City of Culver City - File #: HIST-8528

• File #: HIST-8528
• Version: 1
• Type: Historical
• Status: Action Item
• In control: City Council Meeting Agenda
• On agenda: 6/2/2008
• Final action: 6/2/2008
• Title: (1) Consideration of a Recommendation from the Homelessness Committee Related to the Reorganization of that Committee; (2) Consideration of Options for Appointment to the Civil Service Commission; and (3) Appointments and/or Reappointments to the Planning Commission, Parks and Recreation Commission, Cultural Affairs Commission, Disability Advisory Committee, Landlord Tenant Mediation Board, the LAX Advisory Committee and the Board of Appeals.

Date	Ver.	Action By	Action	Result
6/2/2008	1	City Council Meeting Agenda	approved

City of Culver City, California City Council Agenda Item Report RECOMMENDATION: Staff recommends the City Council (1) consider a recommendation from the Homelessness Committee regarding the format and membership of that Committee; (2) consider options for appointment to the Civil Service Commission; and (3) appoint and/or reappoint members to the Planning Commission, Parks and Recreation Commission, Cultural Affairs Commission, Disability Advisory Committee, Landlord-Tenant Mediation Board, and the LAX Advisory Board. BACKGROUND: From time to time vacancies occur on the City’s various Commissions, Committees, and Boards (collectively Commissions). Pursuant to City Council’s direction, staff (through the City Clerk’s Office) prepares and issues a “Notice Inviting Applications for Appointments to City Commissions, Committees and Boards” and schedules the consideration of appointments by the City Council at the second Council meeting in May (This year, the City Council directed staff to schedule the consideration of appointments on June 2, 2008). The following steps were taken to provide public notice of the application period: • Advertisements ran in the Culver City News on April 24, May 1, May 8, and May 15, 2008. • Advertisements ran in the Culver City Observer on May 1, May 8, and May 15, 2008. • A notice was posted on the City's web site starting on 04/24/08. Meeting Date: 06/02/08 Item Number: A-1 AGENDA ITEM: (1) Consideration of a Recommendation from the Homelessness Committee Related to the Reorganization of that Committee; (2) Consideration of Options for Appointment to the Civil Service Commission; and (3) Appointments and/or Reappointments to the Planning Commission, Parks and Recreation Commission, Cultural Affairs Commission, Disability Advisory Committee, Landlord-Tenant Mediation Board, and the LAX Advisory Committee. Contact Person/Dept.: Ela Valladares Phone Number: 310-253-5851 Fiscal Impact: Yes [] No [X] General Fund: Yes [] No [X] Public Hearing: [] Action Item: [X] Attachments: [X] Public Notification: Applicants (05/21/08); Master E-Mail Notification List (05/28/08) Department Approval: Martin R. Cole (05/28/08) City Attorney Approval: Carol Schwab (by H. Baker) (05/28/08) Fiscal Impact Review: Jeff Muir (by M. Noller) (05/28/08) City Manager Approval: City of Culver City, California City Council Agenda Item Report • Letters, emails and/or phone calls were sent or made to commission/committee/board members eligible for reappointment. • Letters were sent to persons who submitted applications in 2007 but were not chosen. • Informational flyers were posted on counters throughout City Hall; • General notice about the appointment periods were sent to the City’s Master E-Mail Notification on 05/12/08 and 05/16/08; In response to the Notice Inviting Applications 37 members of the Culver City Community applied for the various opportunities available. Each individual Commission is discussed later in this report. There has also been a recommendation forwarded to the City Council for consideration from the Homelessness Committee. Staff recommends the City Council consider this recommendation before proceeding to consider appointments. DISCUSSION: Recommendation from the Homelessness Committee At their meeting of March 25, 2008, the Homelessness Committee determined to recommend to the City Council a reorganization of the Committee summarized as follows (an excerpt of the Committee Minutes of March 25, 2008 is attached): (1) The Committee would be comprised of seven members (currently, the Committee is comprised of 11 members) with the seven members being selected as follows (with one member from each organization/neighborhood): a. Downtown Business Association/Chamber of Commerce b. Westside Area of Town c. Eastside Area of Town d. Fox Hills Neighborhood e. Veterans Park Neighborhood f. Lower Crest/Sepulveda-Jefferson Neighborhood g. At-Large (2) Meetings would be held on a quarterly basis (3) Staff from the Police and Fire Departments and the City Attorney’s Office would only attend Committee Meetings upon request of the Committee. City of Culver City, California City Council Agenda Item Report RECOMMENDATION: Staff recommends the City Council approve the recommendation from the Homelessness Committee. Options for Appointment to the Civil Service Commission There were no applications submitted for the seat available on the Civil Service Commission. The City Council may wish to consider the following options: (1) (Staff recommendation) Upon conclusion of the appointments made this evening, direct staff to contact applicants who were not selected for appointment to request their interest in serving on the Civil Service Commission and return with an item for Council’s consideration on June 9, 2008. (2) Direct staff to re-open the application period and advertise for this vacancy for a period of not less than 28 days and return with an item for Council’s consideration on July 14, 2008. (In this case, Section 3.03.010 of the Culver City Municipal Code provides that Members of the Commission shall “serve for a term of four (4) years and until their respective successors are appointed and qualified.” In this case the incumbent Commissioner would remain seated until such time as his seat is filled. It should also be noted that the new appointment would be for a partial term. If such partial term exceeds two years, which would likely be the case in this situation, it shall be considered a full term for purposes of the City’s term limits. (3) Provide other direction as deemed appropriate RECOMMENDATION: Staff recommends the City Council direct staff to contact applicants not selected for appointment this evening to request their interest in serving on the Civil Service Commission and return with an item for Council’s consideration on June 9, 2008. Consideration of Appointments Planning Commission – Two seats are available for appointment. Office No. 4, currently held by Marcus Tiggs, expires on June 30, 2008. Mr. Tiggs was appointed to the Commission in 2004. Mr. Tiggs submitted a new application indicating his interest to again serve on the Commission. Office No. 5, formerly held by Andrew Weissman, expires on June 30, 2010. Mr. Weissman was elected to the City Council in April 2008 and this created a vacancy. A total of 8 people submitted timely applications indicating an interest in serving on the Planning Commission. The appointment to Office No. 5 would be for a partial term of only two years. Such partial term, because it is not in excess of two years, would not be considered a full term for purposes of the City’s term limits. City of Culver City, California City Council Agenda Item Report Parks and Recreation Commission – One seat is available for appointment. Office No. 1, currently held by Charles Deen, expires on June 30, 2008. Mr. Deen has served two consecutive terms and is not eligible for reappointment to the Parks and Recreation Commission. A total of 6 people submitted timely applications indicating an interest in serving on the Parks and Recreation Commission. Cultural Affairs Commission – One seat is available for appointment. Office No. 3, currently held by Ronnie Jayne, expires on June 30, 2008. Ms. Jayne was appointed to the Commission in 2004. A total of 7 people submitted timely applications indicating an interest in serving on the Cultural Affairs Commission. Disability Advisory Committee – Three seats are available for appointment. Office No. 2, held by Barbara Effros-Schwartz and Office No. 7, held by Java DeLaura, both expire on June 30, 2008. Office No. 6, formerly held by Steve Bauer, is vacant due to his resignation. Ms. Effros-Schwartz filed a timely application for consideration of re-appointment. A total of 3 people submitted timely applications indicating an interest in serving on the Disability Advisory Committee. Landlord-Tenant Mediation Board: Please note that there are no term limits for the Landlord-Tenant Mediation Board. Landlord Representative – One seat is available for appointment. Lauren Werner-Hunter has served on the Board since July 1, 2005 Ms. Werner-Hunter did not file an application for consideration for re-appointment. A total of 1 timely application was received for this position. Member-at-Large Representative – One seat is available for appointment. Dr. Janet Hoult has served on the Board since July 1, 2005 Dr. Hoult did file a timely application for consideration for re-appointment. A total of 1 timely application was received for this position. Tenant Representative – One seat is available for appointment. Theodore V. Kreps has served on the Board since July 1, 2005 Mr. Kreps did file a timely application for consideration for re-appointment. A total of 1 timely application was received for this position. Los Angeles International Airport Advisory Committee – Three seats are available for appointment. This committee, comprised of 3 members of the public, provides the City with an advisory voice on the operations at Los Angeles International Airport. The seat formerly held by Paul Struhl has been vacant since City of Culver City, California City Council Agenda Item Report June 30, 2007 and Mr. Neil Rubenstein did not file an application for consideration for re-appointment to this Committee. A total of 1 timely application was received for this position. Please note that two seats will be for a four-year term and the remaining seat will be for a three-year term. Committee on Homelessness – Currently, there are 11 members on the Homelessness Committee. The committee is currently comprised with representatives from the following: Chamber of Commerce; Residential (Vets) [4 representatives]; Downtown Business; Homeowners Association; Residential (Fox Hills); Residential (Lower Crest/Sepulveda-Jefferson area); Residential (At-Large); and Residential (Westside). All 11 seats are scheduled for reappointment. It was the consensus of the Committee on Homelessness to recommend to the City Council that the committee be comprised of seven members that meet quarterly. The committee would be comprised of one member from: Downtown Business Association or Chamber of Commerce; Vets Park; Westside; Eastside; Fox Hills; Lower Crest/Sepulveda-Jefferson; and one member at large. The City Council is being requested to consider the recommendation to restructure the Committee on Homelessness. The number of appointments and other criteria of Committee membership will depend on the City Council’s action related to the request to reorganize the Committee. A total of seven applications for this Committee were received in a timely manner. Board of Appeals – Two seats are available for appointment. Paul Ehrlich and James Rowland currently serve on the Board of Appeals and are eligible for reappointment. Both Mr. Ehrlich and Mr. Rowland have submitted timely applications for consideration for re-appointment. FISCAL ANALYSIS: For new appointees to the Landlord-Tenant Mediation Board, there will be 30 hours of professional mediation training at a cost of $625 each and AB 1234 Ethics training. These costs would be absorbed in existing Housing Division Budget appropriations. For new appointments to all other Commissions or Boards, individuals who have not already completed AB 1234 Ethics training must do so. Sufficient funds for training have been included in the Non-Departmental division proposed 2008-09 budget, and will be available when the budget is approved by the City Council. ATTACHMENTS: City of Culver City, California City Council Agenda Item Report 1. List of all applications 2. Copies of all applications (with personal information redacted) MOTION: That the City Council: 1A (Staff recommendation) Approve the recommendation of the Homelessness Committee to hold meetings on a quarterly basis and reorganize the Committee with one representative from each of the following areas: a. Downtown Business Association/Chamber of Commerce b. Westside Area of Town c. Eastside Area of Town d. Fox Hills Neighborhood e. Veterans Park Neighborhood f. Lower Crest/Sepulveda-Jefferson Neighborhood g. At-Large OR 1B. Take no action (which would retain the current 11 member structure) AND 2. Make appointments to the Homelessness Committee as appropriate. AND 3A. (Staff recommendation) Direct staff to contact applicants not selected for appointment this evening to request their interest in serving on the Civil Service Commission and return with an item for Council’s consideration on June 9, 2008. OR 3B. Direct staff to re-open the application period and advertise for this vacancy for a period of not less than 28 days and return with an item for Council’s consideration on July 14, 2008. (In this case, Section 3.03.010 of the Culver City Municipal Code provides that Members of the Commission shall “serve for a term City of Culver City, California City Council Agenda Item Report of four (4) years and until their respective successors are appointed and qualified.”) AND 4. Appoint/reappoint to fill Office #4 as Planning Commissioner to the Planning Commission for a four year term, expiring on June 30, 2012. 5. Appoint to fill Office #5 as Planning Commissioner to the Planning Commission for a two year term, expiring on June 30, 2012. AND 6. Appoint to fill Office #1 as Parks and Recreation Commissioner to the Parks and Recreation Commission for a four year term, expiring on June 30, 2012. AND 7. Appoint/reappoint to fill Office #3 as Cultural Affairs Commissioner to the Cultural Affairs Commission for a four year term, expiring on June 30, 2012. AND 8. Appoint/reappoint _________________ to fill Office No. 2 as a member of the Disability Advisory Committee for a four-year term, expiring on June 30, 2012. 9. Appoint/reappoint _________________ to fill Office No. 7 as a member of the Disability Advisory Committee for a four-year term, expiring on June 30, 2012. 10. Appoint _________________ to fill Office No. 6 as a member of the Disability Advisory Committee for a one-year term expiring on June 30, 2009. AND 11. Appoint/reappoint as Landlord Representative on the Board, to serve a term of three years, ending June 30, 2011. City of Culver City, California City Council Agenda Item Report 12. Appoint/reappoint as Member-at-Large Representative on the Board, to serve a term of three years, ending June 30, 2011. 13. Appoint/reappoint as Tenant Representative on the Board, to serve a term of three years, ending June 30, 2011. AND 14. Appoint as a member of the Los Angeles International Airport Advisory Committee, for a four-year term, expiring on June 30, 2012. 15. Appoint as a member of the Los Angeles International Airport Advisory Committee, for a four-year term, expiring on June 30, 2012. 16. Appoint as a member of the Los Angeles International Airport Advisory Committee, for a three-year term, expiring on June 30, 2011. AND 17. Appoint as a member of the Board of Appeals, for a four-year term, expiring on June 30, 2012. 18. Appoint as a member of the Board of Appeals, for a four-year term, expiring on June 30, 2012. ExcuseAndy Weissman ita Shapiro Brazil J h 'VVahlert Present: Gary Silbiger Carol Gross Excused: SECRETARY'S REPORT Item 2 City Staff Present: Park Armando Abrego Roland Miranda Mike Webb Darryl Wells lie Cobb ission Excused: Charles Deen *** Regular Meeting of the March 25, 2008 Culver City Homelessness Ad Hoc Committee 7:00 P. M. Call to Order & Roll Call The meeting of the Culver City Homelessness Ad Hoc Committee was called to order at 7:05 P.M. Ad Hoc Committee Present: Tom Wilson Debbie Jones Tom McCabe Elaine Struhl Judy Scott Andy Gauvreau City Council Members MOVED BY DEBBIE JONES, SECONDED BY ELAINE STRUHL AND UNANIMOUSLY PASSED TO RECEIVE AND FILE THE SECRETARY'S REPORT REGARDING POSTING OF THE AGENDA, PURSUANT TO GOVERNMENT CODE 54454.2.No public comments. *** A. Update from Da Family Shelter. Tom Wilson stated that he, Board of Directors and ask Miranda stated it would not. rd Bound House, Regarding the Emergency been asked to serve on the Upward Bound House if this would be a conflict of interest. Roland *** APPROVAL OF MINUTES Item 3 MOVED BY DEBBIE JONES, SECONDED BY JUDY SCOTT AND UNANIMOUSLY PASSED TO APPROVE THE MINUTES OF THE REGULAR MEETING OF JANUARY 22, 2008 AS SUBMITTED. *** RECEIPT OF CORRESPONDENCE YMCA of Metropolitan Los Angeles is seeking to serve homeless youth by providing summer camp opportunities. Carol Gross extended apologizes for not being at th4a t couple of meetings. Both she and Gary Silbiger had scheduling conflicts. *** PUBLIC COMMENT FOR ITEMS ON THE AGE Item 5 PUBLIC COMMENT FOR ITEMS NOT ON THE AGENCY Item 6 No public comments. AGENDA ITEMS |109| Item 7 David Snow, Upward Bound House gave an update on the emergency shelter. He stated that escrow would be closing April 26 th and that they hope to have the shelter open in the Fall. They will be partnering with volunteers from Sony in upgrading the facility. David also stated they are asking for donations of utensils, pots and pans, bedding, etc. for the family shelter. B. Follow up to Homeless Information on the City's Website Armando Abrego stated that the Website had not been completely updated by the Administrative Clerk but that she is continuing to work on it.Item 7 C. Continued Discussion and Recommendation as to the Future of the Homelessness Ad Hoc Committee Discussion ensued regarding changing the Ad Hoc Committee to a Standing Committee. The Committee discussed how many members should be on the Standing Committee as well as what the neighborhood mix of the Committee and frequency of meetings. It was the consensus of the Committee to recommend toth City Council that the Homelessness Ad Hoc Committee be changed to a Standing Committee with seven members that meet quarterly. It was suggerste the Committee be comprised of one member from the Downtown EllSiness ciation/Chamber of Commerce, one member from the Westside, one member f the Eastside, one member from Fox Hills, one member from Vets Park, one member from Lower Crest/Sepulveda-Jefferson and one member at large. It was also gested that Police, Fire and the City Attorney only attend the meetings when re ted. Discussion continued regarding requesting an operating budget for magnets, pamphlets, etc. It was the cons nsus of the Committee to form a subcommittee to recommend an operating bu•to the City Council. Andy Gauvreau, Debbie Jones, Tom Wilson and Tom M teered to be on the subcommittee and then will meet with Armando recommended operating budget has been completed. Future Agenda Items Agenda Items for April Agenda • Te, ousing Programs Administrator, to discuss housing vouchers, Hoc , Sectiort IAGO, Final e from Sub rnmittee rt on Cold Weather Shelter mittee Regarding Operating Budget for Homelessness Ad Upcoming s from Committee • Quarterly ate from CCPD and CCRD Regarding "Calls for Service" • Pan Handling *** Adjournment Item 8 THIS MEETING WAS ADJOURNED AT 8:45 P.M. TO THE NEXT REGULARLY SCHEDULED MEETING. Julie Cobb, Administrative Secretary 2008 APPLICANT CHART PLANNING COMMISSION Richard S. Hibbs, Sr. Anthony Pleskow Mark Salkin Dana Amy Sayles, A.I.C.P. Paul G. Seehusen Marcus G. Tiggs Mary Ann Webster Jamie Wright PARKS AND RECREATION Cary Anderson Richard Brand John Richard Hudson Robert Smith Karlo Silbiger James Wright HOMELESSNESS COMMITTEE Cary Anderson Lezlie Brazil Wanton Davis Karen C. Lamp Elaine Struhl John Wahlert James Wright CIVIL SERVICE COMMISSION DISABILITY ADVISORY COMMITTEE Barbara Effros Robert Montgomery Neil Rubenstein CULTURAL AFFAIRS COMMISSION Kevin J. Commins Yael Z. Silk Ronnie Jayne (Solomon) Shakeel Syed Murray Lebowitz Jamie Wright Kim Newstadt2006 APPLICANT CHART LOS ANGELES AIRPORT ADVISORY Kevin Klowden BUILDING ci SAFETY BOARD OF APPEALS Paul Ehrlica James Rowlands LANDLORD/TENANT MEDIATION BOARD Cary Anderson Dr. Janet C. Ho nit Theodore V. KrepsPLANNING COMMISSION APPLICANTSCITY OF CULVER CITY U770 CULVER BOULEVARD P.O. BOX .607, CULVER CITY. CA. 902.52-007 200811A y Ati 10 : 49 CITY CLFiri APPLICATION AND BIOGRAPHICAL DATA CITY OF ciiivEP Gliv FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (itkarif ZypR print.; The, information contained on this form is for the use of the City Council in order to fill ViiCallCICS on City CLTharttiSSieft6, RuardS, Advisory ComininTitiS üí Task Forces. However, all information on this form will herarne i publie rocors1 and he available for public inspection or duplication as authorized In law. Separate applications mast he. suhmitted for each body to which application is being made. General fnforinatio» I. Identify the. Commission, Advisory Cunirnicor Tusk Force to which appointment is desired: Planning Commission 2. If applying for a position on the Lundlonitrcrunt Nfm[iatioo Board, indicate whether you arc applying as a tenant representative ( ), landlord ropresolithlive ) ar member at-large representaiive Call the [-lousing D1%4510:I at P.310) 253-170 ieyeo hove ;Any qii 1cm egaitingctijIlilft for Lanilio.mlacrmit Mcdiiiiii Datil poxi:ionN. 3. Name: Richard S. Flibbs, Sr. TtFopluune( Addrcss Zip 90232 Rusiness:Richard.S. Iiibbs, CPA. Tetephciitc. Address; Same Zip ii address: Answer the f Use:- .ritet•Is I! itecessarvl 4. Conunonity Service hoards, COIninhq:6ons, craninittee.s and organizations on which von have served or (lint:nil y serve.; offices Uhl and iii YAM ay-) Culver City Unified School District-Community Budget Advisory Committee-Member, Open Paths Counseling Center-Treasurer, Board of Directors (Culver City); Ballona Lagoon Marine Preserve-Treasurer, Board of Directors (Los Angeles); Culver City Chamber of Commerce-Chair Elect, Executive Committe, Board of Directors (Culver City); AYSO Volunteer Coach and Referee (Culver City) Bify Ea-pig /61es rake pride kr effectively providing /fie ti,Vtrayr servica ro winch 117o quality or l'iro for the vommilar?y ±:y buildkg on our 9aitfiLvi L of mew S .eveiny-live yvor5 of ,r...ubfics-oivi:. ‘o, by Otirpresont coron:iiinoric. And hy 01n- rires'ir:zrfirx$ if1HHe auth..ii.ges of tho ITI%, I F5C2i riirrrrPage 2 of Application 5. Employment (Tide and duties, current and past.) Self Employed Certified Public Accountant, Chief Financial Officer-Human Interaction Research Institute Director of Finance-Matrix Institute on Addictions, Inc. 6_ Educallou (litchi& professional or vocational liccoses and certi [-mates.) Rider University-B.S. Accounting 1979 California State Board of Accountancy Licensed CPA since 1987 Personal 7_ Are 'yOU a U.S. citizen'? S. Are you registered L0 vote in Culver City? 9. Have you ever becri convicted, fined, imprisoned, or placed 011 probation for a felony or for a misdemeanor involving fraud? YRS NO YRS X NO YES NO X 111 Have you ever worked for the City of Culver City? (If yes. List dates and YRS na tries of departments.) 11. Are you relined to any current rii'y employees or appointees of the City YES NO X of Cul ver City? (If yes, indicate name and relationship.) 12. Are you t-hat financial disclosure auty hr. required YES X NO (e.g. sources of Mourne. loans and gifts, investments. ititeresi&- in re.;-d property-) 13, Rules or law and ethics prohibit inztriburs from pacticipatini2 iii and Yi!:S NO vOtin g on matters in which they may have a direct or indirect financial interest. Arc you aware of any potential conflicts of inicreM which may develop from your occupation or financial hoIdinEs in reialit)li lo your responsibi tides as a member of the body to which you seek fl.ppoirii men!? Of yes, please indicate any potential conflicts.) been, or arc t he rC new. any businc. .a.a ciwurmaance_s which YES NO X MINI IL) ON fi r :VCLE) HAYEKPage .3 of Application nii ghl T r-fkli:t VI) vcrsely ontfic prnpricly of your Ni.,:.rving as a rufruhvi- ol- any body to which you might be tippointed? 15. P- ow many TT1C,C I irlgS Of t /lc Cominis.5.cion. 1CJFd or COUR-nit tc u to which you are interested in being appointed have you attended in the last ytrZ . None /6. How much time, on a monthly basis. do you n[icipoic- sperulingu prqn rat ion for and attendance at mee.ciags of Th.-, body to v.rhich you desire appointment? I plan to spend as much time as necessary to be prepared for every meeting. .17. Why are you interested in appointment to a City Commission. Board, Committee or Task Fon...N..? I have a long history of volunteering, for a number of organizations, in the non-profit arena. Currently, I am the Treasurer of Ballona Lagoon Marine Preserve, and Chair-Elect of the Culver City Chamber of Commerce. I think that the diversity of experience that I have will allow me to make meaningful contributions to the Planning Commission. IS. What b there specificaily in your background, !mining, education or inieresm which qualifies you as Jn appoitifCr? My accounting background provides me with a basis to understand the financial ramifications of planning decisions. My 20 plus years as a Culver City resident and my children attending El Marino and Culver City Middle School provide me with the incentive to ensure that Culver City be the best city that it can be. 19. What do you see as the objectives and goals of the. body to which you sock appoint ment'! Evaluate and make recommendations regarding building, zoning and land use issues in Culver City. 70, Flow -would you IVAMIFITTleil d 1112 objectives and goals of the body be changed or augmen d? I have no recommendations regarding this matter. 21- _How would you help achieve the body's csl.nblishod objc.-,ctives and goals? PRIM a) ON licrtejr. a) Pk.ERnntr: 5/12/8 Page 4 of Application would prepare for and attend all meetings. I come to the position with an open mind and no agenda. 22. What special qualities can you bring, to the body to which you seek appointment? As a practicing Certified Public Accountant, I bring some financial expertise to the planning commission. As such I understand the financial importance of planning and development. As a long time business owner, with a business license in Culver City for over 10 years, I bring a business persons perspective to the planning commission As a long time resident and parent of 2 children attending Culver City Public Schools bring a residents perspective to the planning commission, I want to participate in maintaining Culver City as a great place to live and work. I think my various "hats" will enable me to bring a balanced approach to the planning commission. REMINDER: All information on 1hi5 application will become a public mord anti be avallahte Jr public inspection or duplication ag authorized by I hereby certify that the foregoing information is correct to the best of my knowledge Yotl iffe InVited to attach additional pages. enclose a copy of your reSillYNC. or submit supplemental El fOritillf which you feel assist the City Council in its evaluation of our application. Submit krilliium1ion() and an to: City of (M yer City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL in ordi-n- to assist th,:: City COUI3CH ] to baliMCC appointmen15 in terms of 2e0graphiC 1•LiktiOn residence and/or businoss, 0011th:by, Eender aid age, the following information is desirable bud not required for application submission or appoiffi meat. If a City resident, for how tong? 20 Yrs If a City business ownerioperator, for how long? 15 Yr: Year of Birth 1956 Male X FurraIG 1thnic1ty Caucasian 5i:jhe F,INIR: PErrfCLED PAPERCITY OF CULVER CITY r N E 5 ')" 2006 HAY 9 AN 10: 04 CITY CLEA CITY OF CULV-ER U77C1 tJLVER BOULEVARD Fr. 0_ BOX507, CULVER crn,_ CA. 002:32-a07 "* 17' 112---7(-, 7X/ 1" "7--)E4Av f.23A4,747-1,"-e-z- Z--X-,410E 744 E ‘"?-711--P,Z-- 4177 gii/f44e• atieGir ary EJoy/3os raT ;. .0 pride k? effecJuety pro p-ft:C=1g The hig ete51 .i' verS• service ro anoct. thc quar t.le telife for the opourataity by &ening on our tmdkion of more ergo 5efrotty-five years of ini* seMco. by our peaaartf cortrrOnarif, arra' by our decfcalicm Ic?inE'A ll ilaa'tge-S cr the rut- rm., APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MENIBERSHIP (please type rprint) The information contained on this form is for the use of the City Council in order to fill vacancies on City CUMMiS il)2S. Boards. Advisory Committees or Task FaTCM However. all information on this. form will becorne i public record anti be available for public inspection or duplication as authorized by km. Separate applications must be nitonitted For each body to which application is being zuade, • General Information 1. Identify the Commission, Advisory Committee or Task Force to which appointment is desired: PC-AtAiN/A/ Z-1.1$1/11/c/PN 2_ If applying for 2 position on the Landlord/Tenant 1`5,4,11ation Board, indicate whether you are applying as a tenant representather landlord represInktative(------ror member at-large reptesentativ Can the Hamint Di% ' ,Won at (310 253-5780 i' ycis haw any gut vim% Jecartatis etigittity for LatulloTen.unt turd pcNnK. .3. Naive: _44.4077/7,11Ye Address:— I3usiness:.; Address: Telephom _ addres: A .tu wet theft.iIJJJ ViILg (1.1sk additional sheets if nece_TA-ary) 4. Community Service (List boards, corntnissions, committees and organizations on which you have served or conently serve; offices held and in what city) A/44/0- mebP,frro . (>7- vipsw. o" I - • r - co-* Pterrri,SUITITZ7 CR ['AMPNO Page 2 of Application 5. Emplloyrnent (Tide and duties, current and past.) f g/ NG/Pli - 1j7 P.N. /,v1 bO -0e- PLE--5,-ew 744E1- Af,-7 --# 4 ;VE_47-a-1 -4 (53 fw w,e4,/r--,a,P /9`.”. 710- .40,--,-/),4,70.4 E nch ac l iL ca , , fic311 Ale/AG/R-tte.— T-f i et0-;.Z #f" 70&, P.e.evAw A f A.e pro es -sirms 1 or vat:alumni licenses at cern icates.) /27- 40-17--AP -6 A(0.4, py2A9.7x4rA_. 771A A14 (4/107-/447///f477ME jog= /ii. ,,e4v/7.0e9& ii .4-0PAW7 z/IPMeX5iry hMerf,"--"AlitzeWire-7,AE. iliY/PF-A4/fif 25|1010|4#040- Atele /P -77 -`, -0E- pear l /v* 7E- P-04-444itugeme0 4/ r 4, 44.-pi>/os. /NOOP4400 007- .7711 7. Are you a US, citizen? YES)( NO a. Are you registered to vote in Culver City? YRS k NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO )- names of departments.) 11_ Ar you tclati1.1 to any Clirreiii City employees or appointees of the City or Cuivcr City? (If yes, indicate name and relationship.) 12. Are you aware that financial disclosure may be requited annually? - YES (e.g. sources of income, loans and gifts, irmoractas, intetests in real property) 13.Rules or law and ethics prohibit members from participating in and YES NO voting on matters in which they may have a dimci or indirect financial interest- Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you zicek appointment? (If yes. please indicate any potential conflicts.) 71,E- fzi10400Acte) itbsoli7rost> 4 piroyeit --- 7, 7/ItE XV"- fee‘,70-7. 14. Have there been or are there now, any business circumstances Aich YES NO PRINTED ON FIECYCLED PAPERPage 3 of Application migkL reficet adversely on thc propriety of your serving w'.2 Entrribcr of any body to which you might be. appointed? 15. How many meting; or the Commission, Board or Committee to which you are interested in being appointed have you at tended in the List ymr?____. 16. How much time, on a monthly besis, do you anticipate spendiTig on preparation for and attendansx at meetings of the body to which you desire appointment? tr -g-" IV/ReW P,E i7zir --7 /4/A;tx_ im-at 7440- /0,4y 15Ar-757 ,--e- Z-1/1-111-1// e y 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? 41/2 -15 /450,-17- 474441/7r /iv *.er h4serrle-0 ,-,/4/t. Jog' ./Aff-.49./ All/r /9 ,r-F-4/JoU4 p frpp,Azes_ 5401-4N-- /S. What is thr,me specifically in your background, training, education or interests which qualities you as an appoinice? A3 Ave 411 44#/704-7 -- Of* fr.," AlAff 4 '011/Aga= 407/f/ 7-#210- pyi e leyy hr.p. /17 /7 .-.05; tke-IX0,4 ydcfr 4 1 7 Y Acia ,e-a-- 7-#0_ A441-7,|1010| /," zic-Aerdx/ 4/g40.400F 4P #60-lio /19,,t56>mee- f4c47--#A#272 , Y-/Wigepoo OF 47744 ifil ei-01-A W --'* • Pf144(0/54Pe/- 19. -What do you see a.s the- °Net-lives and goals of the. body to whit* you seek appointment? ,51-4- /9-14/4E . PiEraze-40 1/ frioivivrAvrzov Ae.54,x,1„7/Are_ Gfrif4.17y Met- ‘-‘77° 44`7Y4 x/mitor,A,„c, ApPi4-77iiv/7y|10
