From: [email protected]
Sent: Thursday, May 12, 2022 4:02 PM
To: Website DL - Clerk's Office; Amber Evans; Chadrick Smalley Subject: [External] Online Form Submittal: Board / Committee / Commission Application Board / Committee / Commission Application
PERSONAL INFORMATION
Full Name:* Email Address:* Gender:
Harley Jensen male
Please specify the Board, Commission or Committee you are applying for:* [Public Art Committee V]
Which position on the Advisory Body are you applying for?* I am currently a member of the above Committee, and am seeking reappointment.* (X) Yes () 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 (X) No
RESIDENCY / EMPLOYMENT INFORMATION
Home Address:* City:* State:* Zip Code:*
Home/Cell Phone Number:* How long have you lived in Emeryville?* 21 years
Place of Employment: Occupation:
retired Architect
Business Address: City: State: Zip Code:
CA
Business Phone Number: How long have you worked in Emeryville? Upload Your Résumé:
1 EDUCATION / EXTRACURRICULAR INTERESTS
High School:
College:
Trade or Business School(s):
Other Interests:
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? 1 (X) Yes () 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.
Please list all organization memberships and positions held.
Please list any relevant work and volunteer experience.
Why are you interested in serving on this Board, Commission or Committee?* I wish to continue my membership[
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.
From: [email protected]
Sent: Monday, May 4, 2020 3:10 PM
To: Website DL - Clerk's Office; Amber Evans; Chadrick Smalley Subject: [External] Online Form Submittal: Board / Committee / Commission Application Board / Committee / Commission Application
PERSONAL INFORMATION
Full Name:* Email Address:* Gender:
Harley jensen
Please specify the Board, Commission or Committee you are applying for:* [Public Art Committee V]
Which position(s) on the Advisory Body are you applying for? [Business Representative 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 (X) No
RESIDENCY / EMPLOYMENT INFORMATION
Home Address: City: State: Zip Code:
Phone Number: How long have you lived in Emeryville?
17 years
Place of Employment: Occupation:
Retired Architect
Business Address: City: State: Zip Code:
Phone Number: How long have you worked in Emeryville?
EDUCATION / EXTRACURRICULAR INTERESTS
High School:
Oakland High School
College:
U C Berkeley
Trade or Business School(s):
Other Interests:
Council on architecture. Oakland Museum
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? (X) Yes () No
1 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.
Public Art Committee
Please list all organization memberships and positions held.
President American Institute of Architects. Oakland chapter Please list any relevant work and volunteer experience.
Former member of this committee for 5 years
Why are you interested in serving on this Board, Commission or Committee? I am reapplying for this position
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