From: [email protected]
Sent: Wednesday, February 24, 2021 2:17 PM
To: Website DL - Clerk's Office; Kim Burrowes; Brad Helfenberger Subject: [External] Online Form Submittal: Board / Committee / Commission Application Board / Committee / Commission Application
PERSONAL INFORMATION
Full Name:* Email Address:* Gender:
walt watman male
Please specify the Board, Commission or Committee you are applying for:* [Commission on Aging V]
Which position(s) on the Advisory Body are you applying for? [Resident V]
I am currently a member of the above Committee, and am seeking reappointment.* () Yes (X) No
If you are seeking re-appointment, has any of your information changed within the last 12 months? If your answer is yes, please complete the rest of this form. If your information has not changed within the past 12 months, please only enter your name and email information above. You do not need to complete the remainder of this form.
() Yes () No
RESIDENCY / EMPLOYMENT INFORMATION
Home Address: City: State: Zip Code:
Phone Number: How long have you lived in Emeryville?
Place of Employment: Occupation:
Business Address: City: State: Zip Code:
Phone Number: How long have you worked in Emeryville?
EDUCATION / EXTRACURRICULAR INTERESTS
High School:
College:
advanced degrees; Michigan
Trade or Business School(s):
Other Interests:
music, tennis, theatre, aging
ADVISORY BODY EXPERIENCE / INFORMATION
Are you currently serving on other Boards, Commissions or Committees? () Yes (X) No
Have you served on a Board, Commission or Committee before? () Yes (X) No
Please list all past and current City of Emeryville advisory boards.
Please list any past and current board, commission or committee memberships outside of Emeryville. 1 Please list all organization memberships and positions held.
Please list any relevant work and volunteer experience. retired from private practice as clinical psychologist offering psychotherapy to adults, including those with emotional injury caused by employment
Why are you interested in serving on this Board, Commission or Committee? as i age becomes even more important to serve; in particular, elders offer wisdom and have to cope with the general I disregard tor their needs for connection. Helping to find ways to provide that and tap the wealth of life lived can help us all.
PLANNING COMMISSION APPLICANTS ONLY
Please provide a short (300 words or less) statement discussing your ideas and attitudes about planning in Emeryville. Please consider issues such as traffic, industrial and commercial development density, affordable housing, maintaining community diversity and jobs/housing balance.