �.Q.� : t �GZo -- t -g,� Q /14.1 1 � 4 °AL4, rteekQ�.at r:C1- T evD lop.�,a. AQ �6 .�(414.4.a•.:.,a pLt]P„�E._ nRIIrL.C` �tT, �COIa�,a....0 er,,.,...�4� +TJ 11 What do you see as the objectives and goals of the advisory board or commission for which you are , applying? L43 a- wa.+LKe& Qob *Le- y�► �n - Kr�x Qatar& Cad? -7 rte...,,,. - ��L. t• -€mot r. C. kLt. knga�,.c, /C.CW..e,AA.A.al.Q.i. -4 . 4 4_,2.1. Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes V No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foreg i' g information is correct to the best of my knowledge. * Additional Questions for Arcadia Beautiful Commission applicants ONLY: Signature Date Please attach additional • ages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? CITY OF ARCADIA Citizen Service Resume Office of the City Clerk 240 W. Huntington Drive Arcadia, CA 91007 (626) 574 -5410 Itaft MAY 262010 are OF AFCADIA Calf CLERK PLEASE PLACE A CHECK MARK NEXT TO THE BOARD /COMMISSION FOR WHICH YOU WOULD LIKE TO APPLY (You may make more than one selection): Arcadia Beautiful Commission _ * See addition/ questions on reverse Historical Museum Commission X Planning Commission _ Human Resources Commission X Recreation and Parks Commission Library Board of Trustees _ Senior Citizens' Commission ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date of Application M Ay Ato, a010 Name WONT - 1)ION PATTy $, Last First Middle Address_1111111111111111111111111111101111111111111.11111111111111111111. �■ Home Phone_ Pho E -mail address (Optional) How long have you been a resident of Arcadia? 2* J / S Are you a registered voter? Yes X No Occupation PHARMACIST Employer RETIRED— LA COUNTyt USC t ftDICA l.. CENIT612. Education (Indude professional or vocational licenses or certificates) p1225e S on, l'.Amer i- Community involvement (List organization memberships and committee assignments) lea 6o, se& at.chmer - Please describe any background, training, education or interests that qualify you as an appointee �I e�t See -menf (PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM) What do you see as the objectives and goals � of the advisory board or commission for which you are applying? ri- eC`5?, Set c thVVIt'!lf Are you aware of the time commitment necessary to fulfill the obligations of an appointment to this position? Yes No State law and the City Conflict of Interest Code requires that Library Board Members & Planning Commissioners file a statement of economic interests annually as well as related forms when you assume and leave your appointed office (e.g. sources of income, loans, gifts, investments, interest in real property as required by state law). Do you agree to file all required forms in a timely manner as proscribed by the City's filing official? Yes_ No (if applying to be a Library Board Member or Planning Commissioner) I hereby certify that the foregoing information is correct to the best of my knowledge. PtcG -hay) Sign * Additional Questions for Arcadia Beautiful Commission applicants ONLY. 0240 a0 /0 00 Date Please attach additional pages if necessary and return to the address listed on the reverse side. 1. Are you aware that the primary function of Arcadia Beautiful Commissioners is to act as judges for the Arcadia Beautiful and Holiday Decoration Award programs? 2. Do you have the ability to travel by car during the day and in the evening for the purpose of judging? 3. The Arcadia Beautiful Commission usually has three "regular" meetings each year with additional meetings and /or time commitments scheduled for the purpose of conducting judging for the award programs, participating in a recognition event for the holiday awards that takes approximately 3 -4 evening hours in December, and attending an Arbor Day Celebration. Additionally, preliminary judging for the Arcadia Beautiful and Holiday Decoration Awards is done with each Commissioner taking responsibility for a section of the City and driving through the neighborhoods to select their nominations that will then be judged on a subsequent date by the entire Commission. Are you able to fulfill this time commitment? Patty B. Wong -Dion May 26, 2010 City of Arcadia Attachment: Page 1 of 2 Citizen Service Resume (con't) Education (Include professional or vocational licenses or certificates): 1. Pharm.D. (Doctor of Pharmacy) 1974, USC School of Pharmacy 2. Pharmacist Licentiate: a. State of California: # RPH 28952 b. State of Nevada: # 6271 3. California "Community College Instructor Credential" for the subject matter area: "Health & Physical Care Services & Related Technologies"; Certificate # 90099 Community involvement (List organization memberships and committee assignments): 1. Rancho Santa Anita Residents' Association (HOA) Board Member: 2002 - present served in the capacities over the years in the positions of Vice - President, Chair of the Block Captains, Member -at -large The following areas of involvement may not be considered Community but have been volunteer commitments for the