10| P/AZiz /Fr ,e/vP 441-2,74-7.4e-L. 20. "How would you recommend lila objectives and goals of the body be changed or augmented? #vFd o r4 ,2(3.t,W A/Apt.‘e...z, cW- Olve 7- PPY77,4 Jiq ogg- 7.0)-/e Ae- 4&A077e,f, # 21_ How would you help achieve the body's established objectives aad goals? /4-4P1011 4/ 7:11. .,/g14 rAiig 1-711 71 11,0.E- r EU 614 FrECKU.0 PAPER 44,4.0 ht7 LeAu 40.ALAJleSignature: If City resident. for how long? irav/--7 Year of Bulk / 7 17 , Male/. Female If a City business °muter/Operator, for how long? Sa•pte Page 4 of Application GP72/2-.) 7/21-0- P,f- ie-77e/piryt77,91t/ e--AWG/te- 4 1--6 4/0,11~/S7--5. , 4 Fq01./e_ Nme/m7-A//t/AP AMP Phr — ~/.4/7Ws9 77,--,A5P49greA/c7' . 22. What special qualities can you bring to the body to which you seek appointment? yig 13.4 0-e -XesA A 'Of Afx./ohoti , 4ct itg# fr—PWWW 2-- Meff 497-÷ GtI/X-A,--ia /4/ rAW Peci5e-/e_ /fit ri/S z--/71 / .0"/ 4 4wiles 11/#4/ /'/fr 7/040_,_ . diitatEK tafieornuftil fu4 -9 .11Tiptaleilit- hef oife pubereclaild he available for public inspection or ihipticatkai as authorized bylaw. I hereby certify that the foregoing information is correct to the best of my knew/edge You it invimd to attach additional pa-ps, enclose a copy of your resume., or submit supplemental informjtioii which you feel may assist the City Council in its evaluation of your application. filltir applirzlion(s) arid attachments ter, City of Culver City Attention: City Clerk -9770 Culver Boulevard Caver City, CA 90232-0507 (310) 253-5351 OPTIONAL hi order to assist the City Council in s-eekitig to .baiance appointments in terms of geogra phic location or residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment,. PriNTP:ION:RE.C631ED PAPERCITY OF CULVER CITY R EC 1_ n 2006 MAY 1 9 AM 9: If , 1770 CULVER BOULEVARD P.O. BOX 597, CULVER CITY_ CA 90232-0507 CITY CLE A APPLICATION AND BIOGRAPHICAL DATA CITY OF CUL FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please typ.A. or print) The information contained on this form is for the use of the City Council in order u...) fill vacancies on City Commissions, Boards. Advisory Committees orxr Task Forces. However, all information on this_ form will become a public record arid he available for public inspection or duplication as authorized Iry Separate applications must he submitted for each body to which application is being made. General Information Identify the Commission. Advisory Committee or Task Force to which appointment is desired: ' .7PZ 74,DA.J 7Z7 0114 flit 557 ,k) / If applying for a position on the LandlordiTenuni Mediation Boa.rd, indicate whether you aro applying as a tenant representative landlord representative ) or member at-large representative (_), /U/1/4- Call the Housing Division at On) 253-5780 if you have any ques1 ion garfiing eligibility for LarullordircinutMdiLkffl anon] positions. 3. Name; inkRi< 41`-k7A-} Telephone Address:_ Business:, t G • AA+, %, Address:_ 5-mai I adc, Answer the follawing (ffve additional sheets if necessary) 4. Community Service (Lis( hoards, commissions, committees and organizations on which you have served or currently serve.; offices held and in what city.) (1 _2.) ai- t2 ziee-, 73r-- /0671 4, 6i7 , 1? hiero 171-7 3 6/ '—C--- e-tariei 1°,/47 64-r ( -2‘)Z/21 1 "L- -5-6106 1 1 1 1 ' 4y 7- 4e, /tip le al .t-,11 r 4.\ Z m&i 691:7 ;-A or- Fad 7_(--/--; 0-145 Catuff Cfy Ernpf0y805 take pries in effectively providing i Fre hVtest levels of service so awich rho quality or lire tor the community by hulloing 0.7 our Yadition of more than seventy-five years of pub.ri 86:1Ana. by our progent corra-n4iftent and by offf Ciffritta firm ü InHet 5b' of tttc l'IADM (-5 iPZ 11,1,17M CUM-C.7a rit Mir! i (1,L de cl3/ C oFier Z.)/ cioz, Page 2 of Applicatitin 7497— P/I2 5 71ev ) (2) mii) (:).-c AV/2/c _771- / 05;,e 4) 0i-Lpf17/ /77/t f-- -c.v.4 (imp/ 7, 56=72_0,, -.13-‘ttt 14- 5. Employinent (4090.-e.t fic.)-71<, (Title and duties, current and past.) (.4) A697)%952/V2 h2c1 /16rece /076 /L)o/2_7(64 57 G co Z 3 6U14- /)& /x)com /I 6_ Education (include processional or vocational licenses and certificates.) Ot9<|109| (2.4t-i-i 1-7 712.4)//4 (3/Fie /1--Ssbc. F .Le R-v4. &71- 5 ' bo4_74o)--.A1-e t . I f 73 0/0/6/ i7 8.4 7? /0,- / 476 e:44 • 0/0/41 s /3771-• /9--X /4/ - q 6,0 0/ V -- .Er-r -/z/r-4---20 hz, ))_5'71-Ancli"|1010|Personal 7. Are you a U.S. citizen? 8. Are you registered to vote in Culver City? 9. Have you ever been convicted, fitted, imprisoned, or placed on probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, list dates and names of departments.) Val I,1 itii14 ez...; I L, 11_ Are you related to any current City employees or appointees of the City (r Culvt-T City? (If yes, indicate ilaJlie and relationship.) 12, Are you aware that financial disclosure may be requited annually? (e.g. sources of income, loans and gifts, investments, interests in real property.) 13. Rules or law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the bod y to which you seek appointment? (If yes, please indicate any potential conflicts.) 14_ Have there been, or are there now, any business circumstances which YES f -V NO YES NO YES NO YES NO YES NO 1***-- YES NO YES NO YES PRINTED ON RECYCLED PAPER17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? 49 C-It.4" ee--, /4/ av;,-4 -447is _4 c 2.71 Pll2L-7e772A) -/z) 61:4e-71 74- L lest to zei tietvw-/Lizs 5/41.41 4.- V i 6 ii a ifv-id Awl's-44s el 'n (i_cc74- at.; /Am < 01."‘? /- (_51i1+4. gleVi-e) /224 ./ ) /20 Lt5 767asi-- 5 eti`Zi; ge-P--,--e-1.4 4,4 Ai 1-euae ,R) /zi2e) 18. What is there specifically in your background, training, education or interests which qualifies you as 1,2; Brt appointee.? -45 L ?t--e -I jr- S' i t 5 r eS; dot 74 ex-/ (7 --) /d4) c -4 7/ #ic cin /;749-09/-1-71‘ 17-4 a a I /La,- .71 eSlit-ft ; 4 S (3) obto d71S 1),Y 6";--1? C-e-17erj--4 •fri // ez / ,-,t.„., Zr-as )4/1 41--e [( & L /4 cl et 5)4- 19. What do you see as the objectives and goals of the- body to whichi you see k appointment? iit4--;.ei---gerp-a-pol-2.|109| )1 '0 z -c? Aire ell eh-e-A) 7 -`7 vs.g ea/1/er eily ir er 55 yect aria( nOw wecad ee-r7)--ribtite Sonde 5erVice -10 ei-iy /77 18, What is there specifically hi your background, training, education or intelesis i.vhich qualifies you as . an appoinfee? a, 0,1 eekicatiened backlit'4rici e4111-neer .)-4 tae. b,rTh1 e9 0Q0-94c.e. Lorm evit-raiwv.r 1.uke.3, Inc/ewe/ad 5r9t axidnicx.„4, ari f OkirrA 2-10 Ye4,- - e, "ably-6. M cSice ajo r"eion47-ii 9 ciana/45 ci. Chiktec 0-( —) ct Lud-iiile 55 co,- il ears fri )11a-hut_ eiet e. col gr of res ta4al/ 1a I eni-eiI 2rI, c. 19. What do you see as the objectives and goals of the body to which you sock appointincia? Vediew 4zr2d a5e -A7,7.)-7114-- /ailerf -hf "Pale ati order iy a44/ baiet oiced detWopn7e471- ihe 6 Ly While ( e--14/:frif ill -Me $,27a// -hntier cdniasphere, 20. How woulki you recommend the objectives and goals of the body be changed or augmented? amtdd alarit on -Me ovne heAre frna.miy 4,7y -Spee.16. reeit,inmenefahi>15, 21. How would you help achieve the body's established objectives and goals? Cez-ii1de r>49 Or7ca5 payeied deiceleymerrk PRINT W CHI ri6CYCUED PAPERPage 4 of Application anct 2 - 20-11 ' k) cj /110 / /4-eif ) a 7 4 -tleslr i- 4-cy )9(voide betkiv_p__,/ e -1-rer(6`e- 60i-)5e5irem, h7/ iciain Me- -a-777a If -1-E96‘)/7 . 1-ibar 2ban a71--m06,0hey-e bei(ev de-31red y 21 What special qualities can you bring to the body to which you seek appointment? Marty tleolic i Ole expeA-; pit45 Seand no-iti REMINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized Iry law. I hereby certify that the foregoing information is correct to the best of my knowledge Signature: . Date: cf-J1' You are. invited ro attach additional pages, enclose a copy of your resume. or submit supplemental inforrthilion which you feel may assist the City Council in its evaluation of your application_ Submit application.(s) and attachments ro City of Culver City Attention; City Clerk. 9770 Culver Boulevard . Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In-order to assist the City Council in scekina to balance appointmenis in terms of geographic location of residence and/or business. dimicily, eenticr and age, the following information is desirable but not required for application submission or appointment. If a City resident, for how lone c76 1- 5-*S. if a City business owner/operator, for how long? ----- Year of Birth i., q56 .2 Male Female Ethnicity 5i9gjhe INTRO1-z PCMYCA,E13 PAPERED CITY OF CULVER CITY 9770 CULVER BOULEVAP.D P. 0 BOX 507. CULVER CITY. CA. 90232-0909a tiAli 14 HI 4 : 04 CI T y r,•,- APPLICATION AND BIOGRAPHICAL_Dga OF CU LVE',' Cil FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (pletz_cr .type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Conunissious, Boards, Advisory Committees or Task Forces. However. ail information On this form will become anihik record anti be available h)r labile_ in teCtLOfl or du lication as authorized by law. Separate applications mast be submitted for each body to which application is being made. General Information 1,Identify the Commission. Advisory Committee or Task Force to which appointment is desired: fitgonin3 rwn ot\.) 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a tenant representative ), landlord representative ( ) or member at-large 3. Name: NA fteo_u_. 6-, -1 Telephone Address: 4 Zip. Business: r l Telephone Address: E-mail address: t 0 r Answer the Atifiraking: ( Use additional .thaetts if necessary) 4. Connininity Service (List beards, r,otronisfiiOnS, committees and organizations on which you have served or currently serve; .offices held and ( oc in what city_) Ch&i. 1 0_, C , p 0,1a1(11`fi:e , Q r OM trlI i ssiotn n . ,--t - r-, , ..., 0- 1:94 ,14,1,-,,,, ,,v- v -„,p- A, i ,-5. ,,_ l ki 1 ^ {le>, "I . t n y . 1 nil ry.4, ter_ / * ' t- Mei-eA-- 0 1 /,_ . c-{ i i"-- 05 - kr-1,4(—" ,- . - (t_41.,-kn POO( iNsciek. e\-- i cr rn yeAnA 19e'r - L-0:5 Nv.1,'...9,., 'ES, r , ap...1 • • !--w MeWi l e---bri/k lVe4r e n .„ f c 141\ke4r- c_mi ttiovi c 5c-i_ ' t . (" 4-4 (PrFk r I c;, co ) Co n/Yvkl. Cotitar aty EMplo Fak pri yaas .a c i effect* aly providi g the hiVre st leyets a saw; a 0 819a u isg - ' 1.1.tif - -ate o t a mmontty ay fatikfing on our tradition of more then sem-try•five years apt/aria so:v4, by our ,orosant COMM! Marit, ago' by our (1.9:J4;M:ex, to meet The citaitenge,s of the future representative 1.4 /A., Call the 'Housing Division at (310) 253-5780 Wyatt have any question g legardingctigihIay far Landlortitrenunt MetliaLion Roan! position& 77.1+.1-rocul rrcp.,cn.1•117.7>Page 2 of Application 5. Employment (Title and duties, current and past.) Wrvjc Leokk...L. bc ‘ S.,T--)-T,Aefoe‘_S-i- C1.60 beiVCb c5 ..4 te‘kse 6. Education efeSe-evvokkire n Ofeccklions OKcer avow V-c% ,CA- CA-LIF AVM t0e15-141.6-urceD Cec-mQ 9-4. 121-Gf cA- (r4Wi x =. LF&It .ko 'act' kA. Le„ a.4 WA-) Lk of-LK (include professional or vocation licenses and certificates.) ?e-F ee‘Ck%0C- 'P riSti • Lk kNI %kv. LtY,Y03P tct•gV' R S kavvvi ecenvv‘twtok b Lozotil- cod -Narnkk. ISVC acatEadre co - % tic (Cse) tk Personal 7. Are you a US. citizen? YES V" NO Are you registered to vote in Culver City? YES. Yr NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes. fist dates and YES NO rialliC$ of departments.) IL Are you related to any current City employees or appointees of the City NO of Cuivr City? (If yes. indiente name and relationship.) 11 Are you aware that financial disclosure may be required annual ly? YES NO (e.g. sources of income, loans and gifts, inves(ments, interests in real property.) 13.Rules or law and ethics prohibit members from participating in and YES NO voting on matters in which they may have . a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) 14. Have there been, or are there now. any business circumLanees \- hich YES NO PRINTED ON 'RECYCLED PAPERPage 3 of Application might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings of the Commission. Board or Committee to which you a e interested in being appointed have you attendqin the last year? U.--/A as A. et,Ineeert a4M17- ebnin tfere-/' ,;30Y7 Adieff het- Male Ale I ,72 j_ thee this4"- 1;1 ge t / ine 1 fk, 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? Depending on # of meetings within a given month and nature of agenda, usually 4-8 hours 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? Continue my active participation in the Culver City government as it relates to land use issues. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? My background includes being an attorney for approx. 19 years; being a MAJ(P) in the Army National Guard. Most importantly is my gaining 4 years of experience (from staff and fellow commissioners) through currently serving on the Planning Commission. 19. What do you see as the objectives and goals of the body to which you seek appointment? Olashinciton/Naffonal Specific Plan and related entitlements_ The process includes as much public participation as feasibly possible to the end there is a balance between the adjacent residential concerns/issues on the impacts with the need for a well thought out plan to benefit ALL of Culver City presently and in the future. This may prove to be the most important Culver City development during most of our lifetimes, so getting it right is crutial. General Plan-heview process. Significant public outreach to get as much public input as possible. standards whether it is with LEEDS type certification or another green standard such as "Build-it- Green" or "Energy Star". Smart aro7iièaning really making a balance between the benefits of development (e.g. increasing housing stock, tax revenues etc) vs. the impacts development may have on residential adjacencies, traffic etc). 20. How would you recommend the objectives and goals of the body be changed or augmented? from my point of view the commissions objectives and goals remain relevant, however, we must be flexible enough to make changes when needed 21. How would you help achieve the body's established objectives and arlak? Continue being active in the discussions during the commission meeting, always being prepared for meeting, and listening to residents. PRINTED ON RECYCLED PAPER ,1•1111 ••• -• If • --• a • • 4Date: titki/9 r Page 4 of Application 22. What special qualities can you bring to the body to which you seek appointment? I bring recognized leadership abilities, while keeping an open mind on opinions and ideas that are different from mine. I am sensitive to the strong emotions that can fill the chamber on heavily contested projects, while attempting to keep an air of respect to all throughout the meetings (e.g. Entrada) REMINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feeI may assist the City Council in its evaluation of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver. City_ CA 90232-0507 (310) 253-5851 „. In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment. If a City resident, for how long? -tytt'S If a City business owner/operator, for how long? Year of Birth -3 Male V Female Ethnicity , Iei c/- 5/98:jhe OPTIONAL PRINTED ON RECYCLED PAPERRespectfully Submitte Marcus 14 May 2008 Why I am seeking re-appointment to the Planning Commission---something I pondered for weeks can be best answered by a few words, "Culver City is genuinely the best city on the Westside" and I want to continue being part of its future through a re-appointment to the Planning Commission. The last 4 years on the commission has exposed me to our first class planning staff, well prepared colleagues, and a proactive and vocal community. Now are the days when the chambers are full of residents (and even non-residents) expressing their views on projects before us, whether it is Entrada, 9900 Culver, Upward Bound House, Symantec, Valero carwash, Westfields expansion and so on. Over the last year while I was serving as the Chair of the Planning Commission we have seen many controversial projects, with at least a couple of meetings lasting until 1:30 am. I believe, if reappointed, I will continue to bring my proven leadership abilities, respect and thoughtfulness to the commission. I am aware that everyone does not agree with all of my votes over my term, however, I am confident in myself that I have always and will continue to always be unbiased in my votes, while attempting to balance the benefits of development vs. the impacts on our community. Regardless of whether I am selected, I am thankful I was given the opportunity to serve our great city and hope to continue my service.CITY OF CULVER CITY aito CUI2,...EH BOULEVARD R.O. Box(r. •CULVER CITY. CA. c.trfi" .97-1)F.)17 2608 MAY 19 PH 14: t]i APPLICATION AND BIOGRAPHICAL DATA__ C[TY OF CLILv,:i FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP fpierriv type orprinG . Tho inform:A.- Jon co:twined on this form is for the use or the City Coureil in order to lilt vacancies on Citk, Advilory ronliniIrcoA or Task FOrc.:s. nfowevcr, all information on this form will bnu i ublic record anti be availahk for public inspection or durilicati.an .7tutborizecf b w. Separate applications maxi be submitted for each body to which application is being wade .... .... - General Information 1. 'Identify the Commission, Advisory Cornraiitor pr Task Force to which appointment is desired: PL ANN las Q, !Am; sSioN, 1 . IC applying for a positIon on the I 41 vl Irix...01,,ribr:Ini M04116011 Beard, indicate whether yoti are applving... as a tenant representative ), landlord reprewniative ) or member at-large representative Cid EhzHtii DiWsjoj al 1 .24 lc)) 253-570 itive any tiv LandLonifteritrit •edi:A.4m 3. Name: N vve 11) Tek.1.1fitaml_ ) ...M.1=a4707 Zip Busitwss: TeicplKme ( Address; Zip F.-maii nricimsA: A d1ij,Cr1ii,At,ii.1.4-: ffl .: ztridonrei Yi2e4.:$.1 4. Community Service (Lit boards, C)MInissiorri. C.:OrtiniiliC:CS and oronizations on which you have served or currentl.,, se,Tve: inAd and in chrJ Ckl," Efogivieas rake prea Thatr.='vely,arckicir'5g r.Fie /1,',gr;$,51Avis cser vie!? ro 3,N•inth (Pp:: alai& of IRODr ."i rri vtiZokig i our ,71occt Zii3- ay-iii42 yo51-5 of public. L. -0,-;e„. .c, by ctirxwaslf-nr,...1orraniirry41ri,evf our da• Jz; i. ic,qhnDe6 ;.rrio-fSubject: appir non NN \IJ %:;) -Qtk 4. Community Service Gateway Neighborhood Association, Culver City: member Culver City Senior Center, Culver City, Substitute Teacher (Spanish). Friends of the ibrary, Culver City, Member Sierra Club, INLA, Conservation Chair Sierra Club, LA„ Santa Monica Mins Task Force, Chair State of CA Trails, Appointed to Ad Hoc Committee Temescal Cyn Assoc, Pac.Palisades, member Quercus Fund, So.CA_, Board of Directors Sunshine Board, LosArageles, Board Member, Mitigation Fund. Venice Japanese Community Center, Member UCLA Alumni Org, Westwood, Member Venice Walk Street Neighborhood Assoc-, Member American Hiking Society, Member Friends of the Baldwin Hills, Member Karen Bass' Environmental Commission; Commissioner Banana Creek Renaissance, Culver City. member Los Angeles County Museum of Art, member American Ilking Society, Member Canyon Explorers, So.CA, MemberPage act Application 5, Fainhot-trent __aide aid_-lodes. current and past.) Retired Educator: Los Angeles Trade Technical College, Adjunct Professor, English Carver Middle School, I.AUSD, Mentor Teacher & ESL Teacher Jefferson High School, LAUSD, Counselor Education klaeludit professional or voclikert. • Education: UCLA, Bachelor of Arts (BA); Master of Arts (MA) Loyola Maryrnount Secondary Teaching Credential CA State Dominguez Secondary Counseling Credential .Personel 7. Are you a U.S. citizen'? YEN. X NO 8. Are you registered to vote in Culver City? YKS X NO 9_ Have you cvcr hz:ct convicted; fined_ imprisoned. or placed on YES. .. No probation lor a Limy or for a misdemeanor involving, fraud? Ill. Have yon over worked for the City of Culver City? (If yes. list dittos and Yf7.5 . NO — )( ics depa .)• L Are you Ida Its any current employees or appointees of the City YES__ IX NO o1Cfvar Coy? (lf italic:tie name and relatirmship.) Jane Leonard, Management Analyst daughter-in-law 2. Are you aware. that financial disclosuro may lac requirCil ;ITMELI.111ti? YEN NO fe_g souives of income. loans and Liu investments. ia ProPqrtY-) 13. Rides or law and clhic5 pwArib-kummbers fivur nortiLipetistrE in and Y LS NO_ votiniroa matters in which they rnay have a direct tsr indirott financial Areyou aware of any potential conflicts of into-cm which EEC1V develop from your -occupation or financial hohEr a' in n.dation to your resprarslbilitic_s 2S ;. 1. reenter of the body to which von ack appoisti mete ye please in:tic:ate any potential conflicts.) 14 Hivtl hat: Isant. CI are there now. any business cirearustancvs which YES NO 7\. NUN I ki3Page 3 of Application rr rcik;t:t advericly on the- propriety of y(flir ar ing as a F111:1111317.1" or tiny body 1.0 which. Von mightlx aPPOintt:d? I 5. ROW many mcdin . 27. of (hi: Commission_ Board or Committee to which von aro infernsced in being appointed hav.eyou Attended in the lastyoar-2.-- FO Z. Lbw much time. ,t.va a monthly basis, do you kp:ntxriding on pr.tpa ration for and attenda nce at tritorings of thz- body co which you desire appointment? In my view, being a member of the Planning Commission will involve about 10 - 15 hours a week of my lime ant. participation. And more lime as needed. Participation will include: review of projects, review of prior cases & data; review of current laws & zoning revisions; site visits; wolkshop attendance; neighborhood ineelings; Planning Commission meetings; City Council meetings_ — L7. Why era you interested. in appointment to a City Commission_ Boar* Committee OT Task Few'? gt The City of Culver City is the midst of a rapid increase in growth_ The Planning Commission will play a dominant role in addressing the changes that need to occur as Culver City faces a new General Plan. 1 would like to contribute my time, energy and experience to this task. The character and sustainability of local neighborhoods is the cornerstone as we continue to move forward The Planning Commission will continue to play a decisive role in shaping Culver Cars future through smart planning leadership and thoughtful project review_ We need to protect our community strengths while supporting interment changes and improvements. I. 3. What i. them spccificaily in _your ackgrunJ Jnfflnng Mucininn or interest which qualifies you as nt appoinien? As a teacher of both young people and adults, J facritated cooperation and participadon in the process of learning, while holding a trm hand. As a counselor, I advised and planned coutseworic, schedules and activities. worked with students, families and teachers and administrators. As a volunteer, I have worked with political and community leaders for Over 30 years to plan, support and preserve the environment protect open space; develop sustainable cornmunites; support green building standards; encourage alternative energy solutions; foster clean air, clean water, alternative energy sources; support public transportation; mitigate traffic congestion 19. What do you see es the objectives anr.1 gnats f the body to which ymi si%* appoint mein 1 The goals are to work with the other members of the Planning Commission to have smart g loom as the cornerstone in arrive – , Thisireekties studying the issues and have knowledge about cases and i ssues that are brought to the Planning Commission The objectives include motivating community residents and groups to attend our meetings and express their ideas and concerns. We need a collective voice to wake the right _decisions for our City. NJ. How -would you treomitieriti the objectives and goals oithe body he ernytged oy augmented: The basic goals should remain the same; these include respecting neighborhood values, curbing over- development, encouraging smart growth, identifying potential hazardous zones, reducing gridlock_ Because of our rapid growth, we need to be increasingly vigilant and creative in regard to preserving open space, neighborhood safety, strengthen of our infrastructtwe, sustainable btu -King and alternative energy sources 111- How would you help achieve the body's 1.:SiZillishcd tthjtxtives and goals _ Of high importance is to study the [projects and be diligent about understanding the complexities so as to make intelligent decisions that support the smart growth of our City. This includes reviewing past and present projects, be: mg current on recent decisions, on zoning code revisions and other pertinent information_Dam Siii 10Z raiv.,\A QUJN, Page tf at Applicalion 22. What special qualities can you bring to the body to which you sock appointment? The people and agencies I have worked with over the years shoukl answer this question. I work well with other people. I am a team player and believe that building consensus, whenever possible, is the intelligent way to move our city forward. In my view, working with others who have an innovative planning agenda is the way I can best contribute to preserve open space, preserve neighborhood values, encourage smart growth and support en vironmental priorities. REMINDER: All information on this application will become Si 01911IFC rmarrl and he available for Ptihnc inspection or chant leation a.; unthorind iw .1 hcrehy certify that the foregoing information is correct to the best of my knowledge Yott MC invited to atuvh additional pages, enclose a copy of your rcsurw. or $uinniE Nuppleirontal ininrrnn(kii which you feci may assist the City Council in it 1,1vatuatioll of your application- Salmpit i ipliz.il ion() and attachments to City of Culver City Attention: City Clerk 977U Culver Boulevard Culver City, CA 90232-0507 (3 It]) 253-5851 OPTIONAL? In Ofik-I to assist the City Council ii ii 1 .x.t1ance appoint -m=1s rn iCtillS of geographic lcaIioliof residence' andio r . business, cliillicilY„!!stialet. raI age. the' following inforn-wien is desirable: bur. noi required for application submilisit.m ar.p1in1 ru nL Tf a City residenc for how long? 1 y P 5. if a City tiositle.ss okvacriop.rator, for how long? Year of Male Ftartakt F:thnicitv 5P.:44.-jhe PANT:E C CIVE OF CULVER CITY P E r - D 2007 ferf cithirvEhicrvikaRb, CULVER CITY, CALIFORNIA 90232-05a0 7 !IA Y -7 PH 5: 18 CM CLERK CITY . OF CULVEP CITY C.ITY 0.F CULVER' APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Identify the Commissions, Advisory Committee or Task Force to which appointment is desired: Planning Commission 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a Tenant Representative ( ), Landlord Representative ( or Member-at-Large Representative ( ). Call the Housing Division at (310) 253-5780 if you have any questions regarding eligibility for Landlortffenant Mediation Board positions. 3. Name: Jamie Wright Phone Address: Business: Phone Address: Zip Answer the followine: (Use additional sheets if necessary) 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) — Appointed Commissioner, Peace and Just Commission, City of Berkeley, 2003 — 2005 U.C. Hastings College of Law, San Francisco, CA -Negotiation and Settlement Team, 2006 -2007 Vice-Chair, CLEO Subcommittee, Business Section, American Bar Association, San Francisco, CA 2007 Competitions Co-Director, NBLSA — Western Regional Black Law Student Assoc, 2006-2007 Fellow, Council on Legal Education Opportunity Program (CLEO) 2005-Present Mayor Tom Bates, Intern Coordinator, Berkeley, CA 08/02 — 11-02 Culver City Employees take pride in effectively providing the highest levels of service to enrich the qualify of life for the community by building on our tradition of more than seventy-five years of public service, by our present commitment, and by our dedication to meet the challenges of the future.Page 2 5. Employment (Title and duties, current and past.) 01/07 — 05/07 U.C. Hasting College of Law, San Francisco, CA Teaching Assistant, Property, Tort Law, Legal Education Opportunity Program Mentored and reviewed all writing samples for first year Law Students 06/06 — 08/06 U.S. District Court, Northern District of California, San Francisco, CA Federal Judicial Extern, Chamber of the Honorable Martin J. Jenkins Summarized case files & conducted extensive legal research on memoranda of law of issues pending trial Drafted bench memos under supervision of Judge and Law Clerks Prepared orders, drafted & edited opinions for the parties Reviewed habeas corpus petitions and reviewed pre-trial and post-trial motions 08/03 — 08/05 East Bay AIDS Center, Berkeley, CA Research Assistant and Project Coordinator Researched and summarized literature for grant proposal for H1V/AIDS research in the Bay Area Collected qualitative and quantitative data regarding HIV/AIDS cases in communities of color in California Conducted initial intake interview for clinical patients Completed grant proposals. 06/02 — 08/02 National Student Leadership Conference — Business and Commerce program, Washington, DC Classroom Instructor Taught academic curriculum to prepare students for discussion with business leaders Assisted students with creation of a business plan in the Business Management Simulation Program Counseled and advised students on college choices, career paths, and personal issues 6. Education (Include professional or vocational licenses and certificates.) University of California, Hasting College of the Law, San Francisco, CA Juris Doctorate Candidate, 2008 University of California Berkeley, Berkeley, CA Bachelor of Arts, Political Science, 2005 Bachelor of Arts, with honors, History, 2005 California Teaching Certificate, California Basic Skills Test (CBEST) 2005 Personal 7. Me you a United States citizen? YES X NO 8. Are you registered to vote in Culver City? YES X NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor involving fraud? 10. —Have you ever worked for the City of Culver City? (If yes, list YES NO X dates and names of departments) 11. Are you related to any current City employees or appointees YES NO X of the City of Culver City? (If yes, indicate name and relationship) PRINTED ON RECYCLED PAPERPage 3 12. Are you aware that financial disclosure may be required annually? YES NO X sources of income, loans and gifts, investments, interests in real property) 13. Rules or law and ethics prohibit members from participating in and YES NO X voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts) 14. Have there been, or are there now, any business circumstances YES NO X which might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you attended in the last year? N/A 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? 20 hrs per month 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? To help improve property land usage and zoning that will bring additional revenue without inhibiting the residents and current business owners. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? Past Commissioner in Berkeley CA, 3rd Year Law Student, Completed Property Law in year of Law School. Real Est Law, Real Est Practice, Escrow, Real Est Principle Cert of Completion 19. What do you see as the objectives and goals of the body to which you seek appointment? Further enhance environment, Make Culver City more appealing without overcrowding it 20. How would you recommend the objectives and goals of the body be changed or augmented? Additional outreach to Culver City Residents and Business Owners to encourage their input. 