From: [email protected]
To: CityClerk; Karina L. Lafarqa; Cristina Hernandez
Subject: B&C Survey
Date: Friday, December 2, 2022 8:48:35 AM
Warning:
External
Email JA new entry to a form/survey has been submitted.
Form Name: B&C Survey
Date & Time: 12/02/2022 8:48 AM
Response #:
Submitter ID: 106296
IP address:
Time to complete: 4 min., 30 sec.
Survey Details
Boards and Commissions Interest Survey
1. Prefix
(0) Ms.
2. First and Last Name
Pat Mallen
3. Preferred Pronouns
10)
She/Her/Hers
E-mail
5. Primary Phone
6. Would you like to continue serving on a City board or commission? (0) Yes
Select your first choice
(o) Health, Wellness, and Aging Commission (formally known as Healthy Chula Vista Advisory Commission)
8. Select your second choice
(o) Cultural Arts Commission
9. Select your third choice
(o) Parks and Recreation Commission
10. In the event you cannot be placed into one of your top 3 choices, please let us know if we can consider you for any of the following boards and commissions with current vacancies.
Interested Not
interested
Board of Appeals and Advisors [x]
Board of Library Trustees
Citizens' Oversight Committee - Measure P [x]
Cultural Arts Commission (Expanded to include duties of the Commission formerly [x] known as International Friendship Commission)
Health, Wellness, and Aging Commission (Expanded to include duties of the Commission formerly known as Commission on Aging)
Housing and Homelessness Advisory Commission (formally known as Housing Advisory Commission)
Human Relations Commission
Parks and Recreation Commission [x]
Traffic Safety Commission (formally known as Safety Commission) [x] Veterans Advisory Commission
11. Comments
| look forward to helping Chula Vista continue to be a great city Thank you,
City of Chula Vista
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Leah Larrarte
From: Webmaster
Sent: Wednesday, July 13, 2016 5:04 PM
To: CityClerk; Adrianna Hernandez; Margarita Bazzel; Wendi Garrison; Kristi McClure Huckaby
Subject: City of Chula Vista Commission on Aging Application - Web form Follow Up Flag: Follow up
Flag Status: Flagged
A new entry to a form/survey has been submitted.
Form Name: Commission on Aging Application
Date & Time: 07/13/2016 5:03 PM
Response #: 3
Submitter ID: 15869
IP address:
Time to complete: 22 min., 54 sec.
Survey Details
Application for membership on the Commission on Aging
1. Prefix
(o) Ms.
2. First and Last Name
Pat Mallen
3. E-mail
4. Home Address
5. City
Chula Vista
6. ZIP code
7. Primary Phone
8. Secondary Phone
Not answered
9. Are you registered to vote in Chula Vista?
(0) Yes
10. Do you live within the City limits of Chula Vista?
(o) Yes
11. How Long?
25 years
12. Present employer
retired
13. Occupation
attorney (inactive)
14. Are you currently serving on a Chula Vista Board/Commission? (0) No
15. Which one(s)?
n/a
16. Have you previously served on a Chula Vista Board/Commission? (0) No
17. Which ones?
n/a
18. Are you or have you been involved in any local, civic or community groups? (0) Yes
19. Which ones?
Norman Sr Center groups, NIH walking group project
20. What are your principal areas of interest in our City government, and what experience or special knowledge can you bring to those areas?
As a county deputy district attorney, I worked in the Chula Vista office for over 8 years and learned about the area from a legal/business perspective. As a long time city resident, I have watched the area develop both the east and west sides in different ways. As a recent retired person and senior, I have a personal interest in programs and services available to all the senior groups here. I have worked with government agencies and am interested in improving our city services to make our city a better community.
21. What would you hope to accomplish in the role of a Member of the Commission on Aging? (250 words or less) I want to help expand senior services in Chula Vista and to support the services already available at Norman Sr Center. I want to assist our local seniors to take advantage of what already exists and create new opportunities for all senior groups. I have the time to attend meetings and other functions as needed. 2 22. You may upload a resume in addition to your application (optional).
23. The City understands meeting schedules and individual's availability may change. We ask that you consider the meeting schedule when submitting an application.
(0) I have reviewed the Commission on Aging regular meeting date, time and frequency.
24. (o) 1 am familiar with the responsibilities of the Commission on Aging. I attest that the information I have provided is accurate and true.
Thank you,
City of Chula Vista
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