City of Fortuna
APPLICATION FOR APPOINTMENT TO
CITY BOARD/COMMISSION
Name of Board or Commission: Fortuna Parks and Recreation Applicant Name: Patrica Gomez-Gillard
Home Address: +.-
Mailing Address (if different):_
Home Phone: Business/Cell Phone:
Email Address:_
Education: Master's Degree
Length of Time in the Fortuna Area: 5 years
Present Employer: Dept of Veteran Affairs (Full time) and California Conservation Corps (Part-time) Job Title: Psychotherapist
Organizations in which you are currently involved: none Reason for wanting to serve on this Board/Commission: I want to give back to my community I want to give back to my community
Expertise you bring to this Board/Commission: Have been on the board of Defiance Canyon Raptor Rescue in Shasta Have been on the board of Defiance Canyon Raptor Rescue in Shasta References:
1. Steve Ross, RN
2. Forest Harpham, LCSW
PATRICIA GOMEZGILLARD Digitally signed by PATRICIA GOMEZGILLARD Date: 2024.01.29 14:02:06-08:00
Signature Date
This application will be kept on file for six months.
Board/Commission Application
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