21. How would you help achieve the body's established objectives and goals? Work as a team player, conduct necessary research, give valuable input and be available when needed. PRINTED ON RECYCLED PAPERPage 4 22. What special qualities can you brin g to the body to which you seek appoimnent? Prior experience as a Commissioner in Berkeley CA. Excellent research skills in Property Law ,rd year Law Student. Rea/ Estate Law knowledge. Vested interest in Culver City because I live here. REMINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized by law. hereby certify that the foregoing information is correct to the best of my knowledge. Signatur You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, California 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment. If a City resident, for how long? 15 If a City business owner/operator, for how long? N/A Year of Birth Male Female X Ethnicity PRINTED ON RECYCLED PAPERJamie Wright EDUCATION University of California. Hastings College of the Law, San Francisco, CA Juris Doctor Candidate, 2008 • Hastings Negotiations and Settlement Team, 2006-2007 • rd place advocate and 3 rd place over all mediator„ National Mediation Association Competition, 2007 Vice-Chair, CI TO Subcommittee, Business Section, American Bar Association, 2007 • Voting Member, Admissions Committee, UC Hastings College of the Law 2006-2007 • Competitions Co-Director, NBLSA- Western Regional Black Law Students Association, 2006-2007 • Teaching Assistant, Property, Tort Law, Legal Education Opportunity Program, UC Hastings College of the Law, 2007 • Fellow, Council on Legal Education Opportunity Program (CLEO), 2005-Present • Scholarship Recipient, Charles Houston Bar Association, 2007 • Scholarship Recipient, Wiley Manuel Law Foundation, 2007 • Scholarship Recipient-CLEO Fellow Scholar, Business Section, American Bar Association, 2006 University of California Berkeley, Berkeley, CA Bachelor of Arts, Political Science, 2005 Bachelor of Arts, with honors, History, 2005 ° Honors Thesis, "A woman's worth: Ella Baker and the Southern Christian Leadership Conference," History Department • California Teaching Certification, California Basic Skills Test (CBEST), 2005 PROFESSIONAL EXPERIENCE U.S. District Court, Northern District of California, San Francisco, CA Federal Judicial Extern, Chambers of the Honorable Martin J Jenkins, June 2006 —August 2006 • Summarized case files and conducted extensive legal research on memoranda of law of issues pending trial • Drafted bench memos under the supervision of the Judge and law clerks • Prepared orders, drafted and edited opinions for the parties • Reviewed habeas corpus petitions and reviewed pre-trial and post-trial motions • Sat in on cases at trial and attended sentencing hearings on Judge's criminal calendar East Bay AIDS Center, Berkeley, CA Research Assistant and Project Coordinator, August 2003 - August 2005 • Researched and summarized literature for grant proposals for HIV/AIDS research in the Bay Area • Collected qualitative and quantitative data regarding FHWAIDS cases in communities of color in California • Conducted initial intake interviews for clinical patients • Completed grant proposals under the supervision of Head Clinician • Coordinated volunteer projects for high school youth in greater bay area to help spread HIV/AIDS awareness National Student Leadership Conference- Business and Commerce Program, Washington, DC Classroom Instructor, June 2002 — August 2002 • Taught academic curriculum to prepare students for discussion with business leaders • Assisted students with creation of a business plan in the Business Management Simulation Program • Facilitated team building among small group section • Counseled and advised students on college choices, career paths, and personal issues Cal on Campus Internship Program, Berkeley, CA — Emma Goldman Papers Project Intern, September 2001- September 2002 • Acknowledged as contributor to a 14-volume book edition published in May 2003 • Annotated historical documents written by prominent figures from 1890-1910 • Managed small office, conducted public outreach, collaborated on research projects • Researched turn of the century labor, free speech, using in- house archive system VOLUNTEER EXPERIENCE Mayor Appointed Commissioner, Peace and Justice Commission, City of Berkeley, 2003-2005 intern Coordinator, Tom Bates for Mayor, Berkeley, CA, August 2002 — November 2002 Tutor, Eastmont Tutoring/ University Preparatory Charter Academy September 2005- May 2006 Project Volunteer, Equal Justice Society, August 2006- present05/14/2007 09:07 FAX 562 462 3030 RR/CC ELECTION INFO 1;21003 COUNTY OF LOS ANGELES REGISTRAR-RECORDER/COUNTY CLERK 12400 IMPERIAL HWY. F.O. BOX 1024, NORWALK, CALIFORNIA 90651-1021 (562)466- CONNY B. IvicCORMACK REGISTRAR-RECORDER/COUNTY CLERK May 14, 2007 This is a certified Abstract of an Affidavit of Registration currently on file with the Los Angeles County Registrar- Recorder/County Cleric The authenticity of this documentation bears the seal of the Registrar- Recorder/County Clerk Imprinted in purple ink, and may be verified, if necessary, by contacting the Election Information Section at (562) 466-131D, Monday through Friday, between 8 am. to 5 p.m The Abstract verifies the voter registration status of the person named below. It has been provided in lieu of a photocopy of the Affidavit of Registration and is evidence of citizenship for voting purposes only. Additional documentation may be necessary if used for proof of citizenship when traveling outside the United States. You may want to contact the foreign country's governmental tourism office or consult your travel agent_ CONNY B. McCORMACK REGISTRAR-RECORDEPJCOUNTY CLERK VOTER REGISTRATION ABSTRACT VOTER ID: 524995E07 STATUS: ACT WE NAME: MISS JAMIE WRIGHT CONDITION; NEW REG CONDITION DATE: 5/11/2007 ADDRESS: 202 AFFIDAVIT: 91AQ337608 PARTY: DEMOCRATIC REGISTRATION DATE: 51912007 BIRTHPLACE; USA AFFIDA VIT RECEIVED : 5/9/2007 R1E7E: MATE: MICROFILM NUMBER: 5906 2833 PARKS AND RECREATION APPLICANTSCITY OF CULVER CITY , 1770 CULVER SC)LUVARD P, 0_ BOX 507, CULVER CM'. CA. 90232-0507 2000 NAY 19 PM 51 CITY cLEPts APPLICATION AND BIOGRAPIITCAL DATA my OF CIII VE.P CITY FOR COMMISSION, BOARD OR ADVISORY COMMITTEE rifEMBERSIIIP (please lypt .' or priori The information contained on this form is for the use of the City Council in order to fitl vaCanCia City CurntnisNlott. Boards. Advisory Committees or Task ForcL ,c. However. nil information on this form will become a public reeord and be available for public inspection or duplication as authorized bv Separate applications must be submitted for eicJi body to which applicatiun is being made, General Information 1. Identify the Commission, Advisory Committer or Task Force to which appointment is desired: P CI viel. e- Ore4-01,1 Cc. IA rn 175"3/7)v‘ 2.If applyine for a position on the Landlord/Tenant likxliation Board, indicate whether you are applying as a tenant representative ( ), landlord reprtgoittAive ,) or member at-large representative ( ). • Call the Housing Division at (310 253-5780 iryva have any Ties-tit= mgartiiing eligibility for Lziallortirreilant Mraitition Mx:1rd positionr;,. 3. Name: CA f';-1 AT\ t Teloplion0 (-3 Address: Zip Business: Telephone- C. Address; . Zip _ acidres‘, Answer ii folio ., : ( Use additional sheels if irecussEtry) 4. Community Service (List boards-, commissions, committees and organizations on which you have served or cuireztly sorve; off- It:OS' hold and in; whzt city) ( 1- et1 t c.'xivaroly Ervpfoyeas rake pride In effecflreiy- provittrig The hIgire:st iVvels of service roaniid ertaiy of fife fur the arnnual?y by blifding orr our tradWarr of more than serient,'-five years of pr.4* $6.146:12, by our present cororrritmosit. arg,r 4 bY our fierrza.firv) .1t, meet the caal,lefrges af the fu.T.DraGeneral Information for Cary Anderson. APPLICATON AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP Item #4 Community Service Downtown Charrette in 1991 and in 1997. Two Term Windsor Fountain Condo BOD Member at Large Late 1980's Studio Drive-In Ad Hoc Committee mid 1990's East Washingtdh Planning Work Shop mid 1990's Graduate Sherman Texas Citizen Police Academy 1996 Graduate Culver City CERT 1998 Culver City Fire Department Strategic Planning Committee late 1990's National / National Transit Area Specific Plan Public Workshop 2006 Culver City Parks and Recreation Master Plan Public Workshop 2007/2008Page 2 of Application 5. rtnployment (Title and duties, current and past) KThANJ -atitt News p kal--9 :-.144ev- i< DLD V N &LI C4 viiN Vviqir. KV BL - -rv J vs CtXtev, rq Vrtet CrL k —iJ f\le:, Ca ipAorc v44 ir) Edneation (Ira:hale pro.fesair .m.al or vocational licenses and certificates.) 44- 'Y sk-'1" %)'%(,v;\ C.\\ ; f% 8 1— Ce r + kg4- Personal 7. Are you a U.S. citizen? Are you registered to vote in Culver City? 9 Have you ever been convicted, fined, imprisoned, or placed on probation for a felony or for a misdemeanor involving fraud? 10. Have, you ever worked for the City of Culver City? (If yes, fist dates and YES NO `4 manes of departments.) il Arc.' vOli relauxi to any current City employees or appointees of the City YES NO 7'- of Culver City? (lf yes, indicate name and relationship.) 12. Are you aware that .financial disclosure may he required annually? YES NO (e.g. sources of income,. loans and gifts, invest/lien's, interests in real property.) 13.Rules or law and ethics prohibit members from participating in and YES NO .>< voting on matters in which they may have a diced or indirectfinancial interest. Are you aware of any potential conflicts of interyst which may develop from your occupation or financial holdings lit rchtilon to your responsibilities as a member of the body to which you seclz appointment? (If yes, please indicate any potential conflicts.) 14. Have there been., or are there now, any business circumstances which YES NO '1( YES YES NO NO -""2( PRINTED ON RECYCLED PP.PF.RmiEht ma:x:1 adversely on the propriety of your serving is a member of any body to which you might be appointed? 11 Vow many mcetinss of the Commission, Board or Committee to which you are interested in being appointed have you attended in the fast year? -2— 16. How much time, on a monthly basis, do you anticipate spending on preparatioitfor and attendance at meetings of the body to which you desire appointment? hoJor_t 17. Why are you interested in appointment LO a City Commission, Board, Committee or Task Force? 54-rokA 5 ittk 'iwt9N3 LT- \?,\5 Pc-tr-V,s 0.4 .a Re.Crecu4--i-L. IS. %Vita is thae specifically in your background, training, education or interests which qualifies you as art vpoingee? AftA 1),A 4 51-44-e_f , 9 ves rine c. pe0-51) bcA-11 5 ,atc [i 4-c)u) /41"5 e- +ouiA i.eJ p,, l aea-4-- park t reci p ee.4101A IN eels, 19. What do you see as the objectives and goals of the body to which you seek appointment? j f ) meA t- 0 .-kc.) 4,1-4 opporkuil 20. How would you recommend The objectives and goals of the body be changed or au equented? tc+ 4-IA 1-4)/4 e Pcti'k Re cr-e_alcivi\ 1-\q. 54-er P )4v h Pt ch.\ r.51,-.8 21- How would you help achieve the body's established objectives and goals? c,1,1 4 9 .cettl k44\ c c>Pc-A Ivit\A Po 9,4- MIMEO UN HEG --YeLsr. PAPErcPage 4 of Application 22. What special qualities can you bring to the body to which you seek appointment? A Jc j -rc tAi g LA., r Pe Arev.6,j ct-AA át c -tcte - Tvt iv 44i* 4-e, dAcct '1h-foclnit44-jorA 9 Nein 40 kpie„ REMINDER: All information on this application will heroine a public record and be available, for public inspection or duplication as anthorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge Signature: Date: 5/141/4 You are invited to attach additional pages, enclose a copy of your =SUM', or submit supplemental formafion which you feel may assist the City Council in its evaluation of your application. S Cl bfrlit appiica 1 i011(S) and attachments to City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment. If a City resident. for how long? d if a City business ownerloperator. for I/ow !one Year of Birth 11 b3 Male Female Ethnicity LA; Sitaihe Fi=rienenok Pn PAPERD CITY- OF CULVER CITY 2006 HA Y j9 FM h : 39 Sty riJ CULVER BOULEVARD Ra BOX 507, CULVER CITY. CA. 90232-0507 CITY CITY OF cji ll_VEP C114. APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP' (pleav *pt. fir print) The information contained on this form is for the use or the City Council in Order to lin vactucies on City Commissions, Boards, Attvisoly 03,-amitrees or Task Porem However. nil Information on this r Eton/ and be . arailalie for iublie iipccioii or thp1kathin as authorized by law. Separate applications mist he submitted for each body to 'which apidiradiun LIS being made. General Information 1. Identify the Commission, Advisory Cornmittue or Task Force to which appointment is desired: ANip REc PEA-now ConnAirS'Sioti 2. If applyinz for a position on the Land to1'entri MdiaIior Bonrd. indicate whether you are applying as a tenant representative ), landlord reputscrantive or member at-large representative ( ). • Cl a the titi l ing nvision n 01025 -578p yut s have apy tiarestiong regarding eligibiliey far LandinzdiTedart Mediation Board position& 12I cHAR0 egZ-A-Ai9 3. Name: Telepbow ) Address: Zip Business: Tekplionc Address: Zip 5-inaii address: Answer the alviag.: ( additional sheets if necessary) 4. Commattity Service (List hoards. cOrrarii:ssir:inR. CornmirTr'its and organizations on which you have screed or currently aerve; offices held and it] what city) Enldr, -rg Ami l feri.- Aftv76/ 2- , 1 q" .5-0C111-710.11 —;46014-4. Ciit-/COO-APA 19A Mir% SEt AtthSki.-65 AcCi5 s -To COAL. -nor/ oc Abid5)— Cvr C4' &npTa.as rake pride IP eftP,cliveiy providirg iheiligfras1 Pew...1s- S'erViC, 2. 10 an.fich rho carafily-of kre tar the con1.13U04 blickringon OLT tieetion of more Vim) .setteury-fiveyeaf ot pubJi s&.-vir-o, by ow- pres gra oammittriont, argl by our darticalicrt ma& la& cligghatt ges ozbe rrn7rrtr1i urnmnirxr-rPage 2 of Application 5. Employment (Title and duties, current and past) I' m/el-y[0as v“ ca .44 — 5 id Cr |1010| -70 \A-ht,t,iitAl 0 Ili C. 6_ Education (Tru:lude pmfuSNionlil Or VOCatiOnal licenses and certificates.) 'U. 1 A- 0,m Up] I si- • J"-.' y CALA rortm ,A„ fJD1yP7 1/0 kt 6. Personal ,K • • 7. Are you a U.S. citizen? YES NO S. • Are you registered to vote in Cuhfer City? YES X NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor invoMng fraud? 10. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO X 11ar)e5 of dcp.artments.) LL Art y rOIatcY.1 to any curreni City employees or noointees of the City YPS NO advor City? (If yeS, indicate name ard. relationship.) 12. Are you aware that financial disclosure-may be required annually? YES '"•• NO- (e.g. sources of income, loans and gifts. ihvestrneniS., inteteSIS ui real property,) 13.Rules or law and ethics prohibit inembers from participating in and YES NO votinst on matters in which they may have a EliR:ct or indirect financial interest- Are you aware of any potential conflicts of interest. which may develop from your occupation or financial holdings in rchttitm tc your responSihifitiin as a member of the body to which you suck appointment? (If yes, please indicate any potential conflicts.) 141._ Have, there. been, or are there now, any business cirettmatance-s which YES NO tit I if f.,-5,4t C /14 g • A )4--“tftiLf--14 PRNTED ON EiEcyCLED FAPERPane 3 of Application might re-fitIct ativorsely on the propriety o( you serving as a . member of any body to which \Lou might be.:Ltppointed? 15. How Many mettiiiEs ot the Commission, Board or .Cornouttee to Which you are interested in hetng appointed have you attended in the last ycat? 16. How much rime, on a moat* basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? gov Ailo-vi 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Three? A &f.a/LI,Ar€ C ;AK) t 1 S (A /244-5 5cf2,/,‘6S g f i/v& A.440,0--EvE. Wil -P 6 A-Afo NaeL,_ 1-0 6E- A'C-nvi: Ftwc; Sie• LezeiS 18. What is there specifically in your background, training, .education or interests which qualifies you as an appointee? --1-• )4/hit .8f A-C.: 1 /bi 1 (11) 04- vete__ ci-ry -rikE etl-S-r L5 y 6,„L.5 A-NO pr.5 Eft, / Ji zg,i P1Kg off-7 ,-1-,vC oE BE IA.16- iNVO 1iJ &0 ,16.4"i/v1i/v/ 5 PaL IC --ro ,S.5 Ar-ifir-05- -a_ 1111AV-4.- CUlAffiz- C-t-rv (-A Ce. kr* BEL-1.4%/E 71415 --ryt 19. What do you see as the . objectives and goals of the body to %Aidh you seek appointment? "r0 .46 it ;JO WEIL Crr'l-.S • ti,,q.N-r. 5 — 1-0L .1 Cfra.f 12-fSe'0,4 18 4.1 -Thf 54-J-4 L ev+. ;plug-6 1 .'1.46- 15 ci 1-rt,E rAle-t4 c-A- t1 Co/vt44 tS LE.dr0 opin et& /0 A ( 1 05 -ri ir-6 4-no Al tVe -- "Me 20. How v.rouid you recouurznd the objf_Ttives and goals of the body be changed or anantenm:1? UAW 1.4 61 1,16- 640(1, Focas gOl4.7 -r 76-,--A-C ithod 0 CA-/-r5 -rp B -tierz- 6,4-44-se DAJI c 6-0 5 Or) CJ ,J Ar.f.9 C-,- /LIG- popie. i/J f 21- How would you help achieve the body's mtablished objectives and goals? .ofiAJ6 1-0 COivr -rfini A A f e-/g6P-6At A1 /1-s9 -r a,/ 7-a PRIM CaJI CM Ha:TOL:10 PAPE-I/5/1ctiOg Datc: Signatorc: Page 4 of Application E--PrCA4 A1,19 cArvis 6 -r7 --1/2 L//4 frZ_D m / A- ICACa5S 22. What special qualities can you bring to the body CO which you seek appointment? 6-(P.-rt1. -- FUS/4. 0 .t ek-A. r 4 0? -r,-(E, L COAPaykuvio%-c1/41 rsv 0 o5- flAJ1dy-- t (2-6c-c 6.xrEfe-1 eA ld2-14-.; A-Alv ao SO 2- v kces 1fr47' C %re C-rt 0 f- REMINDER: An information vo this application will become a public recoril mid be a.vollable for public inspection or dinork-ation as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge You arc invited to attach additional pages, enclose a copy of your resume, or submit supplemental in formation which you feel may assist the City Council in its evaloarion of your application. Submit application(s) and attachments to City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist tho City Council in sceking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submis.sion or appointment. If a City resident, (or how long? If a City business owner/operator for how long?. Year of Birth 1vIale )("-- Female_ Ethnicity CiAvcc. A g ita 5193:pre PALPATED OR REC'haED PAPERCITY OF CULVER CITY 9770 CULVER BOULEVARD PD_ BOX 507. CULVER CITY, CA_ 902322E NAY 6 pii 12: CID APPLICATION AND BIOGRAPHICAL ligtAr C C11 FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please zype or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public ins pection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General. Information 1. Identify the Commission, Advisory Committee or Task Force to which appointment is desired: Park and Recreation Commission 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a tenant representative ), landlord representative ( ) or member at-large representative C ). Call the Housing Division at (310) 253-5780 if you have any questions regarding eligibility for L/ndlordiTenant Mediation Board positions. John Richard Hudson (aka) Rick 3. Name: Telephoner Address:_ Business:_ Telephone ( Address: Answer the following: (Use additional sheets if necessary) 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) Currently the Varcity doash for CMS softball tearn- wagthe Junior Varcity coach for CCHS softball team. I am currently a Board Member of The Culver City Exchange Club, which includes the 4th of July fireworks show and Culver City Car Show, I was president of the Culver City National Little League for 16 years, District 25 -Little League, Culver City Youth football Board Member, Westsi Football Youth Conference, and recently graduated from the Culver City Citizens Poll Academy here in Culver City.- Culver City Employees take pride in effectively providing the highest levels of service to enrich the quality of life for the community by Wilding on our tradition of more than seventy-five years of public service, by our present commitment, and by our dedication to meet the challenges of the future_Page 2 of Application 5. Employment (Title and duties, current and past.) Owner/Operator of Culver Glass. Commercial and residential glass. Glass glazing for over 18 years. 2) Prior to that, I was the owner/operator of Hudson Construction here in Culver Cit 6. Education (Include professional or vocational licenses and certificates.) Culver City High School — graduate 1968 Santa Monica City College West Los Angeles City College University of California at Los Angeles B1 Contractors license since 1980 Personal XX 7. Are you a U.S. citizen? YES NO XX 8. Are you registered to vote in Culver City? YES NO XX 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? XX 10. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO names of departments.) 11. Are you related to any current City employees or appointees of the City of Culver City? (If yes, indicate name and relationship.) YES NO XX 12. Are you aware that financial disclosure may be required annually? YES NO (e.g. sources of income, loans and gifts, investments, interests in real property.) Kg: 13. Rules or law and ethics prohibit members from participating in and YES NO voting on matters in which they may have a direct or indirect financial interest Are you aware of an y potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) XX 14. Have there been, or are there now, any business circumstances which YES NO Page 3 of Application might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings of the Commission, Board or Com l mittee to which you are interested in being appointed have you attended in the last year? severa 16_ How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? However many hours are needed to serve the Commission and Community well. Being self-employed will allow me the flexibility to do this. 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? As a native of Culver City, I would like to contribute my services in making sure that our city's parks, recreation and community services are the best available f all our residents. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? I feel that my lenghly experience with various youth groups within Cu: City has positioned me to provide the.city with a high degree of quality services ( the issues in which this commission overseas I have been active in local sports programs on a regular basis as well as city events and have been a a participant it the National Adult Baseball Association-winning the World Series Title in 2002. HE- been activly involved in OUT local city events planned by the Exchange Club, such as the Culver City Car Show and it's local Fireworks show,„ along with Fiesta La Ballona for the past 4 years. 19: What do you see as the objectives and goals of the body to which you seek appointment? I believe that the Parks and Recreation Commission should advise the City Council o issues in the field of public parks and recreation. The Commisdion should seek to facilitate and provide a high quality parks and recfeation program and support facilities necessary to provide open space and basic leisure opportunities to all Culver City residents. The commission should also evaluate the city's recreation programs facilities, and services to ensure that its objective and goals are being achieved. 20. How would you recommend the objectives and goals of the body be changed or augmented? Before recommending an changes to the current Commissions goals and objectives, I would have to carefully reveiw their mission statement and the related goals and objectives they have focused on. 21. How would you help achieve the body's established objectives and goals? see next pagePage 4 of Application #21 cont... If appointed to the Commsission, I would help the body achieve it's established objectives and goals, by working closely and in cooperation with each member, and by providing the Commission with exceptional organizational and communication ski] 22 What special qualities can you brin_g. to the body to which you seek appointment? The special qualities that 1 would expect to bring to the Parks and Recreation Commission include the high standards that I set for myself in terms of hard work trust, honesty and dependability. I also believe that my inter-personal skills would benifit the Commission in terms of building good relationships with other groups and individual residents in the city. REMINDER: All information on this application will become a public record and be available for public inspection or du_plication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge Signature: c))) Date: May 17, 2008 You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90712-0507 010) 253-5851 AP • OPTIONAL Ta order to ossist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment, 57 years If a City resident, for how long? If a City business ovvner/operator, for how long? 16 years 1949 Xcaucasion Year of Birth Male Ferro le Ethnicity 5/98:jheCITY OF CULVER CITY CULVER BOULEVAPIF P.O_ 80X507, CULVER CITY_ CA. 9f.:2-13507 ! ) . - 2GET HAY 19 PM ti : 24 -f :TY Cl.:Pr% CI T Y OF f:TiA, EP Cii .tiPPLICATION AND MOGRAPRICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE — MEMBERSHIP (pteaw lype or plea) The information contained on this form is for the use of the City Council in order to fill vactincics City Commissions, Boards. Advisory Committee.s or Task Kates. However, an information on this rpm will become a public record and he ,evoilahle for public inspection or duplication es authorized hv Separate applications mut he submitted for each body le which applicatA ut is being made. General Information 1. Identify the Commission, Advisory Committee or Task Force to which appointment is desired; Prks anr1 Rpnresatirm rnmmission 2_ If appiying for a position on the Landlordifemmt &fedi/lion Board, indicate whether you are applying as a =ant representative f landked representative j or member at-large reptesentative LJ . - Call the Hoinlog Division at (310)253-5780 if you have any questiang twaving eligillky tor LandlonliTc000t gediution Board poxirions 3. Name: Ya.rlo Silbiger Tektphona (. Address: — Zip . Business: Telephone Address: Zip A awe; (Use add Worm? sheets necal-sory) 4. Coromanity Service (List boards, cormoissions, committees and organizations on which you have served or currently serve; offices held and io .oLhat city) Please see attached Coivar Cliyanployeas rake pride kl effecy proitiring ffiehighe41 SemIS & service to ernich the if tontitli cr fie far the cavt.nonity hiefouidog or] cur :matron ore ttrwa .sevents-.6 v e yaws crt public serv.tc. by our press t cortaoitrumit ,marf 4. our dscr lc nisei The ctIrti,eriges & tbc fuum. frigr/121:11==.11:171rAl,PPage 2 of Application 5. Employment (Tide and duties. current and past.) Please see attached 6. Education (include: professionsl or vointion al licenses and certificates.) Please see attached Personal 7. Are you a U.S. citizen? YES yx NO 8. Are you registered to vote in Culver City? YES yx NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO Yx probation for a felony or for a misdemeanor involving fraud? 10.Have you ever worked for the City of Culver City? (If yes, list dates and YES NO xx names of departments.) Li_ Are you reIattui to any current City employees or appointees of the City YES YY NO of Cuivcr City? (If ym, indicate name and relationship.) City Council Member Gary Silbiger, my father 12.Are you aware that financial disclosure nray be =gaited annually? YES Xx NO (e.g. sources of income, loans and gifts, investments. interests in real property.) 13. Rules or law and ethics prohibit members from participating in and YES voting on matters in which they may have a dirwzt or iedinect financial interest. Are you aware of any potential conflicts of intmest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek. appointment? (If yes, please indicate any poomtia/ conflicts.) 14. Have there been, or are there now, any business circumstances which YES NO XX PRIN1T=D FiECYCLiW PPPEFIPage 3 of AppUcatiori miaht n11eci advmsely on the prs.)priciy of your serving as a member of any body to which yOU might be appointed? 15_ How many meetings of the Commission, Board or CC/Ma/Wee to which you are interested in being appointed have you attended in the last year? 0 However, I have attended many school board and city council meet 16.How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? Please see attached 17. Why are you interested in appointment to a City Cotranission, Board : Committee or Task Force? Please see attached 18.What is dim specifically in your background, training. education or interests which qualifies you as an appointee? Please see attached 19. What do you see as the objectives and goals of the body to which you seek appointment? Please see attached 20. How would you recommend the objectives and goals of the body be chalqed or anzaenred? Please see attached 21_ How wouldyouhelp achievethebody's egabli-shcdobjectives and goals? Please see attached Ptouwountevo5.1)PAPEnPage 4 of Application 22. What special qualities can you bring to the body to which you seek appointment? Please see attached REMINDER: All information on this application will become a public record and he available for public inspection or duplication as authorized hal law_ I her&y =iffy that the fomotag information is cermet to IM hest of ttry knowledge Signature: Date: -mAy q nni3 YOU are invited to attach additional pages. enclose a copy of your resume, or submit supplemental in formatim which you fool may assist the City Council inks evaluation of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in steking to balance appointments in terms of neographic location of- residence and/or business. ethnicity gmder and age, the following information is desirable but not - required for application submission or appointment. If a City resident. for how long? 15 years tin City business owner/operator, for how long? Year of Birth 1982 Male XX Fenn& Ethnicitywh i :Le . SiftfiteKarlo Silbiger: Parks and Recreation Commission Application Questions 4. Community Service Commissioner Assembly Speaker-Elect Karen Bass' Education Commission 2007 — Present Community / Legislative Affairs and Publicity Chair Culver City Democratic Club 2007 — Present Active Member Friends of Culver City Animals 2005-Present Campaign Manager and Leader 10 Culver City Political Campaigns 1997 — 2008 Chair Boston University Martin Luther King, Jr. Celebration 2002 —2003 Vice-President and Honorees Banquet Chair Culver City Community Network 1997— 1999 Youth Soccer Coach Culver Palms YMCA Y Winners Program 1994-1998 5. Employment Social Studies Department Chair Anima Venice Charter High School 2007 — Present _ Math Enrichment Teacher Culver City Adult School Summer Program for Kids 2001 —2007 Curriculum Coordinator and School Committee Member Boston Workmen's Circle 2001 —2007Teacher Various Public and Private Schools in Boston 2001-2007 6_ Education Masters of Education, Education Policy and Management Harvard University Graduate School of Education Graduation: June, 2007 Bachelors of Science, Social Studies Education Boston University School of Education Graduation: May, 2005 Bachelors of Music, Music Education Boston University College of Fine Arts Graduation: May, 2005 Attended and Graduated from Culver City Public Schools 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? I am committed to Culver City and spend a lot of my time at school board meetings, city council meetings, Democratic Club work, campaign work, and organizing around issues of importance. That time probably adds up to at least 15 hours per month. That time will be devoted primarily to the commission, should I be appointed. However, during times when I have had to commit more time to Culver City work (like during campaigns), I have been able to find it. That would continue for those months where there is a lot of work to do and/or meetings to attend. 17. Why are you interested in appointment to a City Commission? I have been active in the Culver City community and government for many years. I have worked hard to try to improve the city for those who — live and work here. I am convinced that I would be able to continue, and even enhance, this work as a commissioner. The area of work of this commission, services for groups who need help (including youth), has been my life's work professionally and educationally and I know that I have a perspective that would be valuable to our city. 18. What is there specifically in your background, training, education, or interests which qualifies you as an appointee?I have extensive experience in the field of education both as a teacher and as an educational leader. Given my level of experience and education, I know well what the students of Culver City need in order to be successful in the schools. As a former teacher with the Culver City school district and a regular attendee of Culver City School Board meetings, I am well aware of the work of the school district and can serve as a conduit between the city and school district to form closer connections. Since the Parks and Recreation department focuses on supporting students during their non-school hours, it is important for them to be aware of the work being done in schools so that the city can use recreation and other community services to ensure school success. My experience will absolutely support that goal. In addition, my age (I believe that I would be the ri commissioner in Culver City to be appointed before age 30) would give me an important perspective on the commission. I am a former student in Culver City and a user of the parks, youth sports program, recreational programs, etc. in the recent past. While it is also important to have parents, youth sports enthusiasts, seniors, and other groups represented on the commission, since the department serves a lot of young people, it would be important to have a young person on the commission. I know that I can serve as that voice. In addition, my connection to the Culver City Democratic Club and Karen Bass's Education commission puts me in a good position to advocate for the commission's and city's goals throughout the community. My connection to the Speaker-Elect and her staff is especially noteworthy given the limited funding that the city now gets for this department's programs. 