betterment -of Pharmacy Practice & patient -care: 2. USC School of Pharmacy QSAD Centurions (the Fund - raising support group of the USC School of Pharmacy); Elected Board Member 2002 - present 3. SCSHP (Southem Calif. Society of Health- System Pharmacists) - Regional Chapter of the state organization, CSHP (Califomia Society of Health- System Pharmacists); Board Member for the past 25 years serving in many capacities from Elected Director, chairperson of the various committees /projects (Government Affairs - Legislative, Mentorship, Membership, Recruitment, Hospitality, Continuing Education, etc.) This regional organization has over 280 members throughout the Metropolitan Los Angeles area. 4. CSHP -State organization of the above. Served over the past 30 years on a number of projects, committees and councils including Educational Affairs, Membership, the annual Seminar Conference held every year at different locations throughout the State. Please describe any background, training, education or interests that qualify you as an appointee: In my professional capacity as a middle manager with 3 of the major LA County Medical Center Pharmacies from 1984 -1989 (LAC +USC Medical Center, Harbor -UCLA Medical Center & Olive View -UCLA Medical Center) and as Assistant Director, Pharmacy Services at the LA County + USC Medical Center (1992- 2002), I was involved with the recruiting, hiring, firing, discipline as well as the performance evaluations for our large Pharmacy Dept. Attachment: Page 2 of 2 Patty B. Wong -Dion I have volunteered for many years and continue to do so in the academic arena as Adjunct Assistant Professor of Pharmacy Practice at the USC School of Pharmacy (1975 - present) -- having overseen student clinical rotations at the County Hospital prior to my retirement in 2002 and have more recently been involved as a facilitator for various classes in the School's Student Academic Program. Having a continual interest in the progress and direction of Pharmacy Practice and future pharmacists coming into the profession, I continue to participate in the USC School of Pharmacy's Admissions Process interviewing candidates for admission to the program annually for over 20 years. I am on the Board of Directors of the USC School of Pharmacy QSAD Centurions (2006 - present), the Fund - raising support group for the USC School of Pharmacy. Because 1 am very committed to the betterment of Pharmacy practice and patient care, I have continued to volunteer and actively participate in the activities of our regional pharmacy organization, SCSHP, and our state organization, CSHP described in the previous section under "Community involvement...." Having participated in a wide variety of activities over the years from academic, professional, social, community and human interest, I am a positive individual who embraces learning and doing new things that will enrich my awareness of the opportunities in Arcadia that will allow me to be a small part of the activities / commitments where residents can serve the City of Arcadia. I am willing to serve on any of the Commissions the City Council deems appropriate for me. What do you see as the objectives and goals of the advisory board or commission for which you are applying: Knowing there will be a Teaming curve to thoroughly understand the objectives and goals of any particular Commission /Department that I may be considered, I plan to serve that Commission and the City of Arcadia with responsibility, integrity, commitment and enthusiasm representing the citizens of Arcadia for a better Commission /Department. c: City of Arcadia/Citizen Service Resume Patty B. Wong -Dion; May 2010 On 0 O Q n 0 � O N O Z V O mQ 0 p 2< 2 a• OQ U Oj a� z 0 0 ' mz 00 Z J O UN 0 0 0 re . CV N •7 O O O O O N N N N N 0. C1 d O. O. Q Q Q Q Q E 0. ri 0 .0 E ea 0 0 0 E 0. 0 0 E O 0 0 U c O E 0 U 0) d 0 ea N 0 N E H 5 M O 0 °6 a N ca � � rn 1= c C U ` U � a) $ i � = 1 0 m 2 Y Q E 5 Li . CD a a) gL0 c 0 . 0 � f 2 < M N M .-1 N 0 0 0 0 0 0 0 M M M M M M M UD VD tD lD tD lD l0 8 N O N O 8 N N •-■ 0 N M 0 0 0 0 0 0 0 O O O O O M M M M M M M M M M M M CD CD CD CD CO CD CD 1D CD VD tD CD la a) m 0 e 0 N ea J _ Zr d 0 0 N A E _ o 0 0 ea 0 '� a`) E o c .... d. W 0 M c E vi E 0 d E N L 0 e? e E e +.0' 0 0 o O .t.. ea o. m o c m E of w t o ea '.EE O 1a z 0 0 0 ea i5 lif A N c 0 m CO O 0 2 d O 2° 0 0 y 0 H e g , 0 O c N N ea v a o 0 1 U rn 1.1..3 0 N 0 0 o m v . E Q� ( 5. C � 0 N d g o y �E O ea U a s$ mc . .. CC EE �' f0 CO Y d.- 0 c m.G t v C7 z 5 z A of d U C L -15. O C co co 8 c j O V 5 0 p N E 2 3 m 22 a W Q 5 n 0 S 2 22 - 5= LLQ SIG oR, :I rS,' J C) 0 O 0 Y e e -c N U R e 0 _ N E 10 0. o E V d. v 0 g 0 0 n 0 0 `m m .0 o E c A IL' = w 0 0 0 O 0 c a o a 0 .0 . J e t O c t E 0 .c . 0 o as 0) T ea O N W 0 ' F 6 a I- 0 e3 M In N I N I co 5 co 0 5 0) c CJ co u $ Y c U 2 CD U a 0 N 3 z CA Q * + ' CU 1 a � 8 °< ° g 0. N. -1000 O O O O O M M M M M tc lD lD CO CO fifii$$ƒ ƒƒ /ff 99999999 99999 _ 000_0__ 4 ## 4 # k 3 k 3 13 ; e p 0 3 1 � 3 k ; 4 #