Marion Reynoso
From: [email protected]
Sent: Tuesday, January 16, 2024 3:49 PM
To: CityClerk; Karina L. Lafarga; Amanda Angulo; Marion Reynoso; Cristina Hernandez Subject: City of Chula Vista - Human Relations Commission Application WARNING - This email originated from outside the City of Chula Vista. Do not click any links and do not open attachments unless you can confirm the sender.
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A new entry to a form/survey has been submitted
Form Name: Human Relations Commission Application
Date & Time: 01/16/2024 3:49 PM
Response #: 84
Submitter ID: 129714
IP address:
Time to complete: 31 min., 28 sec.
Survey Details
Application for membership on the Human Relations Commission.
1. Prefix
(0) Ms.
2. First and Last Name
Martha Souza
3. Preferred Pronoun
10)
She/Her/Hers
4. E-mail
5. Home Address
6. City
1 Chula vista
7. ZIP code
8. Primary Phone
9. Secondary Phone
10. I certify that I am a resident of the City of Chula Vista and at least 18 years of age.
When applying for a Youth Advisory member: I am a resident of the City of Chula Vista and between 16 and 22 years of (0) Yes
11. How long have you been a resident of the City?
9 years
12. Please click here to view the interactive map and verify your District of residency I am a resident of the following City Council district. 10) 4
13. Present employer
In home health services
14. Occupation
Caregiver
15. Please select the seats for which you are interested and qualify: (select as many as applicable) [x] Resident of the City At-Large
16. Are you currently serving on a Chula Vista Board/Commission? (0) No
17. Which one(s)?
Not answered
18. Have you previously served on a Chula Vista Board/Commission? 10) No
19. Which ones?
Not answered
2 20. Per Chula Vista Municipal Code Section 2.25.030, I understand:
-If I am currently serving on a board or commission, I must resign from my current board or commission if l am appointed.
-I must have served at least 12 months on my current board or commission in order to be appointed to another board or commission.
(o) 1 have read and acknowledged the above statement.
21. Are you or have you been involved in any local, civic or community groups? (0) No
22. Which ones?
Not answered
23. In what ways are you associated with the business and or civic activities of the City? How has your participation reflected the interests and concerns with the protection of the civil liberties of all people which make up the City's residents? I participate in the city Council meetings.
24. Please describe how you represent the diversity of Chula Vista? I am a hispanic and I speak Spanish and I am a woman.
25. Please describe your interest in fostering better human relations in the City of Chula Vista.
When I see a need l engage to try and help.
26. What would you hope to accomplish in the role of a Human Relations Commissioner? (250 words or less) Me being a teenager survivor of homelessness and a survivor of domestic violence that | help runaway teens, women and men enter into homeless shelters or into housings or domestic violence shelters and drug rehabs. I go out and feed the homeless once a month. Or whenever I see a need. When I see a crime committed I will call Chula Vista police. I also have experience working with gang intervention prevention helping youth out of gangs and drugs.
27. Please upload a resume in addition to your application (not required, but strongly encouraged).
28. (0) 1 am familiar with the responsibilities of the Human Relations Commission. I attest that the information I have provided is accurate and true.
Thank you,
City of Chula Vista
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