19. What do you see as the objectives and goals of the body to which you seek appointment? The Parks and Recreation Commission works with the City Council, City Staff, and the community to provide the highest level of programs for the people of Culver City. This includes ensuring that parks are well- maintained and meet the needs of the families and sports programs that use them, providing recreation programs that augment the programs in the school district and support young people in their development, manage the senior center and programs for seniors, and provide programs for the betterment of the community Ideally, the commission will constantly be meeting with members of the public to get input into their ideas for improving the department's services and developing new and creative ways to add services with our limited services.20. How would you recommend the objectives and goals of the body be changed or augmented? The commission should set up regular meetings with the neighbors at parks throughout the city to hear from them about the work that they would like to see at their parks. These meetings could develop work plans to improve the qnnlity of the parks. We also must work with these residents to make sure that all of our parks (including our skateboard park) are safe and secure for all to use with proper supervision. Another goal could be to augment the work that they do in the field of human relations. With a community as diverse as ours, we need to celebrate our diversity and plan ways that we can support those working on education and event planning. A third possible change could be to work with the city to try to increase our city's open spaces and greenery. With every new development comes a loss of our open space (which is already low as measured by national standards). This commission could play an important role in helping to maintain our community's feel and environment. Finally, as was mentioned earlier, I see this commission as an important link between the school district and the city. We must work to find ways to use our programming after school and during the summers to augment the material and skills taught in our school system. This could include professional internship opportunities with local businesses, for example. 21. How would you help achieve the body's established objectives and goals? My experience makes me a uniquely qualified candidate for this position. My experience in education (and specifically in school and community partnerships) gives me the skills and knowledge to help establish a better working relationship between the city and school district. My background in planning events (including Martin Luther King celebrations) and in working on diversity issues in schools and in the community provides me with the necessary background for the Hinman Relations component. My connection to the community through numerous volunteer leadership positions gives me the working knowledge of the city's government and— structure to be effective. And my background in youth sports and other recreation activities (both as a participant and as a leader) gives me real first hand knowledge of our current services and how they could be improved. 22. What special qualities can you bring to the body to which you seek appointment?In addition to the ones listed above, I would like to highlight my age. While I would never advocate appointing someone because of age (or any other such characteristic), I think that it is important that our city's commissions, committees, and boards reflect the true diversity of our city. When our appointed officials include no members under the age of 30, there is an important segment of the population missing. This is especially true for this commission that does so much work with the youth of Culver City. I went to the recreation department's after school program at the Blanco park SAC when I was a student there. I played and coached in youth sports in our parks. I went to the recreation department's ceramics classes at El Marino Park. And I have taught Culver City's children through the Adult School's Summer Program. I know this department's services, I have experience within this commission's area of work, and look forward to continuing my service in Culver City.APPLICATION AND BIOGRAPHICAL DATA RECEIVE ('OR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP 2000 MAY I PM I :1.12 (plearie typo to- print) CITY CLAN CITY OF CiiirMineilliiiation contained an this form is for the use of the City Council in order to fill .vacancie. on City Commissions, Boards, Advisory Committees or Task Forces, However, nil information on this form Nvill become a puddle mord and lin avoiloble for nahlic inspection or dn1icnth,n as authorized by law, Scparditc applications must be suhmitted for each body to which application ig eing made General fttfortnation ci\J I. Identify the Advisory COninkillee or Task Force to which appointment is desired: If applying for a position on the LIITKIICIPerttlliMi Mediation Board, indicate whether you are applyinp, as a tenant representative ( ), landlord repn;seninlive ) or member at-huge representative Li. Call the ElousingDi skm tn 010 2.53,5780 ii'yom haw any gilotioni. regarding cligillthry tbr Landiontri Birati pmithanN. 3. Name: Okkr+ . Address _,, : 711, (1_ Business: Telepholie Address; Zip fi-nmilacictruss: Answer the fale,wini!: ((JAY! midi iiarkti sheax Lim:es-Ivry) 4. efirilltnillitY service (List hoards, eiNtuniAMons, committees and organizations on which you have served Or currently serve: offices held arid in what eiiy.) kriurotPage 2 of Application 5. Employment (Title and duties. current and past.) -50(1 me/A- $ou Ey16;'Aeer it .) +1,jor 54o e_ ( beC p+; S 6. Education *cluck: professional fir vocational licenses and certificates.) Vece 1-1-1 5k Sckool 5e„- 4-- mon c . Col V OLI ('e (0 //e,5e Personal 7. Are you a U. S. citizen? YES X NO g. Are you registered to vote in Culver City? YES X NO 9, Have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (ryes. list dates and YES NO X mi rileS of depart Ment.S.) 11. Are you related lo an y col-rein City employees or appointees of the City VP Nn X or Cul vi.tr City? (If veg, indicate ;tame and relationship.) 12. Are you aware that financial disclosure may be re quired annually? YES X NO (e.g. sources of income, loans and gifts, in v ii nL. interests in real property.) 13. Rules or law and ethics prohibit members from participating in and YES 1\10_,X voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of inicrest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) 14, HOvc ihon: ivo.,11, or arc there now, any business circumstances which PRINT eD puri FitCYCILV FR-',614 YES NO XPage 3 of Application mitthl reflect adwrstly on the propriety of your servinu . as a Erizrr1b2r of any body to which you might be appointed? 15_ How many meet2ng.5 of the Commission_ Board Or Committee to which you are interested in being appointed have you attended in the last ycar?__ iv/ work Skot.5 16. How much time, on a monthly basis, do you anticipale pnLii ng on preparation for and attendance at meetings of the body to which you desire appointment? (0—l2 kourS Per- pr( +-I-, 17. Why are you interested in appointment to a (icy Commission, Board., Committee or Task Force? t)Jo U t c(.I 1- jK 4 b re_C-H y iAtidifek Fo u re_ Cu kic r s 4- S ueS2_ 6 Y CO U 1 1 Y. ciNi 1.g. What is there specifically in your background, training, education or interests which qualifies you as an appointee? 4-4 ,& ver y krse_ )+y r ‘6"4-'`) en 4-e r--k- - e FroeStucl-C6A) Per4-14ritealL &k," 4 i‘ 414 E To Y. fke- o0+gooFS ke 1 k_Sr +k -1- A- YO S \ +ekor•A. 19. What do you see as the objectives and goals of the body to which you seek appointment? ;6-,< c4-0 D-0 1 . I e --f--- I ±k • ci . v 2en6 0. ITStcrt ccJ ot-c."4". QT') +k A (D17- C- /".1. 20. How 1.vould you recommend the objectives and goals of the body be ?hanged or augmented? c Ave T )('‘ _hve_ N o ifke 21- How would you help achieve the body's established objectives and goals? MINI EL) UN 1kUvUL€D 0Signature: Date: Page 4 of Application \` (A3j.L keir- Coryt 1+4-e-e_ IL° ck_ck4, e___ 00 r 6-cod 22. What special qualities can you bring E0 the body to which you sectiz appointment? R, 10e_55 C o //IA rvn o etASe_ Pe A) REMINDER: Al! information on this application will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge You an invited to attach additional pages, enclose a copy of your ItStIMC, or submit supplemental inform:Ilion which you feel may assist the City Council in its evaluation of your application_ Submit applicatiou(s.) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City , CA 90232-0507 (310)253-5851 OPTIONAL In order to assist tile, City Council in s=kititt to balance app cimien1s in terms of geographic location of residence and/or business, ethnicity, gender and age. the . following inlbrmation is desirable but not required for application submission or appointment. If a City resident, for how long,? If a City business owner/operator, for how lone af_e_j Year of Birth., 1'' t Mate x Temalo " Ethnicity b...) SATS:jhe 1,111F1101,.:RCfl FWERZip ! Address: !. Business: Address: Phone Zip CITY OF CULVFR CITY R E C E I v 9770 CULVER BOULEVARD, CULVER CITY, CALIFORNIA 90232-0M 7 itm y 7 pm 5: 1 8 (fr y CLEWA CITY OF CULVER CiTV APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Identify the Commissions, Advisory Committee or Task Force to which appointment is desired: Parks and Recreation Commission 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a Tenant Representative ( ), Landlord Representative ( ), or Member-at-Large Representative ( ). Call the Housing Division at (310) 253-5780 if you have any questions regarding eligibility for Landlord/Tenant Mediation Board positions. 3. Name: James Wright Phone Answer the following: (Use additional sheets if -necessary) 4. Community Service (List boards, commissions, committees Ind organizations on which you have served or currently serve; offices held and in what city.) Little League Baseball Coach —City of Los Angeles Rec and Parks Chairman --California State Executive Board Veterans Employment Committee Chairman — Southern California Veterans Employment Committee, Ventura — San Diego Member of the American Legion, Los Angeles, CA Toastmaster International, Torrance, CAPage 2 5. Employment (Title and duties, current and past) 01/02 — Present U.S. Vets Initiative, Inglewood, CA Workforce Coordinator Hire, train and terminate employees. Research, write and secure State and Federal punts. Write reports, Supervise daily activities for career center. Advocate for veteran rights and benefits. Maintain a professional rapport and coordinate all local, state and federal political activities. 1/92 — 01/02 City. of Los Angeles Wilshire-Metro WorkSource Center, Los Angeles, CA Director Managed 5700,000 Workforce Development budget Hired, -trained and terminated employees. Conducted how to hire and fire employees training. Wrote grants. Monitored contracts to insure contract compliance_ 6. Education (Include professional or vocational licenses and certificates.) University of California at Redland, Bachelors Degree Business Admin Glendale College of Law, Jurist Doctorate EQ Personal 7. Are you a United States citizen? YES X NO 8. Are you registered to vote in Culver City? YES X NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, list YES NO X dates and names of departments) 11_ Are you related to any current City employees or appointees YES NO X of the City of Culver City? (If yes, indicate name and relationship) 1 9 . Are you aware that financial disclosure may be required annually? YES NO X (e.g. sources of income, loans and gills, investments, interests in real property) 13. Rules or law and ethics prohibit members Com participating in and YES NO X voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts) 14. Have there been, or are there now, any business circumstances YES NO X_ which might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed?Date: Signature: (L'-ik) Page 3 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you attended in the last year? N/A 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? 25 hrs per month 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? To maintain safe and enjoyable recreational activities for all residents, especially seniors. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? Volunteer Little League Coach, Los Angeles City Park. Volunteer Senior Veteran Representative 19. What do you see as the objectives and goals of the body to which you seek appointment? Act as a facilitator/advocate for activities in Parks and Recreation. Boost Community involvement to insure needed activities for better living environment. How would you recommend the objectives and goals of the body he changed or augmented? Augment activities to bring additional revenue to Culver City that will keep our city safe and include all segments of the population. 21. How would you help achieve the body's established objectives and goals? Review best practices of other Cities that are similar to Culver City. 22. What special qualities can you bring to the body to which you seek appointment? Past Voinnteer Little League Coach. Excellent Listener, Fair, and Dependable. Ability to analyze and solve problems without becoming personally involved. REMDER AU information on this application will become a public record and be available for public inspection or duplication as authorized by law. - I hereby certify that the foregoing information-is correct to the best of my knowledge. You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application.Page 4 Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, California 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment If a City resident, for how long? 15 If a City business owner/operator, for how long? N/A Year of Birth Male Female X Ethnicity HOMELESSNES S COMMITTEE APPLICANTSL.) (TT, L- i Ts L. 21108 KAY 19 PM 51 Gu y CLA CITY OF ctiLvFR APPLICATION AND BIOGRAPHICAL DATA FOR COMMLSSION, BOARD OR ADVISORY COMMITTEE MENIBERS1411) (pleag type in-print) CITY OF CULVER CITY si770 CULVER BOULEVARD RO_ BOX 507, CULVER CITY, CA. 90232-0507 The informatio» contained on this form is for the use of the City Council in order to fill vaCaD.CieS on City C.ornmissions, Boards. Advisor), Committees or Task Perms- However. nil information on this form will become t public retard and be _ova:Awe b ed otion as authorized bv Separate applications must be submitted for each body to which applicutinn is being made. General Information J. Mentify the Commission, Advisory Committee or Task Force to which appointment is desired: 14D q _le6selcsS (A - Lqr-qr Tf -t applying for a position on the Landlord/reliant Mediation Board, indicate whether you am applying as a tenant representative ( ), landlord reprmntative ) or member at-large representative • Call the HoLmins Division at 010) 233-5780 if you kus any queslionn resardingeLgibIflty tor Landlord/Mum Motliaijon Bbartl 3, Name: Car Artilt (VA Telephone( Address: . _ . Zip Business: Teiephone (-2.13) Address: Zip E-maiI address: A rmver ih ja1011,41.1gr: (U-Sk thirittirmal sheet.). if necessary) 4. Corantonity Service (List hoards, ci-mtmissions, coniminPes and organizations on which you have served or cull nay EZI:vc; Ofacus held and io what city.) - ' Se e /4-1- ffi Sket. CuivrAr C±y Envie:rags Cake pride :r7 effocgve?yprovierrig the thrg.5-1 i'ev.,. .ns of service to anricir rho quay .of (or the commooity Ly building on ourGeneral Information for Cary Anderson. APPLICATON AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP Item #4 Community Service Downtown Charrette in 1991 and in 1997. Two Term Windsor Fountain Condo BOD Member at Large Late 1980's Studio Drive-In Ad Hoc Committee mid 1990's East Washington Planning Work Shop mid 1990's Graduate Sherman Texas Citizen Police Academy 1996 Graduate Culver City CERT 1998 Culver City Fire Department Strategic Planning Committee late 1990's National / National Transit Area Specific Plan Public Workshop 2006 Culver City Parks and Recreation Master Plan Public Workshop 2007/2008Page 2 of Application 5. Employment (Title and duties, current and past) ilN1 (k 14.4-e 51,114- oCo -TA.) , Ne,t)._5 rit eV' 0 v044 \) wIt.teo4a ii-r V ith 6Prov4 6. Ethical:ion (incluck: profcssinrail or vocational licenses and certificates.) Gehort),\ 1-iva yurt Cet-4.1-c.-c60-e Personal 7. Are you a US, citizen? YES NO 8. Are you registered to vote in Culver Cig? YES A- NO 9. Have you ever been convicted, fined imprisoned, or placed on YES NO probation fin- a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? CU yes, list dates and YES NO rtarnes of &pal-MOMS.) IL Aro y ou related to any current Cray employees or appointees of the City YES NO of Culver City? (If yes, indicate name and relationship.) 12. Are you aware that financial disclosure may be required annually? YES \-1 -- NO (e.g. sources of income, loans and gifts, investments, interests in real property,) 13.Rules or law and ethics prohibit members from participating in and YES NG \ils, voting on matters in which they may have aclin-et or indirect financial interest. Are you aware of any potential conflicts of intaest which may develop from your occupation or financial holdings in relation to your re5portIcihi tides= as a member of the body to which you tckappointment? (If ves, please indicate any potentia/ conflicts.) 14. Have there been, or are there now, any business circumstances which YES NO Page 3 of Application might refIxt ;n1vel-a-4y on the propriety of your wrving as a member of any body to which you minti be appointed? 15_ Now marry meedinEs of the Commission, Boittrd or Committee to which you are interested in being appoilvd lut.,:e you attended in the last year? r‘c-\r Sc ov. 16 How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at 'Llneetirw of the body to which you desire appointment? (t3 P Y 17. Why are you interested in appointment to a City Commission, Board, Committee or Task 'Force? • rz be .cmi\tt our 44 \e (vj. 1& What is there specifically in your background, training, education or interests which qua.liftes you as aro appoirritAt? war- k Nes )S yu,o, lectie Hofrve )-€55 neS boo,-j +44e- Ale4lt-4 Lf 4-41k-c 19. What do you see as the objectives and goals of thff body to which you seek appointment? P N--, Ito CE +. of- +tit ,hom (ler; cl i/4 p eek OD k 20. How would you recommend the objectives and goals of the body be changed or augmented? i\46t 1ke ±hc Lir-6,4) (ktors\e ieSSness aphm -)4te) ze \);-ja 21. How would you help achieve the. body's established objectives and goals? ciro, as 9 tv S21" v-- 114\ n Pitlij -4v /IA vRckirFil r'n PAPERPage 4 of Application 22_ What special qualities can you bring to the body co which you seek appointment? A- v e 5-6-0 IA 1 re 5 ea.,-(AN c=-1-it)v% •vd-ei I ike))r- 14 LAC -411C. C'-i-Nat!RVIA C\\C.CV., iNV4V. M ak-10 . v‘ 0 N ev, e REMINDER: All information on ibis application will become a public record and be available fur public inspection or duplication as authorized bv I hereby certify that the foregoing information is correct to the best of my knowledge Signatum: You are invited to attach additional pages. enclose a copy of your =sum, or submit supplemental in fornu t ion which you feel may assist the City Council in its evaluation of your application_ Submit application(s) and attachments to City of Culver city Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (31(J) 253-5351 OPTIONAL In order to assist the City Council in socking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment,. If a City resident, for how long? '-2-1,-jettiq rf a City business ownerioperator, for how tong? Y Year of Birth, Male Female Ethnicity 14-41 519S: pie c.snITC, Crl [MO=CITY OF CULVER CITY f JU CULVER BOULEVARD Ra BOX 507. CULVER MY. GA. 90232-0507 ;--:? I- an MAY 19 PM tO6_ CITY CC APPLICATION AND moGRAPHicAL DATA CAPf OF CO L'4 FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please 0-fire or-in-10 The information contained on this fomi is for the use of tie City Connell in order ED 1111 vaCanCiCS City Commissions Buards, Advisory Committees or Task tworce, However, all infontartion on this form will become a public mtard and he available for pub& inspection or dnplication as authorized bi! Separate applications mast he submitted for each body to which application is being made. General Information I. Identify the Commission, Advisor)! Committee or Task Force to which appointment is tiettr ' ed.; I-IôMi5s//E55 c 0 14M IITE 2. If applying for a position on the Landlord/Tenant Mediation Board 1 indicate whether you are applying as a tenant representative landlord trepresenuitive ) or member at-large representative (__). Call the flaming Division at (310) 2.51-57801F!retr ka yo arry quer:inns reputing eligibility kw LandiendrfesamtMccliainit 1kardritt4EialU. 1.` 3. Name: 1--E2 -1-1E bRAzg_ .Tclephone Address: 7.111 BilSiTECSS: Telephone (. r –.— Address: - E-mail address: An-YLVer fIu f l lli thu: (lice addiriaruzi sheer: ft. necessary,: 4. Commurrity Service (List boards, cor111171W(InS,. committees and organizations on which you have served or cult-way serve; offices held and it what city) PR-ES) PEN T FoX f-iiLL,5 AiEl&Hf301(HooP ASS OcIAT lo P40/4 Beg., cm-vat c atry commtrreE 1:::uhear a'tpr Eraplayaas takapiëdir,effec§velypruving ihe higlre.,5# of service 10 enrich rfre. quality lee for the carrnorlity buffaYng on cmi Inidltiart of ewre Vian $‘-wrify-tvc yvars c putztic Ly our ptasanz cortaramont, and by our deification ID meal Ihe r aaerrges d he Muca tri,6115,-1111TVIDLI1r2r.TPPage 2 of Application 5. Employment (Tide and duties, current and past.) wiLL/A4413 REAL-Ty g_EAL g5TATE KEL,I4L 6. Education (Include pnifessional or vcicta clonal Iicenges and certificates.) REAL 65TA1e LitEAlsE (CALIFMNIA-) KLA (BA peOfze-6) Personal 7. Are you a U.S. citizen? YES X NO ar. Are you registered to vote in Culver City? YES NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? fit yes, list dates and YES No X names of departments.) IL Arcyou related loony current City eiriv105,Tes ornppointees of the city NO r-ce,") (If :nrikort. r-iniw nriti gintigne-rept) 12. Are you aware that financial disclosure may be required tififteally? YES X.NO (e.g. sources of Income, loans and gifts. v rrLcuLL intervas hi :cal ProllertY-) 13.Rules or law and ethics prohibit members from participating in and YES NO voting OR matters in which they may have a direct or indirect financial intelest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities 35 a rirrilr of the body to which you seek appointment? (If ves, please indicate any potential conflicts.) 14, Have there bean, or are there now, any business circumstances which YES NO PRINTED ON Rt-CYCLW PAPERPage 3 of Appficatiort might rofieta adversely on the pro-priciy of your serving as a member of any body to which you might be :,tppoiroted? 15_ How many meetings of the Commission, Board or Committee to which you are intentsted in being appointed have you attended in the last year? 7 16. HOW much time. on a monthly basis, do you anticipate spending, on preparation for and attendance at meetings of the body tO which you desire appointment? tiO9Z5 POZi /40141,1 IT Why are you interested in appointruem to a City COMMISSi011, Board, Commit= or TaskForce? To OE -RV L/AISbd &Maki FoX HILLS xEsiogars ietosiNgsse.s AND city UN MI5 IMPOPTANI- 155(/ I& What is there specifically in your bactground„ training, education or interests which qualifies you as an appoiifice? A5 PUsiPeat OF nx, /v16-thilogifoOD ASsocIATION I 1,6A94Eit, my comfrivkliTy. As A 0'1212.6- n1r A4EM0E12-• OF VIE if0Mete.55/VES5 COMM ITTEE' 1 14,4-Vg LEARNED A4VCd Al3CRITTNI5 t5svE. 19. What do you see as the objectives anct goals of the. body to which you seek appointment? TO ,A1VI5E erry coutuicll- 014 HOMEL65,51\16.55 /55V45 AFFeCTING OW- cry. 20: How would you rcDornmand the objectives and goals of the body he -chanb.T, ' d or augmented? NO C1llitJeE5 NeeEssAgy 2 L Howl-vapid you help achieve the body's established objectives and goals? I WILL gebe Ad OPE/4 AM) OagalvE MraP A-di) Wel 183 C GYCLCPAPEr4 fAg:ricipkraPage 4 of Apoliudtion 22_ What special qualities can you bring to the body w which you seek appointment? 14014E57y , F A ip-NE.5 5 , iNTE. GA, fly REMINDER: All information on lbis appliation will become a Doh& record and be available for public inspection or dooficatiOnt as authorized by law. I hereby certify that the foregoing Information is correct to the hest of my knowledge Signature: 14/ *kik Date: 59'pe You are invited to attach additional pars. enclose a copy of your resume, or submit supplemental information tvhicb you feel may assist the City Council in its Mhiald011 of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9710 Culver Boulevard. Culver City, CA 90232-0507 (31G) 253-5851 OPTIONAL hi order to assist the City Council in seeking to balance appointments in terms of zeograpilie location of residence and/or business, ethnicity. gender and age, the following information is desirable but not required for application submission or apr intrtiont. Ma City resident, for how long? yizs If a City business owner/operator, for how Long? Year of Birth, 19497 Male Female X EthiliciryAMICAN AMERIC4/4 5193:AkeCITY OF CULVER CITY r U770 CULVER BOULEVARD P.O_ BOX S07, CULVER CITY_ CA,. 90232-1:J507 20gS MAY 1 9 . 3: 42 riTv Tr7k APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (plea.,w type or print) The information contained on this form is for the use of the City Council in order to tilt vacancies oil City Commissions, Boards, Advisory Committivs or Task Forces. However, nil information on this or do Hendon as s • authorized by law. Separate applications must he minnitted for each body to which application is being made. General Information 1. Identify the Commission, Advisory Cinnmittce or Task . Fore to which appointment is desired; CohNlysi44,e,e,_ 2_ if applying for a position on Undlonifienoot lvferritnioo Board, indicate whether you are appfying as a tenant representative ( ), landlord mpreseniative ( ) or member at-large representative ( Call the Housing Division in (310) 253-5780 .iC youbwc Any questionR regarding elbility for Landtordtretimt M n edian i41 Hoard pasicions. riTy ! O F 3. Name: \PkVi.kotr-, 06‘, 1,1 41 5 Mk:OK= Address: Zip Business: Telephone ( Address: Zip E-mail address: I Answer I lyeqivirtf Use . .! f lona') .vittx.f.f Accusselly.i 4. Community Service (List hoards, oiurimissions, committees and organizations on which you have served or currently serve offices held tnd ia what &fly-) V\ t-oit^ p ec Seto kKo ay\ b Cr: 1-(rd' 'S Cr) C ' 6)i .1 ao I au V._ 40 1'. ir 1,Qctvd oili9c5,4u k tc, /4. I.cQ L rfr,eLtsa_ o to _GAT 'OA, Ctilvar City Fraoloyeas 13 k9 prett Dfferlively pizvictingThe filfte6 .1 levels of sgivice to ankh rho quaRy We for the ca:rarnonity buffriing on our treditfon of aore Mara seventy-five years of public saMco, by Oirrpresont camittfrord, And by mir tferficatirm to meet Tho challefroes of the fune- -.octoc-L r pc, 5 4-- jo) G c peOpi•IZ p nPa-r . yt-v c e.c-epf-Co44. ek. €C 'Pi "er•CA Page 2 of Application 5. Employment. (Title and duties. current and past.) Ifv,,,J a_5 et 44.1-eu -5i=o ^ Po k6-e-4-L ir te\&%••‘) z_, 5z.ci vvvot1t ül-z okok,_e_ fc.A.A.A 4-1445',, foJe4j12,4 1 ow, pir-oc-,2 55 0 5 6. Eduelriat c`nr"' -erv-c c.c.( C tec-adl ;,n5 gm:111.de prCIc 'nInIJI or vocational licenses and certificates.) 0 %it-Nr 1---j uv ok, --e-ct fAs-cx covv,vvwy. SivIc...t +4,2., a_ vk •-1C1"2-V;;51(11‘. tA•CIA- 144(z) Ct- vu 5 CNA 1, U ietetieva -Coy toisocturiv„) .--LtAcA r /01 O wz,- sti YES V NO YES Vif NO 9. Have you ever be-en convicted, fined, imprisoned, or placed on YES NO V probation for a felony or for a misdemeanor involving .frand.? lO. Have you ever worked for the City of Culver City? (if yes, list dates and. YES NO \e/ names of depanrnents.) 11. Arc you related to any current City employees or appointees of the City YES NO V of Culver City? (If yes, indicate name and relationship.) Personal 7. Are you a US. citizen? Are you registered to vote in Culver City? YES11 NO 12. Are you aware that financial disclosure may be required annually? (e.g. sources of income, loans and gifts, investments. interests in real property.) 13.Rules or law imd ethics prohibit members from participating in and YES NO \I voting on matters in which they Dirty have a direct or indirect financial interest. Are you aware of any potential conflicts. of interest which may develop from your occupation or financial holdings in relation to yew- responsibilities as a member of the body to which you sc=k appointment? (If yes. please indicate any potential conflicts.) 14. Have there been. or are there now any business circumstances which YES NO Pane 3 of Application might reflect adversely on the propriety of your serving as a ntember or any body to which you might be appointed? 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you atiended in the last ckicAte.ci/ u:e0r-e- 11 pn_t 13ctit|1010|?ck, Cy- ctivs-r afAvri , r ,e.„s eqvc-1,6 v,c) GA. v\A . La- vk °ter tethor,i5 ot,a, LeSS, 17. Why are you interested in appointinent to a City Commission, Board, Committee or Task Force? quick- jAdl. otou Ci- 1-100,-Q45Luiver, civtok v3r. ' t 04_ 5viv\kk u1/4): .141v\ -4/4 I-os 4iA5,d-es, • tAi otok.4- t-ectirv Avor-e- 410e -1-4--e PGL t,-)kt-r tckftv-- our-t. Le, tv`) r`,,Li5-zeL A 64, at A. p if4 C Li C `.3 tki-e C ,-, IS. WhatF tsg 4Vpg Eicly ini%r;r"' h .c it aariTund, training, education or interests which qualifies you as lin appointee? u PIN" te.Airj tichi t^v e,Ct2J2t^C , ct-5 p pk,,Ac ) 1.0 imftitti--- ( ceire,0 04 1L f ra,-1 5v•-.0124-\,1 19. Wirt An you cePt .`4 the Objectives and goals of the body to which you seek appointment? t--a-1 +6, k- •444_ 0 to - I ed. ,' o e_c i:, -c--- -1-t--z_ kiplivvies ",-, s Co in,j+fe ,e, ; c to 5 ii- o't-tA.--e3; Cri t( ot.e,o, to 4:17' ok ,,,, 40 c t'cA z &Id ci j 2- r - . - - it--\-Q— CLA"^-0‘-NA\- 0 4-- l'Aor"-e.- La s c) ffop te 1 a ,( ( L., Li 1 -4' Y-LP..., 1 ---- P i ,--n Iv\ ' i.v.ck_ I rk-e._ C u *A.c.c "'IA 5 0 -k - -- ft-9— C L . i- i-z,evi. 5 0(2 C-Avev cif 20. How would you recommend the objectives and goals of the body be changed or augmented? 96'1( o 4- ALL vtoi,,,z- comp, Jae- c i/v4 (4_,-) 04- CA CO (01--e C; i" cti,vA 51,1sAct 4--kk : / 0,--1.A ,q.5S;')-11-ii.,(3 40 t'Eck qAct, IDA') 5k-itzlit-425-t -42 .j, c,i icA 'L (S 5 zo.c. co.4-51-1, 16 How much time, on a monthly basis, do you unticipato spending on preparation for and attendance at meetings of the body to which you desire appointment? p icy\ 4 19 5 P-e-Laj1") 0,0 ...IA*of V f1 ej ob_e cu,o, bt,? Arey,s polka ct fte.k. CaN`-‘,"•' 2L Flow would you help achieve the body's esuibtislied objectives and goals? nuna .11 ram cr. otorre-Da,,. 5 fge/Oc6 Page 4 of Application bJtc A•Af t,-\k oLcL.t.e u cnko4vlAekt .A\) c 6A-ki j tc,t-t 4-1-\tAN- trt-ezek 110 Royvvd-aSS \-Q—' Les5yve 101 i v‘,-) SOC -e (.Q.;:ctej vCiiP -e -Act ; L j aesck; What special qualities can you bring to the body to which you seek appointment? LiN c DinOptss L t1) Ck LA) oir I( 1- 0 1/A Oti‘,n-ele 54 3 Vvess C 0 trywor-- AVe -C, - 0.n.(NN, L kAit : ii 14-Zir Ck \ 013 11-Cdc( J2-- Ctep kr`QC-6 1,t_ t, \--c elo triNA,v) OW v" Or- cA- q-"cX 01/4-etifec,s,-a ,1)-41, .pgot01 .-e, . .REMINDER: All informal:kill on this anprteation will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is corred to the beat of my knowledge You arc invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application_ Submit .applicaniotifs) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 C310) 253-5851 OFTIONA L In order to assist the City Council in Seeking. to balance appointments in terms of geographic le - L.:adult or residence and/or business, gawkily, gender and age. the following information_ is desirable but not required for application submission or appointment. • If a City resident, for how long? If a City business owner/operator, for how long? Year of Birth 1 1 Male I Female Ethnicity g-tr'icA Apieltet siqt!ihe ParktiPfl Oh/ RES:NAMED PAPERWANTON D. DAVIS EDUCATION: BA, Howard University School of Communications Major: TV/Film Minor: Education EXPERIENCE: 7/06-4/07 IGN Entertainment Consultant/Video Producer: Consulted website on delivering broadcast quality video clips. Organized structure and delivery schedule for web based show. 3105-2/06 G4 Media, G4 Sports: Training Camp with Eddie George Seyries Producer/Creator/Show Runner: Created, Produced and Developed show structure and content. Managed every aspect of production featuring high profile professional athletes. Oversaw a team of producers and coordinators, compiled show rundowns, field directed, managed budgets, and booked show talent. Acted as liaison between athlete's management television show. 602-3/05 G4 Media, Sweat /G4 Sports Series Producer: Wrote, produced and field directed show featuring video packages which profile sports and sports videogames. Compiled show rundowns, built show ideas, interviewed a plethora of professional athletes, and oversaw show from rtrinngaptinn to cOrripic4inn. 8/01-6/02 MTV, DisMissed Producer: Coordinated contestant dates, conducted interviews, arranged footage, prepped talent for production and assisted script compilation 5/01-8/01 Live Animals Productions, Inside Sessions Producer: Crafted three comprehensive modules for on-line distributed distant learning project. Wrote scripts, coordinated graphic artists, media editors and story editors. Oversaw production and post- production on convergent media involving A-list celebrities and industry professionals. 6100-4/01 Farmclub.com Segment Producer/DV Camera Operator:Conducted music research and proposed segment ideas Operated backstage mini DV. Camera 10/98-2/00 MTV, BI°rhythm Researcher Conducted extensive Internet research on show topic. Assembled music and video clearance information. Logged tapes and maintained tape library. Acquired rare photos and footage for Jennifer Lopez & Beck episodes. 