APPLICATION FOR COUNCIL APPOINTMENT TO ADVISORY BODY
Revised 10/2023
This application is considered a public record pursuant to The California Public Records Act (Government Code 6520 et seq.) and may be made available to any member of the public upon request. Appointee's contact information may be published in the City of Cotati public informational roster.
Appointees to certain advisory bodies will be required to complete a Statement of Economic Interest as required by California Guvernmeni Code §87200 ei sey. and the City of Colaii Conñici of inieresi Code.
Choose one; please complete a separate application for each advisory body for which you would like to be considered.
Advisory body to which appointment is sought:
Planning Commission Measure S Oversight Committee
Marin/Sonoma Mosquito & Vector Control District • Other
CONTACT INFORMATION
First Name: Amy Last Name: Lyman
Mailing
Address:
E-mail:
Phone:
Alt phone:
EDUCATION
• High School Graduate; or
Location:
GED
College/University Major Degree/Date
UC Davis Applied Behavioral Science BS/June 1979
Univ of Pennsylvania Sociology/Cultural Anthropology PhD/Aug 1986 Other formal education:
Application for appointment to advisory body
EMPLOYMENT HISTORY
List all employment during the last five years. If retired, list last employer.
Period Employer (include location) Position/Title
1994-2008 Great Place to Work Institute Founder
1988-1994 UC Davis Asst Prof
1986-1988 U Penn Lecturer
PERSONAL INFORMATION
Year you became a Cotati resident: 2013
Are you a City of Cotati registered voter? EYes •No
Are you related to any member of the City Council, any City advisory body DYes ENO Member or City Employee? If yes, please list name and relationship:
Are you currently a vendor or contractor with the City of Cotati LYes ENO Are you currently employed by the City of Cotati? •Yes ENO Have you ever been convicted of a felony? If yes, please explain: •Yes ENO List civic activities, clubs, associations, etc.:
I have been involved with many civic associations over the years I am not now a member of any particular organization though take an active interest in many aspects of civic life here in Colati and in CA in general.
Briefly state your reasons for interest in the appointment sought:
I served on the original Measure G committe and learned a lot about Cotati and city govt and would like to continue to serve in this new capacity on the Measure S committee.
Please initial the following 2 paragraphs:
AL
I understand that this application is considered a public record pursuant to The California Public Records Act (Government Code 6520 et seq.) and may be made available to any member of the public upon request. Appointee's AL contact information may be published in the City of Cotati public informational roster.
I understand that appointees to certain advisory bodies will be required to complete a Statement of Economic Interest as required by California Government Code §87200 et seq. and the City of Cotati Conflict of Interest Code.
I certify that the foregoing is true and correct to the best of my knowledge:
11/1/23
Signature Date
Emergency contact information (confidential; for emergency use only):
Simeon Lyman-Levering Son
Name Relationship Phone number
Thank you for your interest. Please return completed form to the Deputy City Clerk via email at or deliever to City of Cotati, Attn.: Deputy City Clerk, 201 West Sierra Avenue, Cotati, CA 94931-4217