5/97-9/97 OSCAR MAYER Hotdogger: Drove the OSCAR MAYER WIENERMOBILE around the country auditioning children to star in a nationwide commercial. Wrote and assembled promotional literature. Promoted events on several television and radio morning shows. 8195-8/97 The Community News Account Executive Managed accounts and sold advertisement for Washington DC based newspaper 5/95-8/95 Sony Pictures Entertainment/Columbia TriStar Publicity/Promotions Intern: Worked with senior public relations and promotions staff reviewing trailers. Monitored press junkets. Wrote press invitations for major screening events. SKILLS: DV Cam operator, IBM/MAC proficient: ACHIEVEMENTS: MTV, 1 st Annual Internal Film Festival Breakthrough Award Winner for short film THE CLAYTONS. sr CITY OF CULVER CITY '.177C1 CULVER BOULEVA'FID RD. BOX 507. CULVER CITY. CA, 91:1232-0SCIT 20081IAI i 9 PM 4 : e5 CITY CITY OF r APPLICATION AND BIOGRAPIEICAL DATA L FOR corvallssioN, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (pleaTe type Dr prire0 The information contained on this form is or the use of the City Council in order to flit V Lu: arc cs, 4.1I) City Comittissiun6, Boari.18- Advisory Committees . or Task Forces However, all information on this form will heroine a public r .1.prii and lie available Mr public ins cabin yr duplication as -authorized bv law. Separate applications mast he submitted for each body to which application is being maci-e. General . rnformation 1. Identify rhe. Commission, Advisory Cornmincr or Task Force to which- appoinonent is desimi: 4 c:- .; tr-1.4:7--ea•ei H-- Co c- r- W apptying for a position on the •undlorrirremint Mattiation- %aril, indicate whether you arc appiviti, a , 41s a tenant representative f 1, landlord . rcprescataii -ve ( ) or member at-farg,e representative Lil: ) " aIJ Diviion• at t31.0:1 253- 57S0- i 7.- you have any.qustklionclep.arlii-ng eligibli gy tar Larttilardacrialt Mtgliatictir 3. Name: C Address: 9 `' Tetophow.:( Zip Business: Tviclphono _ - Address: addresg:., /lieswer iri Crogo;viLiraf: ft1 g (aril tit,ntri sheets if nece.ustay; 4.- irirnriitv SCreiCC hoards, conoink,aOriN„ Committees and organizations on whick you have .served or carrentl.A., 4C.17vC: Officcs hcid and in w hat city-) S CL1- /2-e_c:t v—c) ES 11 CO Oc---'1 c: 1) P - (23 0 Ck•N cV ( c1-7-Gi ) h'vq;:- C.rV Emp.ibyaas iako pride ireffomivcly prcitiatv he Pi.t- one51 . levers a seri/J.0J. _ to.1. vvich 1171-.1 atz-riityof iffu for l'7,5-conlarurN'ht Lthbiog on bur INore Vian save-iffy-5:e yo5r5 of pub!c . se:leilco, by ow' przson! COrnir6Wr _rir. hy ow* tele chigorgez; tht., Furzix. rrevrrPage. 2 at Application 5. Employment aide and dudes. current and past.) c (2c3 S- o o a- -7 c.c___ (2_ 0 '.`\(---E EV" - ( c71--OLD 6. Education ', Include professional or vocational licenses and certilleates.) UC-- NIVS2 o 002_ - CA. """).-^t k-4 P C.-I--; Co S S Git_r"-N 0 s Personal 7_ Are you a U.S. citizen? YES NO S. Are you registered to vote in Culver City? Y EIS NO 9_ Have you ever heen convieted r fined, imprisoned, or placed on YES NO Le-"-- probation for a felony or for a misdemeanor involving fraud? In, Have you ever worked for the City of Culver City? (If yes. list dates and YES N Mutes of departments.) 1. Antyoi related to any current Chy employees or appointees of the City YES NO 01Cui %Ali- City? (V ycv„ indicate name and relationship.) 12. Are you aware that financial disclosure May be required nntutnily? YES NO (e.g. sources of income. loans and gifts, investments. i!Ileresls in real property.) 13. Rules or law and ethics prohibit uternbcrs from participating in and YE .N NO voting on /inners in -which they may have a direct t7T indirect financial interest. Are you aware of any potenfnd conflicts of interest which may develop from your occupation or Financial hoidinEs in relation to your responsibilities as a member of the body to which you suc.k appointment? (If yes, please indicate any pc.nential conflicts) 14_ HOW: 1 I-re been, or aro. there now. any business circumstances which YES NO NUN! ED CM fitC7CLED VA`'EF.CL. 5E '1 Page of Application. miEhl rufiect ad vrdy oa the propriety of your scrving 1.Ki artl.rnhur of any body to which y ou mitti IN.!. appointed? IS. How manyrrin tho BOIME 411- Committee to which you are interested in being appointed have you attended in the last year'L p_e 0—k,_ e o Cu-) NL f--&)k2 c-To oSak 16. How much time, on a monthly bosis, do you naticipato spending on pr.:pm-arm for and attendance at meetings of th body to which you desire appointment? Ce-,C) L.) L vmo-k 0--C e 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? 0(2` •.n S e F . ‘...7 CA r e diacs_ 2- p ;-, 019 e O otct h rcL e S 18. What is there specifically in your background. 'Ira jinn& education or interests which qualifies you as appoinien? (C-LS ) 19. What do you see as the bjc,ciives and goals or the body to which you sea appoint mcm ? cA_d- .e.—Cc20 -PO S _ C C L :-N ."\r", E--efos tThD c - . s A 20. How v.,ould you ix:commend /11c... objectives and goals of the body be changed or augmented? +.0 p C C4S \ c Q 10C. -e pc ti ca 21_ How would you help achieve the body's csiablished objectives and goals? pkocr;Page 4 of Application 'e Ui --e-A,--"-e„Th2 t Th cc) A S -+ L-) ck.s 0 L) 21 What special qualities can you bring to th‘t body to which you seek appointtuent? c p ccLi v-v-v c 0 -e 4:5;i2 REMINDER: All information on ibis application will heroine a onblie record and be available for public inspection or cliplication at authorized hv I hereby certify that the foregoing information is correct to the • best of my knowledge Signature: , Tkit„: 5- ioa You we invited to attacb additional paps_ ettclose a copy of your resurnc„ or submit supplemental information which you feel may assist the City Council in its e valuation of your application. Submit applicaiion(s) and attachments to: Ciiy of Colvi-a- CiEy Attention: City Clerk 9770 Culver BOLlieVard Culver City, CA 90232-0507 (310) 253-5851 OPTLONA -In order to assist tile: City Council in scokiinz to balance appoiramenis in iernis of geographic lc-cation residence and/or busincss, ethnicity, g4.iitlet- and age the following inlbrmazion is desirable but not required for application submission or appoint (tient. If a City resident, for how long? 20 'IV'S • If a City business ownerioptrator, for how lone c21 Year of Birth Male Font& Ethnicity C C. 5Nsjiic F .11A (F.:: C.:,IV.EO PAPERDr. Karen Lamp became the medical director of the Venice Family Clinic in January 2005. She is the second medical director in its 35-year history. On staff at the Clinic for the past 20 years, Dr. Lamp oversees the Clinic's Quality Improvement and Peer Review process, supervises the Directors of Pharmacy Services, Mental Health Services as well the clinic's Chief Operations Officer. She was awarded a Clinical Teaching Award from the graduating residents from UCLA's Ob/Gyn Residency Program in 2002 and again in 2005. Dr. Lamp is widely acknowledged as a concerned advocate in the field of women's health and was recognized by the Susan Kamen Breast Cancer Foundation in 2004 for her outstanding work on behalf of poor women. Education Undergraduate studies Colorado College (1975-1976) Colorado Springs, CO University of California (1978-1980) Berkeley, CA BA Zoology, graduated with distinction Medical School University of California (1981-1985) San Diego, CA Professional Training Internship and Residency (1985-1988) Santa Monica Hospital - Family Practice Chief Resident (1987-1988) Licensure Board Certification, Family Practice 1988, recertified 7/95, 7/02 Honors Lange Medical Award - Extracurricular contribution to medical school class (1985) Catherine Carson Award - for humanitarianism (1985) Wilfred Snodgrass Award - Excellence in Teaching Family Medicine (1991) Sylvia Silberman Memorial Award - Outstanding volunteer services as a Board member, Santa Monica Chapter of the American Red Cross (1992) Clinical Teaching Award - UCLA Dept. of Ob/Gyn Chief Residents (2002) Clinical Teaching Award - UCLA Dept. of Ob/Gyn Chief Residents (2005) Susan Komen Award for work in women's health (2004) Research Physiology Department, University of California, Berkeley. Research assistant, American Heart Association Student Fellowship (isolation and characterization of gastric parietal cells, 1980) Zoology Department, University of California, Berkeley. Independent research on chemically mediated recognition between invertebrates (1981).Employment and Appointments Medical Director, Venice Family Clinic, Jan.2005-present A private, non-profit free clinic serving the poor and homeless of LA (7/1988 - present): duties include direct patient care, supervision of residents; Physician project coordinator for Prenatal Services (1990- present), Breast and Cervical Cancer Screening Project (1992-present), and Family Planning program (1993-present), supervises Director of Pharmacy Services, Lab Supervisor, Director of Mental Health Services, and Director of Pediatric, Adolescent and Women's Services;2 staff FNPs, and staff internist. Participation in design of team approach to patient care (1999) and implementation of new MIS system (1999). Staff physician for school based clinic at Santa Monica High School (1998-2005). Site supervisor of Burke Health Center (1998-2004). Member of management staff (1999- present). Preceptor for Doctoring I (UCLA 1st year medical students) (1995- present). Assistant Medical Director, Staff Family Physician, Venice Family Clinic (1990-2004) Assistant Clinical Professor, Department of Family Medicine, University of California at Los Angeles (7/91-present). Additional Activities AIDS Task Force - Santa Monica Red Cross (1988-1993) Board of Directors - Santa Monica Red Cross (1990-1993) Family Practice Residency Preceptor - Santa Monica Hospital (1988-1993) Guest Speaker, KTTV Fox Network, The effects of passive smoking Guest Lecturer, USC School of Medicine, Homeless Health Care (12/91) Guest Speaker, LA County Board of Education video for high school students, Prenatal Care (1/92) -Medical Student Mentor Program, USC School of Medicine (1991-1993) UCLA Interactive Teaching Program (IAT) (1992-present) Guest Speaker, Forum on Children's Issues, Norton Family Foundation. Model prenatal and pediatric programs: VFC (4/94) Board of Directors: Partnered for Progress (Breast Cancer Early Detection Project) (1997-1999) Guest Lecturer: Preventive Health Care to Ob/Gyn residents (8/05) Foreign Language: Spanish, fluent Areas of Special Interest: Women's Health Care Issues, Universal Health Coverage Contact information: klamp@mednetucla.edu 310-664-7648 (voice mail)CITY OF CULVER CITY 1R ECVED 2008 MAY -5 AM II I 9 11770 CULVER BOULEVARD Pa BOX 507, CULVER CiTY. GA. 002:32-0507 CITY CL.H. CITY OF QUE . CIT'f APPLICATION AND BIOGRAPHICAL DATA FOR coromssioN, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please type lir ',riot) The information contained on this form is for the use of the City Council in order to fill vactweiesan City Commissions, Boards, Advisory Committees or Task 1 4-rates. nowever, nil information on this form will - herorne public and he vailable for public inspection or da lication as authorized by law. Separate applications must be submitted for each body to which application is being made, General Information I. identify die Commission, Advisory Committee or Task Force to which appointment is desired: 79 0fi2 Q-C. ,c-riteeSt te,461,7,rES 2. If applying for a position on the LandlordiTentint Mediation Board, indicate whether you arc_ applying as a tenant representative ( ), landlord representati ve ) or member at-large representative ). Cali the 'Hoc:sing Diviio t (310) 253-5780 ir :mu haw Ony quogtiong regarding eligibility r Landlomlifanint 6,ft:41i/ion Board positions, 3. Name:. Ackiress-: 71 t Business: RE -77417), Telephone ( Address: E-rnai I address: _ Zip Answer the firdinwifiv (!/• streets ifnecessar-31 4. Community Service (Lim boards, 'commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) SGE .6:777-ycemlz,v; Cutear C,`ty Employees raka Ode in offectivelyprovidrig ffle higttuf (eveisof. ervica antick tho wait), of ige for the corsetwity by building an our taldifan of more than aeveRty-five yez.,15 Of pate .co. $ee by our present commitmeor, and try our daritcaliorl JO dtiL4W the dia0Jenges a the furum. prisrrncd4 oreEn rxrrrPage 2 of Application 5. Employment (Title and dudes current and past) e 6_ Education (Include prof6s8ional or vocational licenses and certificates.) crEe 4774 e oviEnifi Personal 7. Are you a U.S. citizen? YES X NO 8. Are you registered to vote in Culver City? YES NO 9. have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor involving fraud? 10, Have you ever worked for the City of Culver City? (If yes, list dates and YES NO X names of departments.) 11_ Are you ratted to any current City employees or appointees oldie City YES X NO of CAilvz.7.- City? (If yes, indicate name and relmionship.) \41 E-C- 12. Are yOn aware that financial disclosure. may he required annually? YES NO (e.g. sources of income. 104E16 and gifts. investments, interests in real property.) 13. Rules or law and ethics prohibit members from participating in and YES NO voting on matters in which they may have a dirat or indirect financial . interest, Are you aware of any potential conflicts of interest which may develop from your occu pation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) 14_ Have there 'veil,. or are there ow, any business circumstance which YES NO X PRIMED CH FlEiNCLUIPP.PiAPage 3 of Application might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings or the Commission, &turd or Committee In which you are interested in being appointed have you attended in the last year?LS th.nc7v/i g7- 16. How much time, on a mom* basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? 7i7.711/ dv.7E-d 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? iS.E LE A774cpYiPiEwr 18. What is there specifically in your background, training, education or interests which qualifies you as an appoitoce? SEE A7E4criA44w7 19. What do you see as the objectives and goals of the body to Which you seek ,tippointinent? Amicow.eA.*-- 20. How would you rccoininc.md tlic objectives and goals of the body be changed or augmented? „cee 412-gee oviEwr 21. How v,,'ould you help achieve the body's established obje.ctives and goals? \c'L-G PINCH) MI HEIVCLED PAPERDate: FM° e Signora : Page 4 of Application 22. What special qualities can you bring to the body to which you seek appointment? 4cEE V:6 Crft.;:j REMINDER: All information on ibis opfication will become a public record and be available for public inspection or duplicutiou as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge You are invited to attach additional pages enclose a copy of your resume, or submit supplemental information which you feeI may assist the City Council in its evaluation of your application. Suhruit ipp cu t ion(s) and attachments o: City of Culver City Attention: city Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business. ctlinichy. II ,cnder and age, the following information is desirable but not required for application submission or appointment. If a City resident, for how long? 4-7 yks. If a City business 0t er/operator, for how long? Year of Birth 1937 Male Female Ethnic ity 5/9S:ihe F.ANTFL , Fig.-.TiCLED PAPUAMay 5, 2008 Elaine Struhl Attachment to Application (The Homelessness Committee) 4. Member of the Homelessness Ad Hoc Committee September 2006 to June 2008. Volunteer in the Family Literacy Program at the Culver City Adult School. Volunteer in my grandson's school, Echo Horizon, located in Culver City. Volunteer at Los Angeles County Museum of Art. 5. County of Los Angeles, Social Worker 1959-1961 Clinical Director, 1977, until retirement in 1995, of the Richstone Family Center, Hawthorne, A treatment center which specializes in child abuse treatment and prevention. 6. B.A. UCLA 1959 MA. Center for Early Education 1976 M.F.C.C. license — inactive. 11. Paul Struhl, husband. Member of the Advisory Committee On Redevelopment (ACOR) 15. I have attended all scheduled Homelessness Ad Hoc Committee meetings as a member. 16. All the necessary time required completing the task. 17. My career has been in social services. I have concern and empathy for people struggling with issues of mental health, poverty, and homelessness. IS. My education and experience in counseling troubled families and my current experience as a member of the Homelessness Ad Hoc Committee will be useful in dealing with the challenges to Culver City of its homeless population. 19. To look at the challenging issues of homelessness in our city, and to try to seek solutions. 20. A thorough assessment of the problem in Culver City, and a review of how this challenge is being met in other cities. 21. I would bring my experience to the exploration of possible solutions to this very challenging problem. 22. My empathy for people dealing with issues of poverty, mental health, and homelessness, as well as my long term concerns for our community.3. Name: -7-10tAN Address:- 1,1;417 V PECE.VED CITY OF CULVER CITY 2a03 HAY 19 PM 4 : 22 U770 CULVER BOULEVARD R0 BOX 507, CULVER CITY. CA . 90232-07 CITY L t. CITY OF CLILVIP APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (pf Op: 41.r ,reimil The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, BOilidS, Advisory CE-Iminirreos or Task Foreeg. However, ill information on this form wilt_ become a _public reeurd arid. In! available for _public _inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General bra rroa tion • Identify the Commission, Advisory Committee or Task- Force to which appointment is desired: k-) 1r -- - I2. IT applying for a position on the Llmdlonlrenant Mediation Board, indicate whether you arc applying as a tenant representative ( ), landlord representative ( ) oi. member at-large representative ( Call the Housing Division at 010) 253-5780 if rt) havc any qutAli011A regarding eligibiiiry For LandIordiThium MctIiLkni Board posiiiops. Business: - Telephone (: ) Address: Zip E Lniaii address: Anywer Use- arldi1iontir,4 sheets if iJecessarv) 4. Community Service (List boards, commissions, committees and organizations on which you have served or cunently serve: offices held and in What diy•) 41 04,114,61e, CLOLI7- Empfq,eaes take pride in offective/yprovidng reil.V.fre.51ievvis- Of servica To annen tto qvality of ife (or the com-nrio4 area:frig a9 our :Tadrion- of tme than 5e lierFty-five yafirs cir pubRc by our pram oni cornmknont, an,- -0 by our dw5k.7-Non k the FLiTLV2.aLSTY0-6-- Page 2 of Application 5. Employment (Title and duties, current and past.) V it, 6_ Education (include professional or vocational licenses and certificates.) Tigg- avi214-0C1511 Personal 7. Are you a U.S. citizen? YES 17 NO 8. Are you registered to vote in Culver City? YRS 7 NO 9. Have you ever been convicted, fined, imprisoned, or placed on 71ES NO probation for a felony or for a misdemeanor involving fraud? Ii). Have you ever worked for the City of Culver City? (If yes. list dates kind. YES NO na inns of departments.) 1. Arc _you related to any current City employees or appointees of the City YES NO of Culver City? cif ycs, indicate name and relationship.) - 12. Are you aware that financial disclosure may be required annually? YES NO (e.g. sources of income, loans and gifts, investments, iittere.sts in real property.) 13.Rules or law and ethics prohibit members fre.napacticipatiniz in and YES NO votin g , on matters in which they . may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdin gs in relation to your rezTonsibilities as a member of the body to which you seek appointment? (ft yes, please indicate any potential conflicts.) 14. Have there been, or are there now, any business circumstances which YES NO pim FED ON FIENCLW PAPER'Page 3 of Application might reflect z.iciversefy on 6-lc:proprety of your suving ii ii Entuthly of any body to which you might be appointed? 15. How many mot:ling.:5 of the Commission, Fio;Jrd or Committce . to which you arc interested in being appointed have you attended in the last year? it" 16 How much rime, on a monthly basis, do you anticipate spendinu on preparation for and attendance at meetings of the body to which you desire appointment? 17. Why are you interested in appointment to a City Commission, Board, committee or Task Force.? IT AM n 440,- )1 65-F 774 tt-tr)ffi 675)44/11-2_71-- ---- —r- .77:3 Coiy-33- 1A., TO 5 E. 7*-11`e--- 0 (0 e_...(54/+4 404 Rik-;,A PP-CI /2 3 , 18. What is there specifically in your background, training, education or interests which qualifies you as 4 n appointee? ‘741a- 11- 4/10-)Me< er e=- - 17-1E- etk1'744 2.c-p_? —cc 19. What do you see as the objectives and goals of the. body to which you seek appointment? 4)4-t--.)` F a-s - Cot__1/ C17/ ...Th/ R3-1> C r 20. How would you mcoinITICrid the objectives and goals of the body be changed or auPollemed? TE-10- ;Ft . ezp-il i27 jVOS 7.-c) RE" 2L liow would you help achieve the body's eslabiishal objectives and goals? CO L) L-7-6 :ENV CO/ enir- W .,7174 1?-ig- 45704 77-r-E. PRINJ ED uri HaryCLEU PAPERr 1/N/) Page 4 of Application 22- What special qualities can you bring to the body co which you 7, 7 , etk appointment'? ti34124 fl-y A 7-0 1-4,04187-4-655 RENIMER: An information on this application will become n jnthlk record and he available for public inspection or duplication as authorlied bv I hereby certify that the foregoing information is correct to the best of my knowledge Signaum You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental 3/1101111n 1101'1 which you feel may assist the City Council in its eva/uation of your application Daft!: "-C iq tO3 Submit kipplication(s) and attachments to: City of Culver City Attention; City Clerk 9770 Culver Boulevard Crovor City, rA 91v)314.1507 (3 la) 253-5851 OPTIONAL in order to assist the City Council in seckin2 to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age. the following information is desirable but not required for application submission or appointment. If a City resident, for how long? If a City business ownertoperator, for how long? — Year of Birth if / Male Female. Ethnicity sivgjhe. PRINT -1:17 RE.1.71CLECI PAPOTCITY OF CULVER CITY F?E C 9770 CULVER BOULEVARD, CULVER CITY, CALIFORNIA 90232-04g, i HAY -7 PM 5: 18 CITY CLE:ii CITY OF CUL . VEP CITY APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERS HIP (please type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees Or Task Forces. However, all information on this form will become a public record and be available for public inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Identify the Commissions, Advisory Committee or Task Force to which appointment is desired: Homelessness Committee 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a Tenant Representative ( ), Landlord Representative ( ), or Member-at-Large Representative ( ). Call the Housing Division at (310) 253-5780 if you have any questions regarding eligibility for Landlord/Tenant Mediation Board positions. 3. Name: James Wriaht Phone Address: Business: Address: Phone 1 Zip Answer the followina: (Use additional sheets if necessary) 4. Community Service (List boards, commissions, committeesIml organizations on which you have served or currently serve; offices held and in what city.) Little League Baseball Coach —City of Los Angeles Rec and Parks Chairman —California State Executive Board Veterans Employment Committee Chairman — Southern California Veterans Employment Committee, Ventura — San Diego Member of the American Legion, Los Angeles, CA Toastmaster International, Torrance, CAPage 2 5. Employment (Title and duties, current and past) 01102 — Present U.S. Vets Initiative, Inglewood, CA Workforce Coordinator Hire, train and terminate employees. Research, write and secure State and Federal grants. Write reports, Supervise daily activities for career center. Advocate for veteran rights and benefits. Maintain a professional rapport and coordinate all local, state and federal political activities. 1/92 — 01/02 City of Los Angeles Wilshire-Metro WorkSource Center, Los Angeles, CA Director Managed $700,000 Workforce Development budget. Hired, trained and terminated employees. Conducted how to hire and fire employees training. Wrote grants. Monitored contracts to insure contract compliance. 6. Education (Include professional or vocational licenses and certificates.) University of California at Recliand, Bachelors Degree Business Admin Glendale College of Law, Jurist Doctorate - EQ Personal 7. Are you a United States citizen? YES X NO 8. Are you registered to vote in Culver City? YES X NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO X probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, list YES NO X dates and names of departments) 11. Are you related to any current City employees or appointees YES NO X of the City of Culver City? (If yes, indicate name and relationship) 12. Are you aware that financial disclosure may be required annually? YES NO X (e.g. sources of income, loans and gilts, investments, interests in real property) 13. Rules or law and ethics prohibit members from participating in and YES voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts) NO X 14. Have there been, or are there now, any business circumstances YES NO X_ which might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed?Page 3 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you attended in the last year? N/A 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? 25 hrs per month 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? To mainrAin safe and enjoyable recreational activities for all residents, especially seniors. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? Volunteer Little League Coach, Los Angeles City Park. Volunteer Senior Veteran Representative 19. What do you see as the objectives and goals of the body to which you seek appointment? Act as a facilitator/advocate for activities in Parks and Recreation. Boost Community involvement to insure needed activities for better living environment 20. How would you recommend the objectives and goals of the body be changed or augmented? Augment activities to bring additional revenue to Culver City that will keep our city safe and include all segments of the population. 21. How would you help achieve the body's established objectives and goals? Review best practices of other Cities that are similar to Culver City. 22. What special qualities can you bring to the body to which you seek appointment? Past Volunteer Little League Coach_ Excellent Listener, Fair, and Dependable. Ability to analyze and solve problems without becoming personally involved. REMINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information-is correct to the best of my knowledge_ • You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application.Page 4 Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, California 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appointment_ If a City resident, for how long? 15 If a City business owner/operator, for how long? N/A Year of Birth Male Female X Ethnicity DISABILITY ADVISORY COMMITTEEerved or currently GI ern Crirn ) CrOn 6', 4_ 500 C4)-/ P CITY OF CULVER CITY HOB MAY 19 PM 3: j 3 J770 CULVER BOULEVARD Pa BOX 5a7, CULVER CITY. GA . 90232-13507 CiT'f COX CITY OF CULVER APPLICATION AND BIOGRAPHICAL DATA FOR crimmismoN , BOARD Ro OR A ryIn g iwi COMMITTEE MEMBERSHIP (please typ Wpflnt The information contained on this form is for the use of the City Council in order to fill vacancic, on City Commissions, Boards, Advisory Committees. or 'risk Forces. However, all information on this form wifl bt :t ,:4_ )tne nbIit iIab1e for inspection or duplication as authorized by law. Separate applications must he submittal for Each body to which application is being made. General Information 1. identify theCornmisitn, Advisory CornrniflcQyr Force to which appointment is desired: D-1509i. OV)511 enes1 if applyin2 for a position on the Land/oaf/Tenant Mediasion Board. indicate whether you arc applying as a tenant representative ), landlord rzprcsonLati ye ) or member at-large representative ( ). call the housing Division at (3 1 0) 253-5790 hztv Any que1ieta4 regaling tigibJiy or Lantliorrif fmant Potcyliotiem Board ssonktions. 3, Name: -6.0itkr --ca Telephone ( Address- Business: Telephone ( Address: Zip - E-mail address: AayLvor l.;711eAvin.v: she4..1s itnecessary) 4. Community Service (List hoards, cOrffiniAginnS, COrnmittees and organizations on which you ilave serve: offices: held and in What city.) coir Oby Employees rake prida fc offectivorry • providing tho Nger 5e4'evels of service to ankh qua* of Ve r On our 9ad1im of more v iao sevarvy-live yeor5 of pubfic.-.stc. by Oar prosoil corryrtitmora. arid by cpr danihRifan k ma2.2 21,E, ciic?)enges of the itairc, : t -T i f 1 /4 11-)a j c,191J 1_4 ce.f7 0 \ivv)2-- Crl ...71.75C.11121-C7:.7 En I:AMP5. Employment (Title and duties. current and past.) ouvo-trk - Ef-114 I s (44:44-e-5 b &A 0 J),s ac' • 1,4,e4 Page 2 of Application 6. Education (Include professional or vocational licenses and,serti ica ct r 1 il c. L 6,12-1- Leowa-r A?, C -Pr e(T OCW1 E-P-1 (/ Aio Crc9 cp.(-4-ek Personal 7. Are you a U.S. citizen? YES Vz NO 8. Are you registered to vote in Culver City? YS NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? W. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO V names of departments.) 11. Are you relate.d to any current C7Ity employees or appointees of the City YES NO of Culver City? (IT ves., indicate name and relationship.) 12_ Are you awe that financial disclosure may be required annually? YES 1/7-NO (ez. sources of incorne .,. loans and g,ia ls ‘ investments, intere.sts in real property.) 13. Rules or bw- and ethics prohibit members from participating in and YES votin g,- on matters in which they may have a direct or indirect financial interest, Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes. please indicate any potential conflicts.) 14_ Have there been. or are there now, any business circumstances which YES NO 17- PRINTED L7N RECYCLED i,.01"EfiPage 3 of Application E r, ar),-) 20. How would you -recommend the objectives and goals of the body be changed or augmented? itt , 475 AAA.," • da , +LA-z—A-k- 4)4- 71),1.0); l .1- 1'& 5efil.ir- - Tn. rcw -r,11- k i r y\ c.„,vh -if_pk-i-- 5-1.2 ,,ift-N__ , j- a-, c_.,--Lia . [0--k— i / --P-,2 V ni‘M„, Wit-1 4 - i te-,-1 .-e-547-4 4- ,------, k-e1,--0 #,- +4 -- te77-,,--1 gJ .--__ 14 ,_4.,...„.r-. c`,.e5 C. I 721. How would you he/p achieve the body's establishedobjectives nd gspals? P') 12i\ n‘- pliINFH) HtGICLER PAPER I, . A r. L 6[14?) t,fta 16e, &It,- Av(k, might reik:ct acIvcrsely on the propriety of your serving 116 a member of any body to which you might be appointed? 15. How many mee[ins of the: Commission. Board or COM ilia cc to which you are interested in being appointed have you attended in the last year? fo-Y Kcio". tYs io 7, How much time, oil a monthly basis, do you arnicipate spending Eh. Frewi1atim4foi and attendance at meetings of the body to which you desire appointment? av-efAjt. 5AeLf _ (12a- 6.- Ur 17. Why are you interested in appointment to a City Cernmision, Board Committee or Task Force? hoe__ 1./.5 D irs 41'1 CA-c))134.6-1-1) Jo)._ Lsr-t5i I tyx.3 Ott 17)‘,:jcina cict ictg° H. What is there specifically in your background, mining, education or eres which qualifies you as an ippoint crl:? 19. What do you see as the objectives and goals of the body to which you seek appointment?. trk114 afri2a01- eAtSignature: f7 Date: Page 4 of Applicallon What special qualities can you bring to the body to which you seek appointment? Li /(<2° T i paer <0 &I 6/1 Pfr\ritia f kkAa 20-,-1,14|1010| A-_() art,1 REMINDER.: All information on Ibis application will become a public record and be available for public inspection or duplicalian a ananwi2ed hv I hereby certify that the foregoing information is correct to the best or my knowledge You are invited to attach additional pages, enclose a copy . of your resume., or submit supplemental in formai . on which you feel may assist the City Council in its evaluation of your application. Submit appiication(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 9N32-0507 (310) 253-585.1 OPTIONAL • in order to assist the City 'Council in seeking to balance appointments in terms of 2eographic lecation residence and/or business, ethnicity, gender and age, the following information is desirable bur not required for application 603 MiSS ion or appointmc,nt. If a City reside-nt. for how long? it 9 14 If a City business owner/operator, for how long? -2--6-‘( Year of Birth Male /1/ EtilniCity 5198:pc. FAINTRI ON nrc.yeLsEt PAPERTo: Culver City Council Members, City Clerk, and Staff From: Barbara Effros Re: Application for Appointment to Culver City Disability Advisory Board Date: May 17, 2008 Thank you for considering my application to be rippointed to the Culver City Disability Advisory Committee. I I) Application questions #4 and #17 through #22 are answered below. Question #4: Community Service (List boards, commissions, committees, etc. which you have served or currently served). Partial list: 2007 - Present Member Social Action Community, Temple Mishkon Tephilo, Venice, CA. Feb 2006 - Present Board Member, Culver City Playhouse. (A recently formed non-profit which provides acting classes for "special needs" and "at risk" children. We are building out a theatre space in Culver City that is fully handicapped-accessible. I have worked with City Planning Department for Permits and Variances on their behalf) July 2004 - Present Member, Culver City Disability Advisory Committee. 2000 - Present 1998 - 2003 1994 - 1995 Member, CERT (Culver City Community Emergency Response Team). Member and Auditor, Farragut Elementary School PTA Board Member of Culver City Board of Education 10 year Strategic Planning Committee.1992 - 94 Founding Member, Young Onset Parkinson's Association (YOPA). Headquarters in Alburquerque, New Mexico. 1998 - Present Owner of Effros Tax 86 Consulting, a Culver City business providing small business consulting and tax preparation services. Question #17: Why are you interested in appointment to city commission, board, committee, or task force? I've worked in the disability community consistently over the last 15 years. Due to my diabetic father becoming an amputee and eventually wheelchair bound, I became aware of the obstacles facing the disabled. In 20011 was diagnosed with young onset Parkinson's disease. This facilitated my involvement nationally and locally with various Parkinson's related organizations. I'm seeking reappointment to the Culver City Disability Committee because I have been able to bring my organizational and political skills to bear on issues facing the disabled here in Culver City. For example, I participated in traffic studies pertaining to cross walk safety for the disabled and children based on my own experience as a partially disabled person; I volunteer with neighbors, schools, and community organizations to increase awareness of existing resources for the disabled. Question #18: What is there specifically in your background, training, education, etc. which qualifies you as an appointee? Advocacy: Have testified before Congress and lobbied members of Congress in Washington DC; lobbied in Sacramento; participated in Culver City and Santa Monica local politics Regularly attend Parkinson's conferences As a trained CERT member can identify disabled individuals in our community during a disaster or other crisis During the 1980s, my focus was on women and children's health care. I organized rallies, press conferences and was Executive Director of the Los Angeles Childbirth Center. Question #19i What do you see are the objectives and goals of the body to which you seek appointment? The Disability Committee provides events and extensive resources to empower Culver City residents who are disabled. Its main objectives are to increase awareness about the needs of the disabled in the community at large as well as to provide support services specifically for the disabled. Each year we've taken on new projects and initiatives such as curb cuts, library bathroom accessibility, etc.Question #20: How would you recommend the objectives and goals of the body be changed or augmented? We need to expand awareness in the community of the Disability Committee and its resources_ For example, I recently volunteered to help expand the Culver City web site to include more information and links in the Disability section. The senior and youth communities are well identified. However, there are many individuals in their 40s and 50s, often with young children, that face unique challenges with disabilities. I would like to increase outreach and provide resources to this population. I understand this problem in particular since I am a partially disabled individual with children in her 40s. Question #21: How would you help achieve the body's established objectives and goals? I will continue to participate in planning annual events -- such as Childrens Disability Carnival, wheelchair basketball games -- and identifying the special needs of the disabled of various ages. Question#22: What special qualities do you bring to the body to which you seek appointment? Considerable organizational skills. A unique ability to approach a disabled child or adult, elicit their concerns, address them directly and/or bring their perspective to the attention of the Disability Committee.Efiros rni-1,4 & Coi,sulti ng, inc. Barbara . E os Cril e Li 1.:ax 5161 Overland Avenue Culver City, CA 96230 •:.:J3Eirkiit4.6.a460m• •r- r- CITY OF CULVER CITY 1,7 r 1177C . CULVEFI BOULEVARD P, a BOX507, CULVER MY. CA. 9022-0507 2B0B HAY 16 PH 2 : 02 CITY C.,11,A CITY OF CULVEP APPLICATION AND BIOGRAPHICAL DATA FOR comikussioN, BOARD OR ADVISORY COMMITTEE IVIEMBERSHIP oteas.re type or prin* fle information contained on this form is for the use of the City Connell in order to fin vacancies on City Commissions. Boards. Advisory Committees or Task t worcm However, all information on Ibis_ form piuhik reelird and be voilahle for public inspçcthm or du Notion as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Idepliv de ,ormissinp„Ativisory Committee or T20; Fore to which a.ppointmenr is desired: - • /sot_b1.1 6.1 4-iv ;S O Y (ly C-27 If applying for a position on the UndlordeTenant lvf4liatiort Board. indicate whether you are applying as a tenant representative ( ), landlord repraergative ) or member at-large represen tat ive( ). Call the liot6ing Division at (310)253-57SO if you have any questirmit reputing eligibilizy tor Landkv,-ciacintat Polottiatioa Board rimations. 3. Name: 4C-*""—t .74624 - Address: E-mail ad Answer- rhe (U' adifiliandi sheet At jj: necessary) 4. Community Service (List hoards, coronift&,*,mS, committees and organizations on which you have served or affrently serve; offices held and in what city) advar Evic t /nos rabpñdr7 eifec§vely provideng 171e highest teuvis- dservico to enrich the qua.ey of for the rommial4y hybakkw oft LW 2/110711trt d mote thea3 .sarzenty,tive years a peac sanita. by oar present earnmibrlons. and by worded- 400n lb meet the chaenges ao the ham stt nraimi orc=n: rstr.r.Page 2 of Application 5. Employment (Tide and duties. current and past.) eh S 6. Education (Intlucc pn.141:ssiorgil or vocational licenses and cesti_ ej, ficat ) eaL.:/r4r; • Personal 7. Are you a US. citizen? YES NO 8. Are you registered to vote in Culver City? YES V NO 9. Have you ever been COriViCted,, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? Of yes, list dates and YES NO V names of depanrnents.) 1L Arc y ou related to any current City employees or appointees of the City YES NO of Culver City? (If ye.s, indicate name and relationship.) 12. Are you aware that financial disclosure may be required annually? YES (e.g. sources of income,. loans and gifts, itraiqincnis, interests in peal property) 13.Rules or law and ethics prohibit members from participating in and YES NO I/7- voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts el -interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you -seek appoint=nt? (If yes. please indicate any potential conflicts.) 14. Hare there been, or are there now, any busineA-n circumstances which YES NO -2, 51, PRINTED UN FiEcyCLEI) f,APERPage 3 of Application miert rdlign advcvsely on the propriety of your serving as a rnembe:r of any body to which you might be appoinittd? 15 ROW' many rneetincs of the COmmission, Board or Committee to which you are interested in being appointed have you attended in the last year? 0 16, How much time. on a monthly &Isis, do you anticipate spending .cal preparation for and attendance at meetings of the body to which you desire appointment? --JD 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Pone? 6;i4.1 jAery-- enge-- Ce.LayfoieThizelq •14•10 a-4i 5 12-4,,,,ke 4c..v ave.4.41 61/ e1 ..40-Sey>24 18. What is 'bore specifically in your background. training, education or interests which qualifies you as an appointee? 19, What do you see as the objectives and goals of the body to which you seek appoint m, n ay /take c., 7to eLec c,a;_ef 20. How would you recommend the objectives and goals of the body be changed or augmented? 21. How would you help achieve the body's established objectives and goals? HUN rEu ON fiL-CYCIO PAPEr=Date: 5 Page 4 of Application 22„ What special qualities can you bring to the body to which you seek. appointment? + ifer4%ei 411 a .71,,e-e44 c.--lerLi ot am -Ad 424) (aet/ REMINDER: All inforntaliou on this application will become a public reenrrl and be available for public inspection or duplication as anthroi2ed bylaw. I hereby certify that the foregoiug information is correct to the hest or my knowledge You are invited to attach additional pages, enclose a copy of your resume, or submit suppleawntal information which you feel may assist the City Council in its ovaloarion of your application Submit applicat ion(s) and attachments to City of Culver City Attention: Citv Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council in s .cekhig to balance appointments in terms of geographic louation residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission ur appointment, If a City resident, for how long? If a City business owner/operator, for how Ione_ I Year of Birth / er5.5 Male 77----Fernalo Sicajle PAIN75) N ECI PAPERF?ECEIVED CITY OF CULVER CITY NO MAY 12 AN 7:57 e .1770 CULVER BOULEVARD P.O. BOX 607, CULVER CITY. GA. 50232-0507 CITY CITY OF MEP CITY APPLICATION AND BIOGRAPHICAL DATA FOR irt)rinmismoN, BOARDOR ADV!SORV CommurTrE MEMBERSHIP (please iype or print) The information contained on this form is for the use of the City Council in order to riii vacancies on City C.ottunissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public inspection or duOheadon authorized by law. Separate applications must be submitted for each body to which application is being made. General raformation 1. Identify the Commission, AdviAog Committee cr Task Force to which appointment is desired: s Wi ;-rf /ID Vi5oRy Comm! -r rcE. 2. If applying for a position on the LandlordiTenant Mediation Board, indicate whether you arc applying as a tenant representative . ( ), landlord representative ( ) or member at-large representative ( ). Call the Fiousing Division at t .310) 253-5780 vLI have any elndstinnA tegardiftl. ! etigibif icy for LantiloldrfertuM oatd poxidons. 3. Name; AlEi' Telephone Address:_ Zip. Business: 1-1 KeD Telephone ( Address: -Zip I F-mai l address: .4)m-eel' the Iblinlvitu,r: UsE .theets if llaCeSflary) 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and i ii what city.) Clfy Employees take pride in effect ively provieffrig rfe th'gft.Tt levels of sarifie o vich tfro quality of We for ahe corr1tnoni2y by buticling On bur lfedllion of more than se verrry-fivo yoc.r5 cf public Mtô. by our preset-Jr cornnikaront, azzl by Our dark:2km JO inHm The caattenges of Inc futLira en krtriscri Nrctr,-tir rm-:rPage 2 of Application S. Employment (Tide and duties. current and past.) veL 35 f;t1 Ago- 5/11‘ L.-) 1114 1'6°6615 ) M 7\-- .2A)Ain(g . 00G/-A5 "Kb 1:30/,;i6 oc kS 6kou 1 - 111Vg -5- 4 c 1-10/1) AfIlArn6, L.) Alio 4.1 .°A: , C4pne. cry 171-#1/v/V /NS /34 c "re RN 0 sevE,1q4 F'051-ri6vis 6. Education. (Include professional or vs-tcationat licenses and certificates.) A . A, Los AftieLes 1-b4it13002 CofiE6a. AT7-EabE1) Lo s ichxj6g LEs |10
9| (Ie661 LJE6 r Los 406ELEY eL 66v$,A iofi A-A b Lc' 5 /4416E4ES -S 49 l1 é1 Personal 7. Are you a US. citizen? YES 1/* NO 8. Are you registered to vote in Curvet. City? Y ES NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO IV probation for a felony or for a misdemeanor involving fraud? TO. Have you ever worked for the City of Culver City? (If yes, list dates and YES names of departments.) 11. Are you related to any current City employees or appointees of the City YES NO or Culver City? Of yes, indicate name and relationship.) v/" 13. Rules or law and ethics prohibit in-embers from participating in nd YES NO voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or Enancial holdings in relation to your respon gibilkies as a member of the body to which you sea appointment? (If yes, please- indicate any potential conflicts.) 14. Havc there been, or are there now, any business circumstances which YES NO 12. Are you aware that financial disclosure may be required annually? YES NO (e.g. sources of income, loans and gifts, investments, interests in real property.) PRINT ED ON RECYCLED 1-'0,11-tfiFace 3 of Application might reflect adversely on the propriety of your serving as a niember of any body to which you might he appointed? IS. How many meetings of the Commission, Roan/ or Committee in which you are interested in being appointed have you. attended in the last year? -roe Ths 4- 3y# / hAVE AT-rgAibED EveAy 16. How much time, on a monthly basis, do you anticipate spending on priqnn-2fiOn for Em rid attendance at meetings of the body no which you desire appointment? 10 71 3' 15 i-119U12.5 O It AS iVe6EsSicilly 17. Why are you interested in appointment to a City Commission, Board, Committee or Task force? gitlie PrLWAYS' PAD veRy s7god6 Ad.') mEfida6ruL 6° 1`Aiv1 TAAEArr -TO 4551 51-/AI6 7746: pAg.-- 1- F ouk Akm, At -ry -ntt5 Co A4/4 T-Tice" IS RESpeWSLI31 -6 51Zt 18. Vaat is there specifically in your background, training, education or interests which qualifies you as appoinfcc? pieosE see A.-r-r AcprEb CuLt/E-R. Crrr 6thticiL 6,14mEgm7iod F9R. 1)15481 -Ciri g s VoLvArreitk OF -7-14 e yEA-it dATED oc--roBEk a 3 02- 60 IP. 19. What do you see as the objectives and goals of the body to which you seek appointment? ,5131 .4g A ;rc, nr, 20. How would you rccOrnmend the objectives and goals of the body be changed or anal/tented? t4/HeitE Alec e 5 5 A-11- giosijk jcz h cpiomoo,v_s AND C--0A/C6RALS A 5c1-1E,buLE m 71-4-&--- 21. How would you help achieve the body's established objectives and goals? tAirg imith Loop_ K - De D ch-rwAl PIM) ustA/6 1---- bEPAL 57i -re, A ALI) L 1.1 r C -4;44 -rA-c7rS 772 ArcI4 1E 1-311 :11LD HtCYCLL EDS d K EPE.R4r lijC." CD 13j cT ir S/ hereby certify that the foregoing information is correct to the best or my knowtedge Signature.: Page 4 of Application 21 What special qualities can you bring to the body LO which you seek appointment? K A(t,) LE &E AcQth aED FR, v TTC-A(61,06 czo4in1-r7ia- Me 6 .1-mi6 1 4-ALD 620 m FEiVTz g b us-r-Ay P4us -ri4e DEsikLe: -rb REMINDER: All information on this applic-Aticra will become a public record find be available for public inspection or duplication as authorized bv law. You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental in form:111km which you feel may assist the City Council in its evaluation of your application_ Submit application(s) and attachments to City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL, In order to assist the City Council in sezkittg to balance appointments in terms of geographic location a residence and/or business, ethnicity, gender and age, the following information is desirable but not required for application submission or appoint If a City resident, for how long? If a City business owner/operator, for how long? Year of Birth { 3 Male V Female Ethnicity Sinjhe FNwa Ok ET/MED PAPERF r)kt-4 6R, PkEst a7Z•Ark I h .5 41. / Af6e Le-5 cLJAf7 6,/(4/11/55/02),,e ]) .p7- of CoAisoilEx AricAti,es. c o At 6 12 _ 5 s rti c.75L;IA, 11K4741 -3 4C-,4,1111/ ee 146-&) -BoAR.,D Ebuc.A-n:DA) CoLvelL ell)/ -5 0,0 2-11 P C kcc- E ISewey ctrr g :J4ACD Dik.41-7--;0A/ Commr-r-r4E6 C11 Lvg e17 Alq-b kakb Ar4W 7- RED M VOA/ - 0/1,e1) 1_0S I4At6 - Le_C AiepoJ A 'i3 0,ey Ce7/14, I 4 1.7-7-E et)2./z_ C17 SE41-ra,— Ceithigg_73 D4AD o 75S 5747-6" DP CA t Go-cklAk Fok PAs sfiGe- oF /55 EM 1111 Bill (As) i o 0 3Ass) pmei de r FEE EK,Emp-rio Als FoR„ Ve-r6RA1S. F o uabli1 6- /1-411116Eg LVErt. Coy gisrokicAL CoLvep., Crry EbucA--rii =n) "ItuAIDAr-r-joit) An0 i-r‘f o-rii 1-1- A trti CoAt-rEie. 4 i= -r,4e tie-A. 17 cr-y - JoLI4 .1)MD A1 6u#4- --ry L1312.erky Socte-ry LAlan Corlin — Vice Mayor Carol A. Gross Councilmember " Steven J, Ro ember c cm COMMENDATION NEIL RUBENSTEIN WHEREAS, Neil Rubenstein, along with his wife Toby, has been a Culver City resident for 29 years; and, WHEREAS, Mr. Rubenstein has made a commitment to providing advocacy, friendship, and continuing support to individuals who have disabilities; and, WHEREAS, Mr, Rubenstein, retired from the Boeing Commercial Aircraft Company after 31 years, serves as a Los Angeles County Consumer Affairs Commissioner and regularly attends meetings of the Culver City Disability Advisory Committee as an advocate and interested citizen ; and, WHEREAS, Mr. Rubenstein, a member for over 20 years and Past President of the Culver City Friends of the Library, played an important role in the project to bring the Culver City-Julian Dixon County Library up to Americans with Disabilities Act Accessibility Guideline through his resources and personal contacts with Los Angeles County Administration and other Public Officials; and, WHEREAS, Mr. Rubenstein, in his enthusiasm for literacy and reading enjoyment for all, contributed $500 worth of large print books for seniors with low vision to the Barbara Silverstein Large Print Library Collection located in the Culver City Senior Center; and, WHEREAS, Mr. Rubenstein has given his time and personal resources to help plan, sponsor the costs of some needed supplies, seek donation from the community, and volunteer at the Annual Kids Carnival for Children with Disabilities for the past 3 years ; and WHEREAS, Mr. Rubenstein has also volunteered for the past several years to assist at the Annual BBQ for People with Disabilities; and, WIIEBEAS, Mr. Rubenstein continues to volunteer his time and support to the West Los Angeles Veterans Hospital through his more than 25 years of membership with the Jewish War Veterans, bringing cheer and gifts of clothing to hospitalized veterans recovering from illnesses and injuries; and, WHEREAS, Mr. Rubenstein is an example of one of Culver City's finest citizens- a person who is a family man, leader, advocate friend and a person of sincere warmth and impressive character. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Culver City joins the Disability Advisory Committee in hereby commending Neil Rubenstein for his outstanding contributions to those with disabilities, and urges all citizens to emulate Mr. Rubenstein's example. Dated this 23rd day of October, 2006.CULTURAL AFFAIRS COMMISSIONCITY OF CULVER CITY • - f|1010|NOB HAY l4 AN 10: 09 enz) OLIVIER BOULEVARD P.O. BOX SU, CULVER CITY, C. 50232-0507 I Name: Address: CITY i_L_E APPLICATION AND. BIOGRAPHICAL DATA CITY OF CUI_VEP - FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP &lease type prbir) The information contained on this form is for the use of the City Council in otter to fill Vacancies on City Commissions, Boards, Advisory Cunrmittees or Task Forces. However, all information on &LB form will become i pm 1:61 Ile 'VOW' ail .11 avniiiable Ear public ingoettion or duplication as anthorkzed by law. Separate applications MU& be submitted for each body to which application is being utade. General Information L Identify the ii '.sion. Advi C t nee or Task Force to which appointment is desired: ‘411 " 3 /0 ei 2. If applying fir a position on the Landlordifenani Mediation Board, indicate whether you are- applying as a tenant representative L__ landlord represenintive ) or member at-large representative ( Call the Housing Division at. 010) 253-1780 if you have any questions regarding eligibility for Landlordrfinitalt MediaLicto Board positions. 0-1 e4.', • of Telephone zip 70 3o Business: Telephone ( ) Address: Zip E-mail addrea: ,,., j . 1 Cc, e 1 1- Pr-.41- I cl e kir C4 (6, ea% f ..... i f /5? ic e e ,p1,45 % f, - t- rit-t- • 4 i i - y 45 e .1 0 COver City EArloyeos !aka pride in sffectim54, providing the iIes levels 01 servioe to enrich the quafity of Mb barite torregurrilytybadcling ail oar traijitiari or more gum severgy-ifveyears ergpottie sente, by our pang& comaribriarri, and hy aur deatation 10 owl Me diarturges of the /Ara Answer the fonowing: (1.1,se aditionEbi she-ets f rwemary) 4- Cornutunity Service (List boards, commissions, committees and organizations on which you have served or eurrundy serve; offices held and in what city.) Pcustracni noxcarormsn • t„. TI • 5. Ernplpyment • . (ltie äu4 duties, ear* and past) -• • , -?`"' *".v 1/1 Ete 1•• 13dc .1 17' Cle /fad/eel . . ac e: -(4 Y/-t ) II. 6. , IL P12-ti /2-8-c-vNir-1/ I-1 AI) je 7/2- J/7, c 7/116" op ,ti v /aril ,a-r ell p/.44-p LrAil I/ . Y GiO au-/I) D ge I 42 6 — clAp, -/e7 . Pf“ C 2 0't_ ow?) du g e 56vp-rvil _s 12'6 Forci .W2/1'f O id 0 Ar, i 1esmrt If? c.) A-7LT 1 9 L-C7 /2-eP /2 E-St7-1,Tt--) kfr P/14 CT Je- 19. What do you see as the objectives and goals of the body to which you 'seek appointment? M 7). I -7-240.7 7tI A-12-Tr evA.-,-/, „ei...6._; "1 -/ c4 7-12- ---r 0'1 tin-) A} D r I, (f I A-1 14/4--vt. .j g77 e hecry A .4/13 9J L.-- 10/2-A/ b .-7> i /i25 4- A- c7/-7- -ri ga ro'rv ---- -7- geit.1/4` -77-2/Zavt.42- 6 14=1 c "T hi typi 674-',Ltl - e -r &red A-Iel d/uaz-ii u . /11 4 iyczz. - 777 pk vex ei 7V &\res2.7 H 12A ,P C1/4-7W2-& 20. How would you recommend the objectives and goals of the body be changed or augmented? (A)t-I gAi ig-1/ e- A) ,2-A} F1/2 -57: - /-17?- 71) e_o 4-7 14 PA,J icrf .41; X46- Sr-25-P_r Co •41/1 'IPA/ - 90- / Vig E-• / ip /2 eCe}4,1 172-- /Li /91 L 7- 22 / 2 11) , urz_ 77"52-4-- C-e) /elfri it// // A 642.07-2; b-m46 - 674 - / Fii/b3-4/4_( 4 1/14 IV 7.- ')---17Z-1 /<1-7319 7- C PIET • • How would you help achieve the body s established objectives and goals? rT1,1 v 8///79- e I, e Afre- 4 p A mr PS4 ka d fi4 „op.- y,04--)24 &NC L-r 774 4-71/ PRINTED ON RECYCLED PAPER A/o/I-le 7; 2/ egisf-1 Page 4 of Application 114 //J rY 4i) / /v 40/ / f *)9. : C514--L-41 f t 0A,--) 0-17e.Vs-e--Q La( a4. cv-ciLA 6-5 V.J4.1.-; -''.- 4--C-‘"' (7'-‘ ‘.--''L-- CV i ; .ir--; Tv\ ef-P rpGjr-5 (1-1 .r. CYL-Ne-- i , k _, 6' 1/4 ,_ ' L-- . - 1:: `''' t-terLidk k-i, c?",RA-- --eArl ta."-9-4--|1010|...-0,k,1-_i Cwi tAw C R --- (-17 ----04,,t_ -, c,( '_ -121k.R bc•_&,k-- ),-- .,i,a.12:3 a ck_c2_96',./Nc,-1-, fevv„ - '''-' • ) 20_ How would you reci:unmend the objectives and goals of the body be changed or augmented? CCA.A.....wat T'S : 0% 14_ (77-Z2,. prEN) . ; (36° c,...prAc_ eciAA ca3i.e.A. trrecey , - -21-7-x-4"; ++- 23 c 2rv- C oL . (Eibre_". CLA/j. 21- .How would you help achieve the bc.xly's cstablished objectives and goals? PH/NIEL) onHECYCI .:ED Pl•PERPage 4 of Application -t.A..... I Lif-ricS1 ( }-) ri,Ads QC- v/921,,L,Lo_u,± 4 pQ"-- MJ- cL 75 -6,24 64,--2A o_:, 17, cf-b J t-v‘4 14_1/4A6 (NI\ so AA.,- 1 cc,,,,,, k ,,, a.c.ii,)9, irii,,,.2,_A, , ,.., M a.,1,16( 4 v`v-LCuk-k -Q 6,6,4 co.,j-e4 de te ‘ ci:r1,-/J- . 22. What special qualities can you bring to the body to which you seek appointment? 1 kckAR. -Vro„i k.,;---\ l'i\ -5'INcoJreac 4 ll y l p (a—VviAA ' 1 , j i CR3-3 Q ::: fl. , .0,4,,c0,4-,, (A)Liu 1 4,63+-c,— tk . t_,A p ;0-1-,a-S , ) e-A,A,,\ e-A. /S 6 A prAC--4"; (-- -Ii NSS -71,5 t_)-(-\A. 1 u2 co-yu„,b2,j--;,r,„1 (v-e3-vua ack4 1 i utai.,,,sz c-) \---\--Lx. 02-0...A.AA.„: SS ; eV\ ., IZEMINDEg: All information on this application will become a public record and he available for public inspection or duplication .as A othothed by law. I hereby certify that the foregoing inforztation is correct to the best or nay knowledge You arc invited to attach a onal pages, enclose a copy of your resume., or *tibia supplemental information which you feel may assist the City Council in its evaluation of your application. Submit applictilion(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 2534851 OFTIO.NAL In order to asst OK. . City Council in so2kitta to imiance appoimmais in terms of geographic /ovation of residence and/or business, ethnicity, gende.r and age, the following inforrnation is desirable but not required for application subraisiort or appointment. If a City resident, for how long? I If a City business owner/operator, for how long? Year of Birth Male emale Ethnicity sicittjhe PANYFF: CAo 1YO.ECO PAPERYAEL Z. SILK SUMMARY OF QUALIFICATIONS Seven years of experience in the arts highlighted by an increased focus in education and research. Sought out by arts organizations to provide program evaluation and assessment guidance. Combines analytic skill set with pragmatic applications to work collaboratively and positively impact teaching and learning in the arts. KNOWLEDGE AREAS • Arts education • Professional development • Outcomes assessment • Strategic planning • Program evaluation • Group facilitation • Program design • Curriculum development PROFESSIONAL EXPERIENCE UCLA GRADUATE SCHOOL OF EDUCATION CENTER FOR RESEARCH IN EVALUATION, STANDARDS, AND STUDENT TESTING Research Associate • Conduct literature reviews. • Develop instruments to measure classroom-level and student-level outcomes. • Create protocols for administering field test, pilot, and study instruments. • Manage data sets. • Contribute to final deliverables. 6/2007 - present INDEPENDENT CONSULTING 2/2005 - present Los Angeles Philharmonic Association 6/2007 - present Develop and oversee implementation of department-wide assessment plan for the Education Department. Assessments target programs for children, young musicians, and adults. Arts For All/California Alliance For Arts Education 9/2006 - present Coach Redondo Beach Unified School district's Community Arts Team in designing and implementing a K-12 arts education policy, strategic plan, and budget in 2007-2008. Participated in 80 hours of facilitation and strategic planning training in 2006-2007. The Colburn School 7/2006 - present Design and implement assessments for the Summer Encounter program (a multi-discipline program). CalArts 4/2005 — 3/2008 Designed and implemented assessments and three-year program evaluation of the Community Arts Partnership Summer Arts Program (a multi-discipline program). LOS ANGELES PHILHARMONIC 8/2004 - 5/2007 Manager, Adult Programs 8/2006 - present • Designed and oversaw year long professional development curriculum for LA Phil musicians, teaching artists, and partner teachers working in 20 elementary and secondary pubiic schools. • Idehtified, developed, and hired speakers, guest artists, and musicians for over 100 pre-concert programs each season. • Designed and implemented department assessment plan focusing on three constituent groups: children, young musicians, and adults; update Board and Development staff on new findings. • Represented the Education Department internally at regular Production and Marketing meetings and externally at arts education conferences and meetings with colleague organizations. • Managed budget of $250,000. Silk, Yael Z. 1 of 2YAEL Z. SILK LOS ANGELES PHILHARMONIC (continued) Education and Community Programs Manager (Children's Programs) 8/2004 - 8/2006 • Redesigned and implemented School Partners Program in 10 elementary public schools. • Designed a database to track LA Phil musicians' education and outreach activities. • Oversaw creation of standards-aligned curricular materials. • Interviewed, hired, drafted contracts for, and trained teaching artists and assessment team. • Initiated department assessment initiative beginning with children's programs. • Contributed to Education Department's five-year strategic plan. • Drafted language, created budgets, and selected program documents for grant proposals. • Managed budget of $100,000. MIT MEDIA LAB 2/2004 - 5/2004 Teaching Assistant - Media, Performance, and Public Space Graduate Course • Facilitated development of students' community engagement designs for the Miami Performing Arts Center. • Presented relevant research and case studies to the class. HARVARD UNIVERSITY 10/2003 - 5/2004 Arts in Education Department Curator • Organized and installed art exhibits of local elementary school student work at the Graduate School of Education. • Oversaw and installed Arts in Education graduate work exhibits and special exhibits in Gutman Library. • Planned gallery opening events. CONSTELLATION CENTER, Cambridge, MA 7/2001 - 8/2003 Executive Assistant • Assisted philanthropist's efforts to build a new performing and cinematic arts center in Cambridge, MA. • Created programming proposals to enhance fundraising efforts. • Researched potential donors and assisted in event planning with the Director of External Relations. • Kept track of all projects being handled in-house and by consultants. • Drafted company's first employee manual and ran new employee training. • Produced informational flyers, created press kits, and updated project website. • Oversaw billing, payroll, petty cash, and health insurance. • Kept president's calendar, handled all correspondence, and assisted in travel arrangements. • Researched areas crucial to the project's success. 2/2001 - 6/2001 LINCOLN CENTER FOR THE PERFORMING ARTS, INC. Programming Assistant • Assisted with preparations for the 2000/2001 and 2001/2002 concert seasons. • Ordered props, prepared scores, and updated concert hotline. • Proofread PR materials and concert programs. INTERNATIONAL SEJONG SOLOISTS, New York, NY 10/2000 - 1/2001 Concert Administrator • Organized two outreach concert series featuring professional and student musicians. • Created press releases, flyers, and concert programs. • Communicated with musicians' managers to obtain press materials, set rehearsal schedules, and determine set-up needs. EDUCATION HARVARD GRADUATE SCHOOL OF EDUCATION Ed.M., 2004 Specialization: arts education BARNARD COLLEGE B.A., 2001 Music, major; economics, minor Silk, Yael Z. 2 of 2PEG MAUI' 19 riN10 : 32 CITY CLi-_-4 CITY OF CULVER CO 't770 CULVER. BOULEVARD P.O. BOX 507, CULVER WY_ OA- 90232-0507 CITY OF CULVER CITY F'a 1.71 rrA7rric itrk —m-zili nor:m 6.) r y)(, ) &fro Cc__ TY) 517e 625u N c L APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVESOIZY COMMITTEE MEMBERSHIP _ Vease *Fe or The information contained on this form is for the use of the City Council in order to fill vacancies OD City Commissiorts, Boards, Advisory CA3mmitrees or Task Prices. However: all inforirmtion on this frrn will lwom i iwhlk reetrd and be mrsiielle for public in. maul' or d Jicaiion as authorized by Jaw. Separate applications ma be submitted for each body to which application is being made. General Information 1. Identify the COETIMissiG11. Advisory Committee or Task FOite to which appointment is desire& CA LI-Ufa 4_, Pc FFA-) (,P-1rYuY1) I D 1'4 2. If applying for a position on the UndlortliTeraint 141,lia gion Board, indicate whether you are applying as a tenant representathe ( ), landlord repravntstive ) or member at-large repmsentative J. Cali the Honing Division at OM 253-5780 ktyc any guts-Liam legandi'ng tigibliEyfor Untliondrfenam Mediaion award posizions, I Name: 1-\PNKLEEL._, Tclephone Address:, Business:, Address: < E-mail address: 0 kawer flu-• (U sheets if ilecessbr31 4- Comm duity Service (List boards, commission, cearenirtrees and organizations on which you have sen,ed or currently serve-, LI fECUS held ami in what city )zAm 1-)N)-1) 972 -1? — FEA-Boaf ( 3 7.) L,e - Li- r / /)/-4 GC-e,11-D1111 ,307 6-E- g Pr-p-i s p„ ble A171 e ZIP giapr-R._-_-) • rnprcrtsas rake pre? Effeevetyprovfdrig Ui hVir,F4.1i61:0s- d riica tovich Efm. • rpvTE:y of (or the coniliumfy builalog cm Our Maetion of more :ha° severdy-Tive yof f pt.42fic sa-vcr, by Gee- p easant' crerrnii'maJit and by our dect4 : aeon la in a) , x;;JaVetrges cube iiiiaraPage 2 of Application 5., Employment e-u)Z \z - L4-N-T E - c Chu-6-4 (Tide and duties, current and vast.) - cia g-Do."‘Ive>,-v) u \z NI 0 SIN )04L12;v\r‘ V)r A \ \`‘ • IL JJ -v„, \t'Y P (c5, --vImu 6_ Education (inchick; profe.s$ional or vocational licenses and certcates.) r/'\ ts_k_. -A _ ',5-J ce5-3 76\-voed Personal 7. Are you a US. citizen? YES NO S. Are you registered to vote in Culver City? YES NO 9. Have you ever been convicted ., fined, imprisoned, or placed On YES NO probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO ''‘V names of departments,) IL Are you related to any current City en-pployees or appointees of the City YF.S NO oICulvcr City? (If ve.s, indicate name and idatiOri 12. Are you aware that financial disclosure may be required annua ry? YES (e.g. sources of income,. loans and gifts, imcstrnents, intentsts in real property,) L. Rules or law and ethics prohibit members from participating in and YES NO voting on matters in which they may have a dirt:c( or indiroct financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in rotation to your responai rides as a member of the body to which you sock-. appointment? (if yes. please indicate any potential conflicts.) 14. Have there been, or are there now, any business drcarnstances which YES NO 4\17 PRINTED ON RECYC ' LED PPPFX ck_vrPage 3 ot Applicatiort might relleel adventry on the propriety of your serving i ontrubt".r or any body to which, you inii.tht be appointed? 15- ROW many metttirq_5s of (ii.0 COmrnis .sion, Board or Corraninte ro which you are interested in being appoirited have you attended in the last year? Nc JiEE. 16. How much time, on a monthly basis, do you unticipate -pun-riing, on preparation for and attendance 0 meetings of the body to which you desire appointment? 17. Why are you interested in appointment to a City Commission. Board, Committee or Task Force? TO 4—A\f-v—.\ -- k—'\ —rc\ \--- A--)A PN-s NY1 L .1') _ IS. What is there speciE=Ily in your background, training, education or ntereas Otich qualities you as art appOilliee S'Z_ /DU b )\1 . )1-a -t--( -cAz-t\--z-71 tO1-\1\ 1\l'J IL) fr\-S: \ TO Fa s--t coSa_L ;;TP0•1 N)ki-TO 19. What do you see As the objectives and goals of the body to whidt you seek appointment? Ttr (A2-- /'iJ Li oD r v 1 \(\i 2-ZrN- L^ —to p\ \\_pvz o Nk ou e_x-r 20. How would you recommend the objectives and gcrais of the body be changed or augmented? )\() e'F- c -z• \`--I 2c5 -.p5-1-N\ 2!. How would you help achieve the body's established objectives and goals? P1INIEL1 HhOeCt,S0 PAPERSignature: Page 4 al Application yy-\\_,) 2. Whatspecial qualities can you bringto the body CO which you "41:Mk appointment? v's A \ W)-y zk_exi,AL__./a. - REMINDER: MI information on this application will become a public record and be available for piddle inspection or duplicatiotk as authorized 1w raw. I hereby certify that the foregoing information is correct to the best of my knowledge Date: You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application_ Submit sl3plicalion(s) and attachments to City of Cut vr City Attention: City Clerk 9770 Culver Bo Ulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL In order to assist the City Council hi seeking to balance appointments in terms of geographic location or residence and/or business, ethnic-by, gender and age, the following information is desirable but not required for application submission or appointment. If a City resident, for how long? if a City business owner/operator, for bow lone Year of Birth. I 0 Male Female Ethnicity 31TV / sample PAIrCE1') 014 BECYCILE13 PAPERCITY OF CULVER CITY , E D 9770 CULVER BOULEVARD, CULVER CITY, CALIFORNIA 9=24 54,7 w . 16 NA i i • CITY CITY OF CULVER CITY APPLICATION AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Identify the Commissions, Advisory Committee or Task Force to which appointment is desired: Cu +ur ir,5 raYrtscinn r LoS Anclrl-q frirpoY4-1"401,vfori. 2. If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a: Tenant Representative ( ), Landlord Representative ( ), or Member-at-Large Representative ( ). Call the Housing Divisional (310) 253-5780 if you have any questions regarding eligibility for Landlord/Tenant Mediation Board positions. 3. Naniektr4A win&H--r Phone Address: Zip Business: Phone ( Address: Zip Answer the followin2: (Use additional sheets if necessary) t 1 0 _ I r rtt ) , 0_ 1 iNr "i. I e EA (011/1 a... . Lid,,re IL/ 1 1b j-7 Cern t y) iSSI ou-ri ( 1 / 43) R',-V/ Ir/ 11 r 1 J t5 Cormni-5.5zoner; g-s-socitieLM--ad-toiv 117-(--11' i on /ea Ca7 1-,06/0 61/ fo4o-61 Culver City Employees take pride in effectively providing the highest levels of service to enrich the quality of life for the community by building on our tradition of more than seventy-five years of public service, by our present commitment, and by our dedication to meet the challenges of the future. Appool ed (orrYnissirin Pe l a(e aizle 17/4friiee 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) pRtNTED Cm RECYCLED PAPER‘1„e_CIA0,41 C5Y) 6o6va Page 2 5. Employment (Title and duties, current and past) Enforce/van*4o eni pavo—Ni4-57) 5 14-mintA A-sstaa4e _ , 'rocketry ) Hcatioht-PL, Exq-eivel , Us PIS-4110f (Old Norct-h-ft D134-ria- rojert f_ ocorourator, &C-1- baAitt4iJS ett14-cy 6. Education (Include professional OF vocational licenses and certificates.) &&, NA--heat Screlice ana--tfis Uc,E644-1-- 4 y fa$-hrzl s Catei-e Lek1 d-- Tithtisc Personal 7. Are you a United States citizen? YES 0. Are you registered to vote in Culver City? YES NO 9. Have you ever been convicted, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? 10. Have you ever worked for the City of Culver City? (If yes, Est YES NO dates and names of departments) II. Are you related to any current City employees or appointees YES of the City of Culver City? (If yes, indicate name and relationship) liguntt-ct pa,c-i-cry)) Lao rmai 12, Are you aware that financial disclosure may be required annually? YES NO (e.g. sources of income, loans and gifts, investments, interests in real property) 13. Rules or Jaw and ethics prohibit members from participating in and YES NO voting on matters in which they may have a direct or indirect financial interest. Aryou aware of any potential conflicts of interest which may develop frorifyour occupation or financial holdings inrelation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts) PRJNTED ON RECYCLED PAPERPage 3 14. Have there been, or are there now, any business circumstances YES NO which might reflect adversely on the propriety of your sewing as a member of any body to which you might be appointed? 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you attended in the last year? 4-4.114-t 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? /0 hours pot we-2k 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? haAie pIVAA o Pelbce,n(e' ad a cpywn,Las ut--- 10 U2e_)/pe (-1---Actae_.17 Idiyq Adh. eteg -d cuLice kti A_. 6-77-e,tmcrl 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? n #15 a4--/-s a r rn,fLuidNAA 0 I: wet4 e-LeA/toi,o T, was a peAlo th 9M LzAtrer 19. What do you see as the objectives and goals of the body to which you seeli,appointment? 11 7-0 a (re %--I4.L C2L cey_z/ re_il 1l4WeA4 0.4a4-6-ev cu-a tale_ 4se iteths 1 6-1-1 20. How would you recommend the objectives and goals of the body be changed or augmented? - -rw,vuec( //i&) ci7'024- 741 it 74 a,, i11,6a-C HaLio C/LY 1-e4a e-74_ d 714tei e of) -41--L PRINTED ON RECYCLED PAPERDate: nvg Signature: If a City resident, for how long? Year of Birth Male Page 4 How would you help achieve the body's established objectives and goals? • 7: air a imemiP& aM r-utho-ns, mit P6- awe Li-A.64e_ 22. at special qualities can you bring to the body to which you seek appointment? Octur 444 e cuta_ (14>-(e4L4-P 6A //1 /27(.40-e-di ,E czs Actor tv (J744 Ce,211h7/(VJd 7 0-7- /43e , REA/HINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge. tia4Faru0 (a.,t49 7 . r-m.‘r JT filta Lat- cf You are invited to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, California 90232-0507 (3/0)253-5851 OPTIONAL In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender and age, the following infonnation is desirable but not required for application submission or appointment. If a City business owner/operator, for how long? Female Ethnicity ./h42jJ Z 1Zie-A-1 PRINTED ON RECYCLED PAPERJamie Wrioht EDUCATION Loyola Law School, Los Angeles, CA Visiting Student, 2007-2008 University of California, Hastings College of the Law, San Francisco, CA Juris Doctor Candidate, 2008 • Policy Editor, Hastings Law and Policy Review, 2006-Present • Hastings Negotiations and Settlement Team, 2006-2007 • 2n° place advocate and 2nd place over all mediator, National Mediation Association Competition, 2007 • Competitions Co-Director, Western Region, National Black Law Students Association, 2006-2007 • Voting Member, Admissions Committee, UC Hastings College of the Law, 2006-2007 • Scholarship Recipient, Charles Houston Bar Association, 2007 • Scholarship Recipient-CLEO Fellow Scholar, Business Section, American Bar Association, 2006 University of California Berkeley, Berkeley, CA Bachelor of Arts, Political Science, 2005 Bachelor of Arts, with honors, History, 2005 • California Teaching Certification, California Basic Skills Test (CBEST), 2005 • Appointed Commissioner, Peace and Justice Commission, City of Berkeley, 2003-2005 PROFESSIONAL EXPERIENCE Black Entertainment Television (BED, Los Angeles, CA Business and Legal Affairs Extern, January 2008- Present • Assist with music clearance and licensing matters • Negotiate terms and fees with publishers and record labels for all third party music aired on BET Networks • Draft deal memos and music licenses and Agreement for Services • Maintain Talent & Audience Appearance Consent & Release Agreements for all shows aired on BET Networks Financial Industry Regulatory Authority (F/NRA), District II Office, Los Angeles, CA Enforcement and Regulatory Intern, August 2007- Present 4, Develop evidence, interview witnesses, analyze brokerage records and research relevant securities case law • Assist staff in gathering and analyzing evidentiary documentation • Prepare exhibits and questions for investigative interviews and broker depositions Bingham McCutchen LLP, Los Angeles, CA Summer Associate, May 2007- August 2007 • Drafted tender offer registration check lists and intellectual property schedules for private equity deals • Assisted in the registration of intellectual property, patents, and trademarks for clients in private equity deals • Drafted court motions, client communications, pleadings, and legal memoranda for partners and associates • Conducted legal research for case specific issues, briefs, trial memoranda, and various aspects of motion practice • Drafted portion of habeas petition for prisoner to be filed in January 2008 U.S. District Court; Northern District of California, San Francisco, CA Federal Judicial Extern, Chambers of the Honorable Martin J. Jenkins, June 2006 — August 2006 • Summarized case files and conducted extensive legal research on memoranda of law of issues pending trial • Drafted bench memos under the supervision of the Judge and law clerks • Prepared orders, drafted and edited opinions for the parties • Reviewed habeas corpus petitions and reviewed pre-trial and post-trial motions East Bay AIDS Center, Berkeley, CA Research Assistant and Project Coordinator, August 2003 - August 2005 • Researched and summarized literature for grant proposals for HIV/AIDS research in the Bay Area • Collected qualitative and quantitative data regarding HIV/AIDS cases in communities of color in California • Drafted and approved contracts and grants for partnerships developed between community agencies and clinic • Coordinated volunteer projects for high school youth in greater bay area to help spread HIV/AIDS awareness VOLUNTEER EXPERIENCE Tutor, Eastmont Tutoring/ University Preparatory Charter Academy September 2005- May 2006 Member, Junior League of America, Los Angeles Chapter, September 2007LOS ANGELES AIRPORT ADVISORYCITY OF CULVER CITY MB HAY 16 PH 4: 18 9770 CULVER BOULEVARD RD. eox 507, CULVER cn-y_ CA. 90232-0507 CITY CLEPK APPLICATION AND BIOGRAPHICAL DATA CITY OF CULVER FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please. f)774? 4't rpritrt) no information contained on this form is for the use of the City Council in order to till vacancies Oil City Commissions. Boards, Advisory Committees or Task Forces. However, nil information on this form will become a publk record anti be available fir public inspection or duplication as authorized by law. Separate applications must be suhruitted for each body to which application is being made. General informatio» 1. Identify the Commission, Advisory Committor or raNk Force to which appointment is desired: 1:-.19 5 4/v0--;€4.-c. s A-Ovz-S 2. If applying for a position on the Landlordrronant Mediation Board, indicate whether you are applying as a tenant representative ), landlord representative ( ) or member at-large repreentative ). Call the Housing Division at (310) 253-5780 if yea have any questionA tegarding eIigibJy far LantliondifeILUM K41404111 111)2113 patiili 3. Name: K/1/7t/ Address Tekph,-st•e Address: E-mail adclress:_ An (Use A-hcas if liceassiny) 4. Community Service (List hoards, commissions, committees and organizations on which you have served or currently serve; offices held and ia what city.) C uLifE-1- A/4-7-5-a"01-e- •:)th C -.2f; A '-I i) er,b4- Ci-t. Fix c"Ti. C-6""-r-Tr abc C* &nolo:Ages rake pride In effectively providing The higlre5t ieveis Of service to anficti the nuatity of gfe for the cofrimoaky by &teeing on our fiadition of nere than seventy-five years a Rif,* sertifoo. by our present commitment and by our dartichIerm lo meet ii)e oneitlengres of the foam PrN7M2111 rsmr toS Azvc- f L-1-75 C.r ry etrsr A,F s-s- A-.Ar0 T-A-S (ci-f4-17-4-5 A-4,0 /044_.itS)Page 2 of Application Eniployment (Title and duties. current ifild past.) 51 vr0 |1010|Arrt71 1,i-cr /.31,-.:Ez. /1 .)4L,us JAI a -1t f. 5 fzeig- P C- — C-vz-ec. 1&4 Pe (Include professionn I or vocational licenses and certificaSt::7 6. Education 1:15-157)'|1010|rce,t, y LiAra-velz 1t14- E t -4/ sr_ 0-it) 61',-/-J--A-e/i 11 ‘ Trv ii/z-C 4:777 6 Personal 7. Are you a U.S. citizen? YES -->1./ names of departments.) IL Are you related to any current City employees or appointees of the City YES NO >/ of Culver City? (If yes, indicate name and relationship.) 12. Are you aware that financial disclosure may he required annually? YES .'>( NO (e.g. sources of income, loans and gifts, investments. interests in real property.) 13.Rules or law and ethics prohibit members from participating in nod YS NO voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibi titles as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) 14_ Have there been, or are there now, any business circumstances which YES NO ‘X/- PRIN ru ON HECYCLED PAPER:Page 3 of Application might reflect adversely on the propriety of your serving as ui member or any body to which you might be appointed? • 15. 1-Tow many meetings of the Commission, Board or Corranince to which you arc interested in being appointed have you attended in the last year?__ J6, How much time, on a monthly basis, do you anticipate spcnding on preparaf ion for and attendance at meetings of the body to which you desire appointment? L—e A-5 T p o u i Tt pz_v & -.4. yi S S r-4—y / TO .12rgin5 A-AJ / 2.6.,,rr-EA,e) i4 t„E VA-frT /61,41-71.4 .1 AV; s /11 (Le. E Wt1i, -e4 f- 17. Why are you interested in appointtnent to a City Commission, Board; Committee or Task 'Force )-14- E A- 6-ie-er4---1- Ar :tflt c41 73 Ct.> 1ff 11E- L-4 .fr,-/tv TTE,E. A-ye 1"1- Du- L--4 I& What is there specifically in your background, training, education or interests which qualifies you as an appointee? Z-4/6-|10
10|HA-V k poe -WZ1 Ar ` .7-irY 63-11 Tlz*P o'r-A-Tr4)-4-' A-G--f LAity yz_. /-ez,5e .vs ••n-/fr t -.0 A-1 ar'r S - 5 g c; ,61 fri /fr-v F- . )6,e-7)--;V‘,Ait,rE 49 1 7 C-0 a Air- 19. What do you see as the objectives and goals of the body to which you seek appointment? To EAl ot.fg -'22- &et L. /2-1-4) 7-5-) •gerr e /2- 5 4 A- A-f(1 vAIA a- /fr.-) -17-; TE/27dr rki / "'I /1 LTA-1 ,71.7 E_sT, /14x-5 cai „ ;is” d j-fAs )14--yeL",,f ,) 1-7/V Ye) . 20. How would you meommend the objectives and goals of the body be changed or augmented? E /1 36 4/, ‘,-/ St' 7, tfr C-V L. GiT7-- A- e) 0/-5 P 4-1 A- /ve ç p)47-. 12 ,9 71,rs, 2U How would you help achieve the body's established objectives and goals? RHIN' LL ON ''YCLIED PAPCRPage 4 of Application vj 42 Li 2.- 0 )-/ E 44) T 7-57 C ./'-1/41- vev- e 0/577- Co A/ 4—/v4 r C t; "./t1- v4/ it) 71--e 6 C . 22. What _cpecial qualities can you bring to the body LO which you seek appointment? %7 1 -4-7v fr1A-- -a'tj -pt. a /L.-0 - 6-A--/v A— s 4,,1-74- .7—kt /i2f#-E) x 1 O D E11' Az-o7i- 444. /pin-- 5r . eig- -,t,r5 bP C v REMINDER: All information on ibis application will become a public record and be available for public inspection or duplication as antliurized by I hereby certify that the foregoing information is correct to the best of my knowledge Signatur: Date: /IA61/4 )--to You arc illVitat to attach additional pages, enclose a copy of your resume, or submit supplemental information which you feel may assist the . City Council in its evaluation of your application. Submit applicaiion(s) and attachments to City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City., CA 90232-0507 GI ID) 253-5.85I OPTIONAL In order to assist the City Council in seekilul to balance ippointments in terms of geographic location of residence and/or business, ethnicity, gendur and age, the following information is desirable but not required for application submission or appointment If a City resident. for how long? /ifi If a City business owner/operator, for how long? Year of Birth Male Ethnicity 5.4.}g!jhe F:RINIED ()F4 RECYCLED PAPERBUILDING & SAFETY BOARD OF APPEALSCITY OF CULVER CITY 2006 MAY 1 9 PH U770 CULVER BOULEVARD Pa 60X507, CULVER CITY. CA, 90232-0507 L.,11 41-41— I I 1L.LC APPLICATION AND BIOGRAPHICAL DATA CITY OF rii ! t%. .- FOR COMMISSION; -BOARD OR ADVISORY COMMITTEE filEMBERSI-frp (please 4-1-7, Ftirit) The information contained on this form is for the Imo of the City Council in order to tilt vacancies OD City Commissions, Boards, Advisory Committees or Task Fore:. However, all information on this. form will berome i iuth1ic mom] and be available _for public inspection or duplication as authorized by Jaw. Separate applications mita be submitted for each body to whicb application is being made. General Information 1. Identiti th9,Co,rnroission, Advisory Committee Or niSk - Force to which appointment is desired: .3 in 1 o .),) & 4. 56,,cei-) A pi o 1 Vco Akii-A) 2. 'If applying for a position on the Landlord/Tenara Mediation Board, indicate whether you ttre applying as a tenant representative ( ), landlord representative (_ ) or member at-htrge. p- A representative ( ). ( CaU the Housing Division al 13.10) 253 -5760 if you have any gole1[CIM regarding eligibility for Landlordirmant_ Nkx-.1i4ii-in 3 .131.111.1 pt)gial3tti. 3. Name: PO t) (--- 1— tt CLL t CAA Tdcpb OM I Address: Zip 'clephone „. A ,astve. ( Use:: shees ifnecessary) 4. Comninnity Service (List boards, commissions, committees and organizations on which you have served or currently- Business: - Address: E-mail .13d:tres5: C serve; offices held r N.p.,100 5 C_ I I- 7 and ill wiluilcify.) C),J)rc54,i.edr) rlc c c 5 f.'" o.ivw-Cliya-eVoyEres rake p.rM.g 1. (fectively providing ere highest' ;eve/sof servi4v, ro quaii,ly. onire for Me cont.northy bthfaingl -on our !rafloa of more then severay-Liv tpI S6N42, by ourprasant coarritrm.w, arid by oritdicatfau en .1 The cliattl.e!tges o.f The fulDrc.v. FrAWIMIC:1111M77.1.r.11117171,Page 2 of Application • 5. Employment (Title and duties, current and past.) t„.9 o 4. S } -4 4 54, p |109| c. .1 4\A1 vVc 1,3c119 4 e -A 0 ) 5 4 -ee Pr ;‘) e pAe, c-ij e " ) *-7 e I 417-ri c V--e3 6_ Educktion j 12? 4 e-r t: (include professional or vocational licenses and certificates.) F Te cAA ,)-vt G o,*Do 04-6 1/0 ‘, cleA,c, •" Sou-A> . A ))5T e> re et, Personal 7. Are you a US. citizen? YES X , NO 8. Are you registered to vote in.Culver City? YES )(1. NO 9, Have you ever been convicted, fined, imprisoned, or placed on YES NO probation for a felony or for a misdemeanor involving fraud? W. Have you ever worked for the City of Culver City? (If yes, list dates and YES Ng names of departments.) 11. Are you related to any current City employees or appointees of the City YES of Culver City? (If yes, indicate name and relationship.) 12. Are you aware that financial disclosure may be required annually? YES NO (e.g. sources of income, loans and gifts, investments, inte.re.sts in real property.) 13.Rules or law and ethics prohibit members from participating In and YES NO voting on Matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek Tippoiniment? (If yes, please indicate any potential conflicts.) 14_ Have therc been, or are there now, any business circumstances which YES NO 5 ,0, Le A 5 P.4 S • 11 I .) 4 PRINTED or HI CYCLED P-ERan appointee? I. |1010|, c Ci r 's A , Pl41 n5 A-41' L al") .5 1 4.s 5, Deci5,0 Page 3 at AppEcation might rdlect adversely on the propriety of your serving as a Mr:Tlibr:r of any body to which you might be appointed? 15. How many meetings of the Commission. Board or COrrifiliMe 10 -sAthie you are interested in being appointed have you attended in the last year? Aid,Q-,- .0-.t4.- 3 ,) t--- H. How much time, on a monthly basis, do you anticipate spending on preparation for end attendance a meetings of the body to which you desire appointment? 5 V\ ‘F.-5 17. Why are you irite sted in appointment to -a city Commission, Board, Committee or Task Force? 0 .0 t 1, . c.0 0.4 4- e F T:7 5 )4- 01-3 A 0 A J ( 5 5 L; e Cvi ) eA- 4 e, C-4 18. .What is there specifically in your background, training, education or interests which qualifies you as 4 5 oaf ji 6 4-}e e 1,0-6 rmAti e -1-- 4 ive, e,j ,c 4-c. 1.n. iv% 4-- 9 LiLdi (/ve-i / 5 l - • IN-e b4...4 I M14 e 4...743) C ji 42,e)ct 19. What do you see as the objectives and goals or the. body to whicli you seek appoi nment? 1.4 G.1?-- 4- -e Celei Q 0 fp. DjGi.C.1 4 ‘,% ; ij4"11- 2 . L X t 20. Bow would you recommend the objectives and goals of the body be changed o augmented? I be,|910| a.) -fro _e m 4- T 0 0 s. V-eAsc c s To &i. ? --tfjecA foo t f A. 1 { 1 .>t. eas)±5 1 cjk.1-ev- Co 5 k 3 5 ef p|109| 4) in 21_ How would you help achieve the body's cstablis141 objectives and goals? „ 14. c; c- V-. e p_f C - 15 d A-Jct ir\ e C 0A i Pi-JNftD On FiEC), CLE1) PAPER 11-,Z Ct i21 i e- A-ct V> c,s--Ael,, T lc 4-6Page 4 of Application 1, Cod-" f3)., -e s= I.Ae-e41; j 4 t,JA " 1A--te 47 22. What special qualities can you bring to the body to which you seek appointment?. 11,) I., 45 3 tr.- e t),91 ec-ric 5 ce4j 2, ci g c-f e&I C A = ‘53 ot c‘C e e,E.,i trt 04- 4 ti e43-4-s pi( vs4 e cis eel e rs.---r; Gu , ho t t4. 4AI I k 5 A j. REMiNDER: All information OM thiS e/Plilierliirqi Win become a public record and be availabie for public inspection or dtiolication :is nuthorized by law. I hereby certify that the foregoing information is correct to the best or my knowledge Signatu Date: ig 7._i_20 9 You me invited to attach additional pages, enclose a copy of your resume, or submit supp/emental inrormnlion which you feel may assist the City Council in its evaluation of your application_ Submit application(s) and attachments to: City of Culver City Attention: City Cleric 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5S5 I OPTIONAL In order to assist the City Council in seeking 'to -balance appointments in terms of geographic location 4.11 residence and/or business.Ihnicity, gender and age, the following information is desirable but not required for application stibmision or appointment, If a City resident, for how long? 11 If a City business owner/operator, for how long?. Year of Birth M Male V Female Ethnicity 14) 519Sf.ne p.AP:41TZ Otc Pammen PAPERCITY OF CULVER CITY t- :" 2D03 KAY 19 di 1I : 13 9770 CULVER BOULEVARD P.O. BOX 507, CULVER CITY, CA. 90232-0507 APPLICATION AND BIOGRAPHICAL DATA CITY OF CULVER FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (please type or print) The information contained on this form is for the use of the City Council in order to fill vacancies on City Commissions, Boards, Advisory Committees or Task Forces. However, all information on this form will become a public record and be available for public inspection or duplication as authorized by law. Separate applications must be submitted for each body to which application is being made. General Information 1. Identify the Commission, Advisory Committee or Task Force to which appointment is desired: Building & Safety Board of Appeals If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a tenant representative ( ), landlord representative ( ) or member at-large representative ( ). Call the Housing Division at (310) 253-5780 if you have any questions regarding eligibility for Landlord/Tenant Mediation Board positions. 3. Name: James Rowlands Telephone Address:_ Zip Business: Telephone Address: 10954 Santa Monica Blvd., L. A., ., CA Zip Answer the following: (Use additional sheets if necessary) 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) Building & Safety Board of Appeals Culver City Employees take pride in effectively providing the highest levels of service to enrich the quality of life for the community by building on our tradition of more than seventy-five years of public setvice, by our present commitment, and by our dedication to meet the challenges of the future. PRINTED RN RECYCLED PAPERPage 2 of Application 5. Employment (Title and duties, current and past.) Vice-President of above business in responsible charge of engineering. Same employer since 1969 fiat time. Part time 1967-1969. 6. Education (Include professional or vocational licenses and certificates.) Bachelor of Science in Engineering, UCLA, 1966 Post-graduate courses, UCLA, 1967-1969 Licensed Civil and Geotechnical Engineer, CA Civil 21818, since c.1972 Geotechnical 840, since c.1987 Personal 7. Are you a U.S. citizen? 8. Are you registered to vote in Culver City? 9. Have you ever been convicted, fmed., imprisoned, or placed on probation for a felony or for a misdemeanor involving fraud? YES X NO YES X NO YES NO X 10. Have you ever worked for the City of Culver City? (If yes, list dates and YES NO X names of depai talents.) 11. Are you related to any current City employees or appointees of the City YES NO X of Culver City? (If yes, indicate name and relationship.) 12. Are you aware that financial disclosure may be required annually? YES NO X (e.g. sources of income, loans and gifts, investments, interests in real property.) 13. Rules or law and ethics prohibit members from participating in and YES NO X voting on matters in which they may have a direct or indirect financial PRINTED ON RECYCLED PAPERPage 3 of Application interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the body to which you seek appointment? (If yes, please indicate any potential conflicts.) 14. Have there been, or are there now, any business circumstances which YES NO X might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings of the Commission, Board or Committee to which you are interested in being appointed have you attended in the last year? All 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? +/- 8 hrs. per meeting/month 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? I want to give back to the City for which I love living in. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? My background of engineering education and experience qualifies me for working on this Board which deals with interpreting health and safety issues with construction and interpreting the Building Code. 19. What do you see as the objectives and goals of the body to -which you seek appointment? Within the Building cmP, promote the health and safety of the citizens and inhabitants of the City that occupy private buildings and/or property — qn a daily basis. 20. How would you recommend the objectives and goals of the body be changed or augmented? do not recommend any changes to the objectives and goals of the Board. PRINTED ON RECYCLED PAPERDate: Si/g7e) Signature: Page 4 of Application 21. How would you help achieve the body's established objectives and goals? Attendance at meetings and full discussion of issues as they are brought before the Board. 22. What special qualities can you bring to the body to which you seek appointment? A reasoned approach to problem solving so the City, private citizens, builders and developers obtain their appropriate goals. REMINDER: All information on this application will become a public record and be available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge You are invited to attach additional pages, enclose a copy of you resum or submit supplemental information which you feel may assist the City Council in its evaluation application. Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTIONAL - In order to assist the City Council in seeking to balance appointments in terms of geographic location of residence and/or business, ethnicity, gender arid age, the following information is desirable but not required for application submission or appointment. If a City resident, for how long? 14years If a City business owner/operator, for how long? Year of Birth 1945 Male X Female Ethnicity Caucasian 5/98jhe PRINTED ON RECYCLED PAPERRALPH STONE AND COMPANY, INC. Geotechnical, Environmental & Civil Engineers JAMES ROWLANDS,P.E Summary of Experience Mr. Rowlands has over 35 years of experience in civil engineering systems, geotechnical engineering, and the environmental field including investiga- tions, design, and construction. He serves as Project Engineer and Project Manager on these projects. Be has experience with investigations, planning, design, cost estimating, oversight monitoring, and construction observation of excavations, grading, transit, commercial, residential, and industrial facili- ties. He is also an experienced expert witness .consulting with attorneys in the fields of geotechnical and civil engineering for problems related to structure distress, slope influence, landslides, debris flows, subsidence, settlement, expansive soils, excavations, grading, groundwater, moisture, and drainage. He is a Vice-President at Ralph Stone and Company, Inc. and is the principal engineer for much of their consulting work to homeowners, business, public agencies, attorneys, and insurance companies. Education University of California B.S. Engineering, December .1966 at Los Angeles Post-Graduate Studies, 1967 to 1969 Registration Registered Civil Engineer, California - No. C21818 (1972) Registered Geotechnical Engineer, California - No. GE740 (1987) Professional Affiliations American Society of Civil Engineers; Member, Local and National; Past Chairman, Geotechnical Technical Group, L.A. Section (1996-1997) Board of Directors, Geotechnical Technical Group, (1992-1997) Past Newsletter Editor (1982-1987) Institute for the Advancement of Engineering, Fellow California Geotechnical Engineers Association (company) Consulting Engineers Association of California (company) Representative Professional Assignments o Performed geotechnical field investigations, analyzed site stability, drainage, structure distress, evaluated alternative foundation, retaining structures, slope repairs, and supervised grading and excavations for con- struction at over 1000 sites in the Los Angeles area, including the Santa Monica Mountains with similar experience throughout Southern California. Has designed foundations, retaining walls and underpins for structures on unstable slopes, settlement prone areas and expansive soils including prep- aration of engineer cost estimates. 10954 Santa Monica Boulevard Phones (800) 813-9613 Faxes (866) 826-7134 Lo's Angeles, CA 90025 (310) 478-1501 (310) 478-7359 Proudly Serving Our Client's Needs for Over 50 YearsRALPH STONE AND COMPANY, I NC. Geotechnical, Environmental & Civil Engineers -2-- JAMES ROWLANDS, P.E (cont.) o In the environmental field Mr. Rowlands has participated in investigations and designs of systems for solid waste, methane gas migration and control, underground contamination and tank pulls. o Project Manager for geologic and geotechnical investigation and civil design for four-story parking structure, Parking Lot #6 at Los Angeles International Airport, City of Los Angeles Department of Airports (w/Walker, 1992-1995). o Project Manager for surveying and geotechnical investigation for Los Ange- les International Airport-Taxiway 'K' and Service Road, easterly extension, approximately one mile length for City of Los Angeles, Department of Air- ports (w/Bechtel, 1992-1993). o Project Manager for Utilities Engineering and Geotechnical Evaluations and Investigation for Coastal Green Line Extension 1-105 to Sepulveda Boule- vard, Los Angeles Light Rail Transit System, Preliminary Engineering and alternatives Analysis (w/Bechtel, 1989). o Project Manager for Civil Design of Drainage for Harbor Freeway Widening from Jefferson Boulevard to Century Boulevard (w/Parson-Deleuw,1989-1990). o Project Manager for Utilities Engineering and Geotechnical Evaluations for Metrorail West Los Angeles Extension. Route Refinement Alternatives Analy- sis (w/Bechtel,c.1988). o Project Engineer for Project Management Oversight Audit of Long Beach to Los Angeles Light Rail Transit System, Design and Construction. (w/Deloitte-Kellogg J.V.,1985-86). o Project Manager to design a 16-mile drainage system for the Century Freeway Light Rail Transit (LRT) System in Los Angeles, California. Coordinated the LRT drainage design with the Caltrans freeway drainage system design to connect the light rail line drainage to the Caltrans Century Freeway drain- age system. Reviewed Caltrans drawings to comply with Caltrans design and drafting standards (w/De Leuw-Cather, 1984-1985). o Project Manager for design and relocation of underground utilities for the Los Angeles Wilshire/Crenshaw Metro Rail Station. Supervised design of relocated 8I-inch and 24-inch diameter storm drains, and reviewed interfer- ences with water, sewer, telephone, electrical, and gas lines. Supervised design of pavement, curbs and stormwater catch basins, c. 1986). o Project Engineer for quantity takeoffs of drainage, underground utilities and pavement from plan drawings to develop cost categories and a construc- tion cost estimate. Reviewed contractors bid packages cost estimates for reasonableness and agreement with Stone's cost estimates for construction of a 7-acre remote aircraft service facilit y at Los Angeles International Airport, w/Bechtel, C. 1987).RALPH STONE AND COMPANY, I NC. Geotecimical, Environmental & Civil Engineers JAMES ROWLANDS, P.E. (Cont.) o Designed roads, aircraft taxiways, aircraft and vehicle washracks, sewers at 18 buildings, and a 5 mile interceptor sewer at George AFB, California. Completed site surveys for alignments and elevations. Completed quantity takeoffs and prepared cost estimates for construction. All for Army Corps of Engineers. o Reviewed consultant geotechnical reports for construction projects in the City of Palmdale, California as the City Geotechnical Engineer. Reviewed projects and plans for drainage, soil conditions and foundation loads, 1986-1988. Publications Kahle, R., Rowlands, J., Evaluation of Trench Subsidence and Stabilization at Sheffield Low-Level Radioactive Waste Disposal Facility, U.S. Nuclear Regula- tory Commission, NuREG/CR-2101, May 1981. (3500)rrce0600 10/04LANDLORD TENANT MEDIATION BOARDCITY OF CULVER CITY ,J77IICULVER BOULEVARD R a BOX 507, CULVER CiTY CA. 90252-0507 20H Y 19 PH h: 52 APPLICATION AND BIOGRAPILICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMIT! EE IVIENIBERSHIP - (pIerjsr? fyiv itr pri.0 The inibanation contained on this form is for the use of the City Council in order to a vacancies on City Commissions, Boards. Advisory CA)mmhtees Or Task Forces. However, all information on this and be. available for public in. teflon or du Dcation as authorized bv law. Separate applications matt be submitted for each body to %Alia application is being made. General Information 1 Identify th9 Commission. Advisory Committee. or Task Force to which a.ppointment is desired: La lot--4/Thl etra- Medial-OA J8‘,.4rd If applyine for a position on rhelandlordiTenant IVTAxlintion _Fltindicate whether you are applying as a tenant representative ( ), landlord representative ( ) or member at-large representative C ._ J. Cali the Elotirie Division a (310) 253-5780 ir you hawc oy questions re...paling elisilliky for Landlord/Mau:it Mettoil abft! posirimi, 3. Name: CA'ir AVIA er104 Telephone ( j . Zip Business: Telephone Address: Zip _ E-mail address: Answer I he ri,fieswitig: (Ur additional sheets jj'neeessary) 4. Community Service (List boards, cotriini&iiorm, comminees and organizations on which you have served or currently serve; offices held and in what . e ty_) r — n 'IN a ‹, e 0_11- c.- .4).6par my Employees rake pride . Fn effect ively plevIderig The th :girf...ve leJor SE .081.0 Sand? the qbality of .fife 4x/tie community by builg tvl QUI Vadif art Of more Men sevepty-live year puipfic $6,%e0, by our present comsrtiiiValit and by mor cleo7caiiarl .16 ine0 the .chal9engie$ ar the Ultra Address: General Information for Cary Anderson. APPLICATON AND BIOGRAPHICAL DATA FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP Item #4 Community Service Downtown Charrette in 1991 and in 1997. Two Term Windsor Fountain Condo SOD Member at Large Late 1980's Studio Drive-In Ad Hoc Committee mid 1990's East Washington Planning Work Shop mid 1990's Graduate Sherman Texas Citizen Police Academy 1996 Graduate Culver City CERT 1998 Culver City Fire Department Strategic Planning Committee late 1990's National / National Transit Area Specific Plan Public Workshop 2006 Culver City Parks and Recreation Master Plan Public Workshop 2007/2008Page 2 of Application 5. Employment (Tide and duties,. current and past.) K7- .1\1 C hie. 4 P lc cr ei- Koc 0 — V N eu.)5 Cr \,) — Af 6%mb-a IfKa es‘ KTLA—TY Ntvas cc, i nna_Pe. riAeon 6. Education (Include pn)fessional or vocarlon al licenses and certificates.) 4-9 Zt\ Ge .neral M'AcKiAAf Ce r 1- I.Iicie Personal 7. Are you a U.S. citizen? YF.S Y\ NO S. Are you registered to vote in Culver City? YES Ni< NO 9. Have you ever been convicted, fined; imprisoned, or placed on YES NO 4 probation for a felony or for a misdemeanor involving fraud? W. Have: you ever worked ror the City of Culver City? (Oyes, list dates and YES_ NO names of depa.rtments.) Are. von relattv.i to any current City employees or appointees of the City YES NO \Y{, of Cut vt.: .r City? (If yes, italic:Int name and relationship.) 12. Are you aware that financial disclosure may be required annitally? YES X NO (e.g. sources of income,, loans and gifts, investments, interests in real Property-) 13. Rules or law and ethics prohibit members from participating iv and YES vain on matters in which they may have a dirx tr indirnct financial interest. Are you aware of any potential conflicts of irtterest which may develop from your occupation or financial holdings in relation to your re.sponsibifiries as a member of the body to which you suck appointment? (If yes, please indicate arty potential conflicts.) 14. Have there been, or are there now, any business circumstances which YES PRINTEP ON FILCYCIX13 . PPPF.RPage 3 of Application miEht reflect ad vta-sely on the propriety of your serving as 11 n Leather of any body to which you mittfn be appointed? 15_ 1-Tow many meetings of the Commission, Bonrd c. Committee to which you are interested in being appointed have you attended in the last year? /6. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at _meetings of the body to which you desire appointment? 1.,\CNAV 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? 43"c kii/o'& -Ve y' 18 eai's I hao- ck i t-Ar4 'oar& iTeike.bAk- re 18. What is there specifically in your background, training, education or interests which qualifies you as 3PP*ink"N' ''? LaA lo ir6 )gtjeztrs Our --1-eAckA4-- s ovk fk en,pe ro,r 2_2_yvy., i .A no-t- re-i ft 0-or k-e",,,,A.% f 19. What do you see as the objectives and goals of the body to which you seek appointment? Fr re. ‹,21eiN-I nLI\ re rik\ a i'&fht4- -*Jr 20. How would you recommend the objectives and goals of the body be changed or auzytented? 21. How would you help achieve the body's established objectives and goals? k . A C Vorrevtf Ei -PD fs ivvey' petrSetig- W ON HEOYOVED PAPErxPage 4 of Application 600 & ) k4" \II a of er% 1\in 4 6 ? (f 4cA 1D01-1, Pa4.-6f RENIINDER: All information on this application will become a public recta-di and be available for public inspection or duolii-atiuu as authorized hv law. I hereby certify that the foregoing information is correct to the best of ray knowledge D.,: 51 D You are invited to attach additional pages. enclose a copy of your resume„ or submit supplemental in r(rmaliori which you feel may assist the City Council in its evaluation of your application. Submit Sppiical ion(s) and attachments to City of Culver City Attention: City Clerk 9770 Culver Boulevard Oliver City, CA 90232-0507 -(310) 253-5851 OPTIONAL In order to assist the City Council in socking to balance appointments in terms of geographic looation or residence and/or business, ethnicity, gender and age, the following information is desirable but noi required for application submission or appointment. if a City resident, for how long? 2- 1 j e- if a City business owner/operator, for how long?... Year of Birth, )9 Male 1, Female Flimicitkr U-)10. .11-e 5593:file 22. What special qualities can you bring to the body to which you seek appointment? MirrIGTION RECYaED PAPERCITY OF CULVER CITY f-CL. L, two CULVER BOULEVARD P.O. BOX al/. CULVER CITY. CA . 902:32-0507 MS HAY 19 PM 2: 06 C; T1 APPLICATION AND BIOGRAPHICAL DATA CITY OF C[.L':,;-t FOR COMMISSION, BOARD OR ADVISORY COMMITTEE MEMBERSHIP (plerae type ter print The infoiniation coinz-dited on this form is for the use of the City Council in order to lilt vacancies on City Coruntissimt:, Boards. Advisory Corornittt-:os or Task Forces non-ever, all information on this ff _ma_Eitt rpeord 11r111 tiCal ea 25 authorized bv Separate applications mat be submitted for each body to which application is being made. General I-eon-nation 1. Identify the Commission. Advisory Comrninck: or Task Force to which appointment is desired: LandlordiTenant Mediation Board -------- • 1 . If applying for a position on the Landlord/Tenant Mediation Board, indicate whether you are applying as a tenant representative ( ), landlord represculAtive ( ) or member at-large representative (__ X_)- Call the Hou.sin; Division at 010) 253 -5780 if you have any question.; regarding thibiitty for LandiordfThmot kiediatititt Huard pilvizi oft,. 3. Name: Dr. Janet C. Molt Phone: Address: Zip: E-mail address: Answer the following: (Use additional sheets if necessary) 4. Community Service (List boards, commissions, committees and organizations on which you have served or currently serve; offices held and in what city.) As a full-time University professor / administrator, my service on committees and boards was focused on professional organizations. (Please see attached resume.) Only since my retirement have I been able to devote time to such community service as Membership Chair for the Culver City Friends of the Library, serving as a mediator and trainer (in school districts such as Compton USD) for the LA County Bar Association, as a mediator in shoplifting clinics in Santa Ana for the Institute for Conflict Management, as a coach-mentor for high school students competing in the Western justice Center's Peer Mediation Invitational and, since 2002, as a member of the Culver City Landlord/Tenant Mediation Board.Page 2 of Application 5. Employment (Title and duties, current and past.) Professor of Education, Associate I Assistant Vice President, Director of the Center for Effective Teaching and Learning California State University, Los Angeles 1986-2000. (Please see attached resume) Granted Emeritus status, 2002. 6. Education (Include professional or vocational licenses and certificates_) In addition to my educational background listed on my resume, I have been certified as a mediator both by the Institute of Conflict Management operated by the St Vincent de Paul Center for Community Reconciliation and by the Los Angeles Country Bar Association (Please see attached documents) Personal 7. Are you a U.S. citizen? YES X" NO S. Are you registered E0 vote in Culver City? YES NO 9, Have you ever been convicted, fined, imprisoned, or placed on YF.S. NO X probation for a felony or for a misdemeanor involving fraud? 10 Have you ever worked for the City of Culver City? (If yes. list dates and YES na ntes of departments.) I I. Are you relined to any currem City employees or a ppointees of the City YES oi'CutvcrC:ity? (If yes, indicate name and relationship.) 12. Are ydu aware that financial disclosure may be required annually? ES X. NO (e.g. sources of income, loans and gifts. investments. interests in mil property.) 13.Rules or law and ethics prohibit members from particiNtine in and YES voting on matters in which they may have a direct or indircct financial interest. Are you aware of any potential conflicts or inienrst which inav develop from your occupation or financial holdings in relation lo your responsibilities as a member of the body to which you seek appointment? (If u-p c inriir-:trp flirt; rvIrequial ennfiii.rcPage 3 of Application - 14. Have there been, or are there now, any business circumstances YES NO ,X,‘ which might reflect adversely on the propriety of your serving as a member of any body to which you might be appointed? 15. How many meetings of the Commission, Board or committee to which you are interested in being appointed have you attended in the last year? I have attended all the quarterly meetings since I was appointed in 2002. 16. How much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? Whatever is necessary. As a retiree, my time is flexible. 17. Why are you interested in appointment to a City Commission, Board, Committee or Task Force? As a resident of Culver City for over 35 years, 1 have had the privilege of enjoying all that the city has provided for us. Now that! am retired, I would like to use my expertise to serve the city. My background and training appear to be well- suited for the Landlord/Tenant Mediation Board. 18. What is there specifically in your background, training, education or interests which qualifies you as an appointee? As a University Associate Vice-President for Academic Affairs at Cal State LA! was responsible for mediation in disputes between faculty and administration; faculty and faculty; students and faculty. This entailed dealing with cases such as cheating and plagiarism, sexual harassment and improper handling of responsibility/authority. As an ICNI and a LACI3A certified mediator,! dealt with cases ranging from juvenile shoplifting to business partners "divorcing" to landlord-tenant disputes. These latter cases invoked such issues as property damage, late payments, eviction proceedings, and, in many instances, misunderstanding caused by miscommunication. As a member of the LTMB, have participated as a mediator when called upon by the Housing Office. 19. What do you see as the objectives and goals of the body to which you seek appointment? The overarching goal of the Landlord/Tenant Mediation Board should be to serve the community by hearing the disputants and assisting them to achieve resolution without going to court. Objectives would include: providing disputants with the opportunity to be heard and to discuss their differences before LTMB mediators; listening to the disputants and providing guidance in the resolution process; drawing up agreements for the disputants with timelines and filing results of all cases with the appropriate city authority. 20. How wd- uld you recommend the objectives and goals of the body be changed or augmenti.d? The goals and objectives of the Landlord/Tenant Mediation Board, which were developed when the Board was established in the 1980's, focus on disputes relating to rent increases and educating the parties about the landlord/tenant relationship. During my 6 year tenure on the LTMB, there have been few cases mediated. It may be time to reconsider the role of the LTMB; a more effective use of the trained mediators; and a means for assisting Culver City in looking into the development of a Community Mediation Board.Page 4 of Application 21. How would you help achieve the body's established objectives and goals? My experience as a mediator at the University, for the Institute for Conflict Management and for the Los Angeles County Bar Association, has provided me with the ability to work effectively with both sides to come to satisfactory agreements. A member-at-large is often viewed as being more objective in dealing with the issues. This should prove to be most helpful in meeting the objectives of the Board and, in particular, reducing tensions of the disputants. 22. What special qualities can you bring to the body to which you seek appointment? In addition to my experience as a mediator, I have been a tenant (I rented an apartment in the Heather Village in Fox Hills before it became a condominium) and a landlord (I rented out the Heather Village condo when my University work took me to Japan and Korea). Also, my professional work has been in language and culture training. I have extensive experience in working with individuals from many different cultural and linguistic backgrounds. In many of the mediation cases I have worked on, the root of the problem has been caused by cultural and/or linguistic differences. When we were able to deal with the misunderstanding, the problems were resolved. REMINDER: All information on this application will become a public record and he available tor public inspection or duplication as authorized by law. I hereby certify that the foregoing information is correct to the best of my knowledge Signature : Date: Kr—A--„/ 7-4YT You are invited, to attach additional pages. enclose a copy of your resume., or submit stipplemenial information which you feel may assist the City Council in its evaluation of your application - Submit application(s) and attachments to: City of Culver city Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (310) 253-5851 OPTION A L In ordcr to assist thc City Council in scoking to balance appointments in itrinc of geographic location of residence and/or business, ethnicity, gender and age. the following information is desirable bur not required for application submission or appointment, If a City resident. for how lone 1 .) "1 v) If a City liminess owner/operator, for how long.? . Year of Birth 14aie F,nuk. Ethnicity DR. JANET CAMERON (Fisher) HOULT 5/2008 Professor Emerita, Charter College of Education Division of Educational Foundations and Interdivisional Studies California State University, Los Angeles EDUCATION Ed.D. University of Southern California, Los Angeles, California 1980 M.A. University of California, Los Angeles, Los Angeles, California 1972 C.E.S.Universite de Grenoble, Grenoble, France 1963 B.A. University of Washington, Seattle, Washington 1958 American University of Beirut, Beirut, Lebanon 1953-54 Lycee Jeanne d'Arc & Community School, Tehran, Iran 1952-53 PROFESSIONAL EXPERIENCE CALIFORNIA STATE UNIVERSITY, LOS ANGELES 1986-2000 Acting Associate Vice President for Academic Affairs 1996-97 • Coordinated University International Academic Programs • Revised University computer/information technology planning process • Planned and organized establishment of Faculty Instructional Technology Support Center • Coordinated Faculty Policy, Space Management, Honors Convocation, Commencement and Affirmative Action Faculty Development Program - Member of University Strategic Planning Coordinating Committee, Enrollment Reporting Task Force, (Chair) Resource Allocation Advisory Committee Acting Assiitant Vice President for Academic Affairs 1995-96 • Liaison with CSU Legal Counsel • Coordinated Faculty Policy, Program Review, Student Assessment, Honors Convocation, Commencement and Affirmative Action Faculty Development Program Director, Center for Effective Teaching and Learning 1990-95 and 1997-99 • Provided assistance to faculty in development of course syllabi and assessment instruments • Implemented the establishment of the Faculty Instructional Support Center to assist faculty in all computer and media related areas, including development of 1Nebsites and organization of classes using WebCT • Presented workshops and seminars to help faculty improve their instruction (general instructional strategies, teaching students with limited English skills, the multicultural classroom, computers and interactive video, etc.) • Edited and published the instructionally Speaking newsletter twice yearly • Provided initial orientation, mentoring workshops and continued support for new and senior faculty members Professor, Divisions of Curriculum and Instruction and 1986-2000 Educational Foundations and Interdivisional Studies Charter School of Education • Coordinated the Teaching English to Speakers of Other Languages M.A. Program (TESOL); Secondary M.A. Program and Internship Program • Taught a variety of courses in the credential and MA programs: Instructional Strategies, Evaluation of Teaching Competency, Language Testing, ESUEFL Program Administration, Comparative and International Education, English as a Second Language, and Foreign Language Methodology • Provided advisement and counseling to students in credential and M.A. programs • Developed Cooperative Educational Program between CSLA and the University of Costa Rica, San Jose, Costa Rica • Planned and implemented training program for Chinese teachers of English and Business English Program sponsored by the Shanghai Municipal and Economic Relations and Trade Commission, Shanghai, PRC • Taught ESUEFL methodology to Korean teachers of English, Pusan, Korea • 'Member of California State University's Academic Council for International Programs - 1987-94 - Interviewed and selected student participantsCALIFORNIA STATE UNIVERSITY, OFFICE OF THE CHANCELLOR 1985-86 Director, California Academic Partnership Program (CAPP) • Administered and provided overall leadership for statewide program funded by AB 2398 in excess of $1,500,000 • Established and implemented the proposal process • Monitored funded projects and coordinated evaluation activities • Developed and disseminated information state-wide about CAPP • Supervised program office UNIVERSITY OF SOUTHERN CALIFORNIA, LOS ANGELES 1980-85 Director, USC/Public Schools Program, School of Education 1982-85 • Directed development of partnership programs with school districts • Directed advisory committees • Managed proposal development for funding • Organized and chaired conferences, workshops and seminars involving university, community and school district personnel Coordinator, Continuing Education, School of Education 1983-85 • Coordinated all School of Education continuing education programs • Developed budgets and marketing Coordinator, Undergraduate Recruitment, School of Education 1984-85 • Developed strategies to interest and encourage entering freshmen, upper and lower division students to consider teaching as a profession Visiting Associate Professor, Department of Curriculum and Instruction 1980-81 Asian Master's Program - Japan and Korea • Taught a variety of graduate level courses on U.S. Military Bases • Provided assistance to host countries' Ministries of Education and U.S. Department of Defense Dependent Schools • Keynote-speaker and leader at international conferences and seminars on teaching English as a Second and Foreign Language held in Thailand, Singapore, the Philippines, Japan and Korea Director, English as a Second Language Training Program Summer 1980 Department of Defense Dependent Schools - Munich, Germany • Developed and implemented curriculum and ESL training in Munich for DODDS teachers throughout EuropeBUNKA GAKUEN WOMEN'S COLLEGE 1981-82 BUNKA GAKUEN FASHION INSTITUTE BUNKA INSTITUTE OF LANGUAGE, TOKYO, JAPAN Curriculum Director and Supervisor of Teacher Training • Developed comprehensive English language curriculum including training program for fashion business English and culture • Developed and implemented program to train English teachers LOS ANGELES UNIFIED SCHOOL DISTRICT 1965-82 Instructional Team Leader 1982 • Consulted with elementary schools to provide guidance in School Improvement Program implementation • Developed multicultural and multimedia resource centers at elementary schools Director, Career Units for ESL Students (CUES) ESEA Title IVC 1977-80 • Administered career training program for secondary ESL students • Developed and managed budget in excess of $300,000 • Wrote proposals and reports • Formed advisory committee • Hired/supervised personnel for development of print and media materials • Recruited and trained volunteers • Set up training program for teachers Advisor, Secondary English as a Second Language 1974-77 • Worked with all LAUSD secondary school ESL programs • Conducted workshops for all elementary and secondary ESL teachers and regular faculty • Assisted schools in setting up new programs • Distributed new curriculum materials and implementation procedures • Advised school staff on latest methods, materials and legal mandates Teacher, King Junior High School 1965-74 • Taught ESL, French, Journalism, English, Leadership • Department Chair for Foreign LanguagesFULBRIGHT FELLOW and LECTURER, FRANCE 1962-64 Lecturer, Centre Mediterranee, Nice, France Summer 1964 ? Taught English as a Second/Foreign Language and American Culture Lecturer, Faculte des Lettres, Universite de Grenoble, France 1963-64 • Gave seminars on topics scheduled for the national examinations (Mark Twain, the Federalist papers, etc.) to assist students in their preparations for the Certificat d'etudes Superieures - Etudes Americains • Taught classes in ESUEFL and American Culture Lecturer, CEG "St. Georges" et "St. Martin", Perigueux, France 1962-63 • Taught ESUEFL classes and American Culture • Trained teachers in new language teaching methodologies IRAN AMERICA SOCIETY AND GENDARMERIE MISSION 1955-56 TEHRAN, RAN English Instructor for Special Programs • Taught 6- 10 week courses for firemen or medical personnel to learn basic English for specialized study in the U.S. CREDENTIALS AND SELECTED GOVERNMENTAL / PROFESSIONAL ACTIVITIES Cornmunitr involvement • Culver City Friends of the Library — Board Member 2005 - Present • Culver City Landlord-Tenant Mediation Board -L Member-at-Large 2002 Present • Culver-City Sister City Committee — 2006 - Present • LA County Bar Association — Mediator — 2002 — Present • Culver-Palms United Methodist Church — Social Justice Committee - Present • Institute for Conflict Management, Santa Ana, CA — Mediator— 1999-2001California Education Credentials • Life - Multiple Subject; Secondary (English/French) • Renewable - Adult Education; Administrative Services Governmental Activities • California Foreign Language Project Evaluator - U.S. Department of Education • Foreign Language Curriculum Consultant - California State Department of Education / Western Association of Schools and Colleges • Program Evaluation Team - California Commission on Teacher Credentialing • Foreign Language Curriculum Framework Committee - California State Department of Education Professional and Community Activities • CSULA Emeriti Board member — Chair, Fellowship Fund 2000-Present • Mediator, LA County Bar Association 2002-Present • Member, Culver City Landlord-Tenant Mediation Board 2002-Present • Culver City Sister City Committee 2006-Present • LA-Guangzhou Sister City Committee ESL Training Program 2005-Present • Membership Chair, Culver City Friends of the Library 2005-2007 • Mediator, Orange County Superior Court, Juvenile Division 2001-2002 • Program I Curriculum Developer - Shanghai Business English Program Shanghai Institute for Foreign Trade - Summer 1998 • Educational Consultant—ESL, Assessment, Program Evaluation 1999-Present • National Teacher's Exam for English as a Second Language Advisory Committee - Educational Testing Service • California State University Academic Council for International Programs • California State University at Los Angeles' Strategic Planning Committee • Vice President, International TESOL - Teaching English to Speakers of Other Languages SELECTED HONORS Distinguished Woman of the Year Award 1999-2000 (CS-ULA) • Outstanding Professor Award 1993 (CSULA) PUBLICATIONS AND PRESENTATIONS — Upon RequestCenter for Community Reconciliation 0, )47 Dire r, St. Vincent e Paul Pr gram Manager, The Victim- Offender Reconciliation Program Los Angeles County Bar Association rAsputo Resolution Services 113C. Thr Lox Angric,vCnwny Ilispnte Re-,uintiont ScrvixN crtrtirils- thlt the n/m.1 inAiridarai h,hsw has zumpleirti LI= ncceziary trimation and raining, rrquirenrems as definrzl - is Carannia Itc.An/ion .Act 15 s9S tBe.linesk aid Pro sSssis Cods sasS 515 LOA AntICS CCIrAy Ds sasnr .1Coninivnizy sd Sraior Ssjsas Diyptlit Pan Ac-r Grant Advainisstatitm Theselor-, hay* nsct all 1=cef.sary leguirenr,/tsI uaiiticr3 corglan mantic:2s_ Dr. Janet Cameron-Honk 4165 St. Vincent de Paul Center for Community.Reconciliation Victim-Offender , Reconcii iation Program Dr. jaoet-Hoult July 2001 - Is to be recognized as a, Certified Mediator - Having completed training complying with State Department of Consumer Affairs guidelines as stipulated by the California Dispute Resolution Programs Act And having completed necessary Applied Field Work Council of Orange County, Societ y nf rt NaLlleCITY OF CULVER CITY E L-, 1I770 CULVER BOULEVARD RU. BOX so:, CULVER CITY. CA., 90252-0:507 MS MAY I 9 Fri I : 118 APPLICATION AND BIOGRAPHICAL DATA C ,-- CU MEA-IBERSHIP FOR COMMISSION, BOARD OR ADVISORY COMA/If/lid Othertve type arprird The information contained on this ton)) is for the use of the City Council it) order to fin vacancies on City C.0 ELLE t tkrt, Boards, A.d vswy onn1utc.s or Task Forces. flowever. all I information on this frin . 3/4 .4iiillIELefiMe i puJixe rurd aud lie adlah1c fOr puhik inspection ir di Jktion 2.S authorized by law. Separate applications must be submitted for eath body to which application is being madc. Jib Genera) information 1. Ide.ntif, cli, e Commission, Advisog Corrimilux or Task POMO to which appointment is desired: /an .1 /arc/ /44-ei ,;(x-risy, car!! 2. If applying for a position on the Landlord/n:1=i Mediation Board, indicate whether you um applying as a tenant representative .K landlord ropruseniative ) or member at-large representative Call du. Housing DiviSio3 at t3 II)) 253-57.S0 iF .A .1.-Lahawc ony t1fte,51inriA regarding ? etigibilize for Landtordircno74 -Road nitiins. 3, Name: ---7;24190,e-9 Ti.t1,41,1101)e. Address: Business: Address: E-niiU addivss: Teiephone Zip Answer iii 611,11,11Eqi.o,f: f rise mirfieionai sheeix ificcrrsui 4. COMM fruity Service (List boards, commissions,. committees and organizations on which you have served or Currently serve offices held and in witat city-) Al al --reptoKer t c igoacci i Itje r v reAP Ci<0- 021 (see PV". GOO 1 isc-q.-C;ak. ir ay Employees fake pridr::in offectivei y,ocoviot rig iie tie of se-1.1th gfvich rho quaky or tire for the. cryirmex.0 Iv bugging a,.f OUT 111.1tiliCrt of more Mao seventy-)ve yotira of ptthfie SdPi,10, by au- prosaal commirratwi1. hy rain- riFirk:lielar, 242 chui,lunges 01 FIT.;'-, rr.IrvPage 2 of Application 5. Employment (Title and duties. current and past.) o 4 L-Skou- icst toki-,4 c-7‘ et- (Ste,p y" 1 ed) Eduealion Oncluric professional or vocational licenses and certificates.) r cc) 5 --CCt 04 I t e- &4( OCr (4Ge, 0.4,-P;LeL) Personal 7_ Are you a U.S. citizen? YES NO 8. Are you registered to vote in Culver City? Y ES IC NO 9. Have you ever been convicted, fined, imprisoned, or placed on NO K probation for a felony or for a misdemeanor involving fraud? 10, Have you ever worked for the City of Culver City? (If yes, list dates and YES sp( NO names of-departments.) cv C c tzlk.-66-., H. Are you related to any curr•m (.74-y employees or appointees of the City YES NO ek or Culver City? (Jr y. indicate name and relationship• 12. Are you aware that financial disclosure, may hes:quire(' annually? YES P‹ NO (e.g. sources of income, loans and gifts. imeglIVJ)K I liCA:SIS ill real property.) 13.Rules or law and ethics prohibit metribets from parficipatilw in and YES NO K. voting on matters in which they may have a direct or indirect financial interest. Arc you aware of any potential conflicts of interest which may develop from your occupation or finimcid holdinEs in relation to your responsibilities as a member of the body to which you seek. appointment? (If yes. please indicate arty potential conflicts.) 14. HOvc there been, or are there now, any business circumstances which YES NO, 211 PIN I ED CPI HEC' oCi r zii PAPERPage 3 or Application reflt, ct 4.1dvmely on the propriety of your se.rving aKa fliLtrribcr of any body to which you might be appointed? 15. r -r _ow litany nrxiings or iiio commission, 1-4(Niiii or (7 ,;. izranitice to which von are interested in being appointed have you attended in the last year?_15 ib. flow much time, on a monthly basis, do you anticipate spending on preparation for and attendance at meetings of the body to which you desire appointment? tee,s-r tOb-rrelvt` i 17. Why are you interested in appointment to a City Commission. Board, Committee or Task Force? /lot v-e eotior ri Rocker() , G 147 'Sc c -t- c:gi exe%. 18. What is them specifically in your background, training, education or ifflerets which qualifies you as an appointer? Gt.11"- r- c...%\r‘ ed vrk-e.t.)Ci\,-z-ov" 0,--pe I 4" ckr%,Pc14 19. What do you see as the objectives and goals of the. body to which you sock appointment? _- C,Cvre, e„r"r„vv-C iv (...1,-Ce - ffoOd Zwc 20. How v,rould you recommend the objectives and goals of the body be changed or augmented? /TLC I, vvo VP -4- "%e--Ciarr." f fi .12_, eiL5 /tape_ m C4 `, • At viA7 ."""re...PtAA— CA-1) A.k.,€,VO41-0,/ Pp I EL) UN XEC7,:-71) pAperi 21. How would you help achieve the body'scsiablislied objectives and goals?Daii:: Page 4 of Application 22. What special qualities can you bring to the body to which you seek appointment? 11116- pe- :\e_A t-i2, rvt, e 1,,,t,c bee- ( 1/1 [Ni 'e •/‘ 6 vtece-5-s-r4 11(‘-e41\ • REMiND.ER Jl information on thi_s_iu.rpIleation will_ )c_econe a public record and he available for public inspection or duplication as authorized by law. I hereby certify that the foregoing information is i:urrect to the best of my knowledge You are invited to attach additional pages. enclose a copy of your resume-, or submit supplemental information which you feel may assist the City Council in its evaluation of your application_ Submit application(s) and attachments to: City of Culver City Attention: City Clerk 9770 Culver Boulevard Culver City, CA 90232-0507 (3 1 (3) 253-5S5 I OPTIONAL In order to assist the City Council in seckinit to balance appointments in terms of geographic location of residence andior busincsti, ethnic:4, gendur and age. the following information is desirable but not required for application submission or appointment. If City irsident. for how long? If a City business owner/operator, for how Jong? Year of Birth / q 5-7 Male K. Female FIN itchy sichg:jty PRINIFII O. Fig:WC-LEE PAPER